Latest Comments by hotrodrn

hotrodrn 716 Views

Joined: Sep 27, '04; Posts: 17 (0% Liked)

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    Quote from Maggie in NC
    HOLY COW! That's a lot! Here's the breakdown from North Carolina (for me any way)

    Technical College-LPN 15 month program $2000 includes uniforms, books, etc. Everything except gas to get there LOL.

    Community College-ADN $2500 five semesters (one summer). With books and Uniforms, $3500.

    Western Carolina University-BSN (just the last 2 years) $8896 including books, uniforms, etc.
    Hey Maggie,
    Im going to go to western carolina university in the spring im going to get my BS in emergency medical technology/paramedic studies with an emphasis in pre-med, yes guys thats right im crossing over figured it was time to move on and become an MD

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    i was working in the er once at a local hospital when a frequent flyer came in. she had a severe case of vaginitis.
    the doc, i, a female nurse, and four med students entered the room we were going to do a pelvic exam. well this lady has a history of seizures, well old doc there decides to do the pelvic, well mr.d.o., does the pelvic alright he starts to do it and she goes into a seizure. well she locks his head between her legs and we never like to pried his head out. i and the other nurse couldnt help him for rolling on the floor.

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    Quote from Nursingangel
    I already do work in a hospital and have seen the drug seekers and deal with them nightly. By you can even treat drug seekers with compastion.
    a**, be mean to your peer nurses, you otta be spanked like a little boy

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    Quote from Justmeandmycat
    Man, thanks for championing the use of LPNs where you work. Here in the Northeast the LPNs have been thrown to the wolves. (actually, the nursing homes). Wish you were up here to crack a few skulls together!
    Your very welcome. I think LPN's are there to help me and they should be treated just as equally as the RN's. I dont care if you cant do initial assesments. Heck its not a problem for me I usually do the initial assesments and then just hand them back off to the LPN's. Infact I let the pn's do alot for me. Your there to help take the load off of me.

    Thanks,
    Rod RN,BSN

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    Quote from SKM-NURSIEPOOH
    Dear Paprikat,
    My point exactly Just because I'm going for my RN-BSN doesn't give me the right to look down on RNs-ADN, RNs-Diploma, LPNs, or CNAs. As far as I'm concerned, I will always be a LPN at heart I just hate it when I see other people do this. It's bad enough to see someone who was never a LPN and have started-out being a RN to put us down (this is probably due to not being in our shoes inaddition to being taught this concept in school); but I have no patience for those who were LPNs and then move-on with this type of attitude
    Amen! I think that is terrible. I used to be an LPN and to tell you the truth I wished I still was. Actually I still am at heart. I would never look down on an LPN,CNA,RN-ADN,RN-Diploma.

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    Quote from BrandyBSN
    In the hospital I take clinicals, Only RNs can take phone orders. I just assumed this was a weird hospital policy.

    Why cant LPNs take phone orders? Its a matter of listening and transcribing right? I am sure LPNs should be qualified to do that.

    Also, i do not understand why LPNs in Missouri can not start IVs. My friend who is an LPN told me that LPNs learn how to start them in school, just like we do. It confuses me?
    Brandy,
    LPN's in MO can start IV's They just have to get an extra certification for it by going to another class after they graduate from LPN school. Dont ask why its retarded I dont know. But I do know about this because I started with my LPN in MO.

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    Quote from ije24
    As far as I'm concerned, LPN schools and programs should be done away with so that people will know they don't even have that option. Why put yourself through such rigorous education and not get anything for it afterall.I too am a new grad who has gone through the whole "not hiring LPN thing" in acute care settings. My situation is even worse because here in the Northeast even the LTC facilities have a problem hiring new grads. I'm basically left with no option but to go back for my RN sooner than I thought. Good luck to everyone.
    Retard, LPN's are my backbone. Now where I work I and a few other RN's say about 60 or so, got up the nerve one day. We went right to HR and administration we told them that if we didnt start having more LPN's hired that we were all quiting, and believe it not we did start WWIII with administration, Because they value there Rn's so much and cant afford all of us quiting they had LPN's back on the floor and even in ER and ICU the following Monday and then we told them since most of us are floor/unit supervisors or charge nurses that if they had a problem with any of our LPN's that they would not discipline them, we would and that they had to talk to us about there problems with are LPN's when they had one.So screw them.

