Originally posted by theboss:
hey i would like to hear more about the diffrences of all aspects of nursing in your state??? good or bad, fun or not what ever it is lets here it !!!hope to here some great responses!!!!!!thanks the boss
Jeeze, where do I start? First, I started out as an LVN in Texas, in an NICU, and cross trained in L&D. This was great experience. In the NICU, I did infant assessments, IV starts, gave meds through UVC, and obtained ABGs through UAC lines. Gave IV meds, OG/OJ fdgs, assisted MD, residents, with procedures, spun HCTs, care for level III babies on vents, and Step down LEVEL II, and LEVEL I normal newborns. I did initial admissions, and assessments on newborn infants. In Texas, LVNs admitted their own pts., started IVs, drew blood, hung blood, blood products, gave all meds, including IVP. ABG draws from Art lines. I have been in charge on med-surg units. Worked ICU,CCU, SICU,MICU, and Level I Trauma ER. Served as resource for new nurses, including RNs. I also worked as a supervisor for home health aides/homemakers in a United Way program, with my own office, and a great ADN boss. I was in charge of hiring, did inservices, evaluations, admissions, and discharge of pts, schedules, and sumitted their payroll, and monthly reports on my program. I developed, and put together a guide to assist families with finding nursing homes for their love ones.
I also helped develop a new admission form for psych pts., at the VA hospital in NY.
Alabama, worked home health, made medicare, medicaid visits, drew blood, inserted NGTs, supra pubic catheters, obtained orders from MDs, team lead a large area with at least 6-8 nurses depending on the prn we used. I assigned the nurses, including RNs, visits, Q&A their paper work, assisted with billing, maintained files, and did intake of referrals. I worked at a home care agency, as a supervisor of nurses, took call on a rotating basis, followed up on referrals from hospitals, visited pts., prior to D/C from the hospital, and admitted them to our service. Agency went out of business, but not before oweing many nurses money. Fortunately I was warned by an agency owner/friend of mine, just in time to get out with my money!
S. C. Worked ICU/CCU/MICU/NICU/Level I/II Trauma ER, L&D ( was offered Head Nurse position by the Head of OB at small hospital, that was opening a new OB unit, and had no experience OB nurses. They had trained some nurses at another hospital, but this OB doc, ate them on a regular basis! I filled in at a private school for CNAs, and was the clinical instructor. I loved the students, and it was a very enjoyable experience. The permenant instructor was going through chemo treatments. I worked outpt. surgery doing EKGs, IV starts, and preparing them for surgery, recovered them, and d/c'd them home. I did IV, blood draws from Central lines, EKGs, hemodynamics monitoring, and became ACLS, NALS, and PALS cert., and took a BTLS course. I hung blood, blood products, titrated cardiac drips, did physical assessments, admissions of Critical care pts, and Trauma ER admissions, and transfered pts. to Critical care units. Also learned how to access portal caths.
Washington..duh! Treated as an aide in most hospitals, in fact one place even had CNA after my name! Of course I never went back there again. There are a few hospitals, that do allow LPNs to start IVs, do IVPs, EKGs, and so on, but not many. Just started a new contract in a ER, and I'm back to being a nurse again. I can give drugs in a code, IVP meds, IV starts, the works. There is no division between nurses. There is a place for the doctor to place the chart when they write orders, and it just says "nurses orders"...period! If its something a tech can do, its put in their slot. Some hospitals in Washington, had at one time, got rid of LPNs. When they went to get them back, they couldn't find many with acute care or IV experience. So the hospitals used them as PCA/CNAs,...period.
I did a contract in one of these hospitals, and was allowed to start IVs, do IVPs, PCAs, but not blood hangs in a hospital, that on other floors, used LPNs as PCAs. Go figure!
That is why my website is devoted to encouraging LPNs to keep up their skills, and update their knowlege levels. http://homepages.about.com:8088/brow...tionforlpnvns/
Just because your job doesn't allow you to do something, don't allow your skills to go to waste. You never know when an opportunity will present itself!
[This message has been edited by Brownms46 (edited March 31, 2001).]