JoyfulNurseLPN

JoyfulNurseLPN has 10 years experience and specializes in Utilization Review / Geriatrics.

Latest Activity

1. First job and I am in total shock!

   JoyfulNurseLPN replied to visionsbydean's topic in Safety

   Wow, there are all sorts of major problems here. First off, any catheter inserted not using sterile technique is a major risk factor for a nosocomial infection. SHOVING it in is also another big no no, that can cause major trauma to the urethral ...

2. The Slow Code: Justified?

   JoyfulNurseLPN replied to TheCommuter's topic in Safety

   heh, I jumped in really late as I've just discovered this message board, so I responded really late to the OP. I also agree, an informed decision made by a patient to be a DNR should never be gone against especially if a family decides later it's ...

3. The Slow Code: Justified?

   JoyfulNurseLPN replied to TheCommuter's topic in Safety

   Oh, I absolutely agree with you Commuter. Some people think it's a dignity issue to allow someone to die peacefully where death is obviously imminent, I agree to an extent but I don't agree with standing around and putting on a big charade and th...

4. The Slow Code: Justified?

   JoyfulNurseLPN replied to TheCommuter's topic in Safety

   To quote the article "This clinically dead man was a full code, yet the multiple people in the room were moving with a disturbingly unhurried pace.", "A nurse with more than 20 years of experience glanced at me with a smile and sternly said, “Give it...

5. The Slow Code: Justified?

   JoyfulNurseLPN replied to TheCommuter's topic in Safety

   This article gave me chills. I have heard about ''slow codes'' before but I wrongfully assumed they were some sort of urban legend or medical myth that had existed for eons but weren't really part of reality. The behavior of the other staff is ...

6. 5 months snd still haven't takin boards

   JoyfulNurseLPN replied to Nikki0727's topic in NCLEX

   Hahah is your birthday 07/27? If so, mine is too! That's cool! Hope it all works out for you - remember, you got this test. You know all the info, now is just the time to go show you know it. Trust me, you'll pass.

7. What are your thoughts on patients who request no male nurses taking care of them?

   JoyfulNurseLPN replied to Mike A. Fungin RN's topic in Men

   Personally I think it's best to honor the patients wishes and move on. I've had men request male caregivers, men request female caregivers, female request male caregivers and females request female caregivers. I've had patients tell me they didn...

8. Fun answers you can use for the dumb questions we get...

   JoyfulNurseLPN replied to tenjuna's topic in Men

   Yeah. It still happens, in response to Brandon. I used to have female and male patients refuse me to do their cares and ADL's as an aide, and when I got my license staff sometimes referred to me as an ''Orderly'' which really made me raise my eyeb...

9. Help! I'm trying to understand this med test for employment

   JoyfulNurseLPN replied to tempestxoxo's topic in LPN/LVN

   Hey Tempest, good luck on your test - I know you'll pass, they can seem intimidating but remember you've done this all before in school. First, ''General safe medication practice: management of pain?'' When giving a pain medication, you are goin...

10. my first med pass

    JoyfulNurseLPN replied to trunel's topic in LPN/LVN

    I was very slow at first too. You will get better as you know the meds better for each patient, but don't rely on your memory. Some patients get new meds every day. It's better to be safe than sorry. Just make sure you remember the 7 rights...

11. 5 months snd still haven't takin boards

    JoyfulNurseLPN replied to Nikki0727's topic in NCLEX

    As far as lab values I would study the all of the normal values for the electrolytes, red and white blood cells, liver enzymes, BUN, CRIT, vitamins (b12, D). Those seem like the ones that pop up most on the boards. I would print out a cheat shee...

12. LVNs in California - reading PPDs?

    JoyfulNurseLPN replied to LVNmommy29's topic in LPN/LVN

    I guess it depends on the protocol of the facility. Some say >5mm induration might warrant further workup. Here in NYS, an LPN cannot ''assess'' a PPD, it has to be done by an RN, although in LPN school we were taught to ''read and interpr...

13. New nurse!! Please help!!

    JoyfulNurseLPN replied to horsewildfire's topic in LPN/LVN

    You absolutely can do it. I was a charge nurse who had to do 'double units' (responsible for 70 patients). That included assignments, treatments, meds for both units, mealtimes for both units in a communal day room, monitoring of the floor, any...

14. Orienting As Charge Nurse Tomorrow Morning... I'm Freaking Out!

    JoyfulNurseLPN replied to CaliCatLVN's topic in LPN/LVN

    Addendum; Any new orders coming need to be checked, double checked and verified by your precepting nurse. Transcribe them, notify the med nurse of the change and call the order into the pharmacy or order it on the computer. Check for any med i...

15. Orienting As Charge Nurse Tomorrow Morning... I'm Freaking Out!

    JoyfulNurseLPN replied to CaliCatLVN's topic in LPN/LVN

    Hey CaliCat, I too was oriented to charge days after my graduation, actually before I took my boards. I have to say I too was nervous and didn't think I would do well, but when I got there and met with my preceptor my training kicked in and I did ...