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    Quote from thatldo
    I know of 3 recent LPN grads with no exp who are working at St Francis & at Southcrest Hosp in med-surge in Tulsa.
    Its Hillcrest idiot. I use to live there.

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    Quote from TraumaInTheSlot
    Children tend to show signs of decompensating hypovolemic shock later than adults, when they go "off the deep end". Pals teaches you to prevent the arrest. it doesnt hurt to give the child a bolus or even two.

    any child with vomiting should be given IV fluids, or a PO challenge with pedialyte. it sounds to me like this child got lost in the shuffle. either that, or they gave the kid the wrong sized supp, maybe a 50.

    my sincerest condolences to you and your friend.
    Kids actually show improvement before they decompensate and crump.
    The kid probabley couldnt have holded the pedialyte down if you gave him/her a challenge with it anyway.

    Our protocol for my hospital is As Follows:

    IV/500ML/NS or/LR maybe D5 depending on the doc.

    Check labs for electrolyte defiecensies.

    Abd. Work up/x-rays/ct/ultrasound to rule out a hot appy.

    We use one of the follwing for an Anti-Emetic and generally give it IV push,
    we use to give IV phenegran tell we found out it necrosis veins and causes phlebitis. And an IM of it stings like crazy.

    These are the anti-emetics we usually give-

    Composine/Reglan/Vistaril/Anzemet/ and sometimes Benedryl works as a good one.

    Comfort measures.

    Try to get them to suck on Ice Chips.

    If they are vomiting blood one of our physicians usually has us drop an NG and Lavage with cool saline just to make sure that they arent bleeding internally.

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    Quote from athomas91
    the only people who should be intubating in a hospital setting are md's and crna's.....i don't care what kind of airway training video's you have had - you are crossing a line and setting yourself up for a lawsuit...i agree w/ go2sleep...if you need an airway - use an oral airway and bag em...if you can't do that...they are going to likely be very difficult to intubate anyway....

    i know medics are trained to intubate and i agree w/ that in the field...but not in the hospital...i am speaking of maryland now..in that if you are a medic and a nurse...you can be a medic outside of the hospital only and a nurse inside the hospital only..there is no crossing-over and you are not covered by liability for that.

    as for the NICU nurses intubating...make sure you are covered by the hospital...ususally you are told ok...but if you check the books - you are not covered....but usually bagging is sufficient...

    it is just my 2 cents...and i know i will peeve some people off...but i thought the way you did prior to beginning CRNA training...so let's just say I have learned enough now to know better....
    You forgot about D.O.'s those are mainly the docs I work with at our hospital and frankly I would rather work with a DO instead of an MD just because they have a better bedside manner and they are generally more curtious to the nursing staff.

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    [QUOTE=hotrodrn]He ate it, geez, I would have barfed on him and me. I am a trauma nurse but geez that just grossed me out to hell.
    Rod Rn:imbar

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    Quote from navynurse29
    :hatparty: :hatparty:

    I've got a gross one. I've worked in an ER and I can handle just about any body fluid (and have) except earwax. Earwax grosses me out. Was working in an ER in Puerto Rico while in the Navy and we had homeless dependent uncle or some relation come into ER c/o trouble hearing. On exam, doc found both ears severly packed with thick, green earwax. YUMMMMEY!

    Well, yours truly gets to irrigate his ears, not the thrill of my life. I irrigated so much earwax out of that man's ears, it was coming out in big, green nuggets. When I showed pt emesis basin of what I had cleaned out of his scuzzy ears, he proceeds to get a big smile on his face, picked up one of the greasy nuggets and eats it!!! YUCK! I just about pucked on myself with that one. To this day, can barely clean my own ears!
    He ate it, geez, I would have barfed on him and me.
    Rod RN

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    Quote from ccrn28f
    :uhoh21:

