JeanineLPN1984

JeanineLPN1984 has 23 years experience and specializes in LTC, Medicare visits.

Latest Activity

1. Any advice for a New nurse starting in LTC??

   JeanineLPN1984 replied to katbird21's topic in Geriatric

   Good luck and I'm glad we have new nurses excited about working in LTC. LTC has changed alot since I started in 84. We have some that have more complex issues that your education will give you a good basis for care. The most important thing I will te...

2. You will lose your skills in LTC

   JeanineLPN1984 replied to egglady's topic in Geriatric

   "Lose your skills in LTC"", HA-HA, right. More like "Lose your Mind" !!!!!!!! Been there, done that, made it all better.

3. dnr in geriatrics

   JeanineLPN1984 replied to ulmaulma's topic in Geriatric

   By the way, Eldragon how's it going? Are you still at the same place? I am and were gearing up for survey. Take care.

4. dnr in geriatrics

   JeanineLPN1984 replied to ulmaulma's topic in Geriatric

   In all my years in LTC, I've seen this many times. Denial does play a big part but guilt is worse. I have found that nobody wants to be responsible for " mom " dying. Even when they understand there is no hope, they don't want to sign the papers, esp...

5. # of residents in LTC

   JeanineLPN1984 replied to pielęgniarka's topic in Geriatric

   We have 5 nurses 7-7p and we each have a max. of 26 residents, 7p-7a has 3 nurses. We have a treatment nurse ( Thank Goodness) too. All our residents are mixed- skilled, long term, Picc's , etc. We also have about 10-11 aides daily to do bedside care...

6. "My" job is being advertised in the employment ad!

   JeanineLPN1984 replied to TheCommuter's topic in General Nursing

   As the previous posters stated it's just to up the staff and have relief for the rest of you. It reminded me years ago at a facility I was the restorative nurse for 2 years and was planning on maternity leave. I got to pick the nurse I would train an...

7. I don't think I can handle this!

   JeanineLPN1984 replied to eldragon's topic in Geriatric

   Dear Eldragon, I'm so glad you wrote that letter and changed things for the better. Sometimes the "bosses" are so busy handling other fires, they really don't notice what is going on. Alot of nurses end up leaving without ever saying what is really w...

8. I don't think I can handle this!

   JeanineLPN1984 replied to eldragon's topic in Geriatric

   Dear Eldragon, I feel really bad for you. I have never worked in such a poorly organized place. I did on a few occasions encounter silly rules, eg. CNA's arent supposed to use gloves for residents unless they have a bowel movement! Oh yeah, and I had...

9. When it's the visitor who needs the ER....

   JeanineLPN1984 replied to nerdtonurse?'s topic in General Nursing

   Don't worry, you did the right thing- he was admitted after all. When he sends you that HUGE box of candy- give one to the charge nurse! Have a great day.:redbeathe

10. Patients who are too lazy to open their own splenda packets

    JeanineLPN1984 replied to FireStarterRN's topic in General Nursing

    ha-ha, I'm leaving one at the nurses station for the families. The rare occasions I get to sit and chart, family members stand there and ask " Are you mom's nurse?", even if I'm not they proceed to tell me a story and would I please pass on this 5 mi...

11. Early recognition of the deteriorating patient

    JeanineLPN1984 replied to CO2emission's topic in General Nursing

    In LTC the changes are usually subtle, esp in the confused. Early signs of CHF in them start with anxiety before the edema or lung sounds. Some of the ones with MI's never have chest pain but will have N/V. You really have to pay attention to the " l...

12. Do you say you're a nurse...

    JeanineLPN1984 replied to picurn10's topic in LPN/LVN

    I posted early on in this thread and it keeps going. I've thought about it and in 23 years, I have probably told over 2,000 people " I'm a nurse". Most don't ask for clarification and leave it at that. I don't know why we feel we must explain what we...

13. What's an LVN ll or lll

    JeanineLPN1984 replied to Ks mommy nurse's topic in LPN/LVN

    I have been licensed since 1984 and worked in Florida from 1989-2005, and IV certified in 1993, but I never heard or used the title LPN2. The title I use is LPN CLTC, I took the NAPNES certification exam in long term care. Hope that helps.

14. Heart failure nursing diagnosis

    JeanineLPN1984 replied to PulchritudinousRN's topic in Student Assist

    Without knowing the patient and their specfic details, in my experience 1. Decreased Cardiac Output 2. Activity intolerance 3. Altered cardiopulmonary tissue perfusion 4. Fluid volume excess 5. Constipation There are many more like self care deficits...

15. Rudeness from EMTs and Paramedics

    JeanineLPN1984 replied to TheCommuter's topic in Geriatric

    I just wanted to my 2 cents in. I have always been in LTC and in 23 years, I have come across this a few times. It usually would happen with a new EMT and it did'nt matter that I had all the paperwork, was with the patient the whole time or giving hi...