    Ok I need you opinions. Sorry this is so long. I have worked in icu for 7 years. Recently(8 months ago) I have taken a job at a smaller ICU that is closer to home. My problem begins with the evening charge nurse. She makes me nervous because she had come to the unit 2.5 years ago as a GN and was given the charge position as she is the only one who bid on straight evenings. Here is what she has done. We have a long term pt that she has uses his medical record number several times in the glucometer to check her own blood sugar. The last one of hers was 41. she is not even discrete about it. I am sure the pt is billed for the BS check and it also looks like we did not treat him for a blood sugar of 41. Next she was like my dad knows this 17yo that was involved in a trauma as she gets on the computer system finds him on a med surg floor reads his h+p and lab work in front of all of us. Next she is doing a Rn to bsn program and used a poster from the education room that our director of nursing made. She made no changes to it took it to class and gave a presentation on it as if it were her own. She also recently was hitting on a male trauma pt that was in our unit. His wife would come visit and she would act very nice to her. Every night she would go in and close the cutrain and bath him by herself (he is alert). As the charge nurse she normally never baths pt's and or only helps to turn or boost. She would call from home and ask how he was doing. He has now gone to rehabilitation and she goes to visit him. His wife does not know. She is very full of herself and will give a huge BS rational for things that are not true. What is scary is that most of the staff is newer and believe her. Another nurse that I am very close to has approached me about leaving a unsigned letter for the unit manager. I am unsure what advice to give her. I am very concerned about all these situations and would feel more comfortable approaching her if it was just one issue but it just sems like constant bad judgement. I do not want to be part of someone getting fired nor do I want retaliation from her if she knows I knew about her getting turned in as she is in a charge role.Please give me your opinions!!!!!!!What would you do?
    Turn her in she doesnt desrve to be an rn if shes gonna act like that.

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    Quote from suemom2kay
    I am kicking myself. Fortunately, no harm came to the patient.

    This is my first time passing meds this semester (we usually only get to pass 1-2 times per course) and I forgot about the 5 rights. Apparently my clinical instructor did also. Anyway here it goes...

    Went to med cart and looked up my patient to give meds (had 2 pts but only passing meds on one). Verified that I had the right meds, right dose, right route. Left MAR on cart (had no idea you're supposed to bring MAR into room w/you but that's a whole other story). Brought room 916's meds into 915's room. Told pt (never asked for his name, never addressed him by name) what meds I was giving him (Percocet & a Colace). He took them. Now is where I'm in a total panic and don't remember exactly... Clinical instructor walks off and somehow I realize I just gave 916's meds to the guy in 915. I immediately tell the primary nurse. His doc is sitting at the nurse's station. Primary tells MD (I made sure to look him in the eye so that he knew I wasn't skanking away from my stupid error) that pt. received percocet & colace (fortunately this pt also happened to be constpated :uhoh21: ) and he looked up and said oh that's o.k. So no big deal, no harm done... But... I felt like a total idiot and slug. I began questioning why I (who can be a total flake, space cadet at times) think I can be a nurse where an error can cost someone their life.

    I told my CI what happened and after her shock and disbelief, she told me that it was partly her fault because she should have had me verify the pt. I went back and talked to the primary nurse (I was pretty shaken up by what I did). She told me that she ALWAYS brings the MAR in with her and has the pt. state their name and birthday and/or verifies pts. name & birthday on their ID bracelet. She does this with every pt. every time. She told me, "I'll bet you'll never make this error again." I know she's right that it was actually a good lesson to learn as no harm came to the pt.

    I didn't even want to post this because I feel ashamed of being such an idiot, but I know others can benefit from my experience. I just feel like when I'm doing meds, I'm so focused on the med itself that I lose site of the pt. I will NEVER give any drug to any pt. (even if its the 5th med I've brought into the pt. that day) w/o first IDing the pt.

    I just thank God the pt. wasn't harmed. I cannot even imagine how that would feel.
    Dont be to hard on yourself. It was a small mistake. We all make mistakes. No one is perfect. Like one day when I was an Associate degree nurse I and one other nurse went to give a blood transfusion. She was the primary monitering it. I just stuck the IV in and prepared the lines. Well I checked the blood. But old goofball just decided she didnt need to double check it and signed off on the second nurses signature. Thank god the patient didnt have an allergic reaction to the blood otherwise we would have been up a creek since there was two of us on the unit at the time.

    Rod RN:angryfire

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    Quote from veetach
    LMAO Dawn, I do the same thing. :chuckle "If you can walk on it then it isnt broken" :chuckle

    Greetings from your neighboring county, (Franklin County PA)!!! :hatparty:
    Ahahhhhhhhhh! Thats funny. You know my wife said the other morning that I was aparently giving orders to the paramedics on the radio------In my sleep.Ahhhhhhhhhh!:chuckle :hatparty:


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