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LubbDubb77 RN

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LubbDubb77 is a RN and specializes in Pediatrics.

LubbDubb77's Latest Activity

  1. LubbDubb77

    Yale Nurse Replaces Fentanyl Vials with Saline

    I just want to say people like you with so much experience are the reason this website is so good. I am a new RN and reading this thread and responses is just jaw dropping! This story and all the stories I have read on this thread are just insane. I feel so naive right now. Im just taking it all in and going to use this information to be more aware. Thank you.
  2. LubbDubb77

    Suspicion About Med Error

    Why don't you look in the MAR and see if she administered it? Or, are you saying that you think she is documenting that she is administering it - but really isn't? Personally, I wouldn't jump to conclusions. You should observe and investigate more before moving forward. There are a lot of variables here that could cause your pt to have behavioral issues/symptoms. Look at it from all sides before going straight for the nurse.
  3. LubbDubb77

    Primary v.s. Secondary Diagnosis?

    Not sure why my reply has a quote attached. My previous reply may have been confusing, I apologize. I wasn't directly giving an example from what the student had provided. I was giving a generalized statement.
  4. LubbDubb77

    Easy Win-Wins to Impress Your Clinical Instructor

    I'm sorry, I don't agree with most of your comments. They are very generalized and detached. The only time where some of what you said might have been true is during the beginning stages of the pandemic. But, most programs have adapted and some are even back on campus part time. So before the pandemic and even now there are not enough nursing instructors. There are so many people trying to get into nursing school it is crazy and competitive. Saying that the nursing instructor should impress the student? I mean, have fun with that...doesn't sound like great advice to me LOL. Nursing instructors don't do it for the pay, they do it because they love it. They need a BSN in WA state to teach clinical and an MSN to teach theory. They get paid considerably less than what a nurse at the hospital makes. Oh, and they need quite a few years under their belt at the hospital to even apply. Most of the time have to be recruited at the school I went to. Additionally, the idea that most nurses have high private school loans is...an extremely general statement. Most of my classmates made it out of the program with max 16k in loans and some that made it through with no loan at all. I assume you may be speaking of largely populated areas, where that might be true. For example, Southern California - lots of people tend to be signing up for West Coast University to pay 160k for their BSN. Or, 130k for LPN to RN. That is related to the wait times to get into nursing school down there. The wait is 2 years and that is with a 4.0 GPA. So, I mean everything is relative and depends on where you live.
  5. LubbDubb77

    Primary v.s. Secondary Diagnosis?

    Primary dx - the problem you are focused on. Secondary dx - what it is caused by. Ex. Primary: Ineffective airway clearance r/t increased airway secretions (symptom, what the pt is experiencing) Secondary: Pneumonia I would get a NANDA nursing dx book/care plan book. I had one when in school and they help connect the dots.
  6. LubbDubb77

    Anyone w/ multiple criminal charges read!

    I have an expunged record and nothing comes up on my FBI background check. However, do not ever underestimate what the BON can or cannot see. When I was in the situation of trying to figure out if I should disclose my record or not - I called the BON and the court house. I talked to quite a few people and it is just better to be safe than sorry. From what I was told, for people that are entering professions that deal with the public and there is a public safety concern - yes, if the BON wants to see your record, they absolutely can (sealed or expunged included). Whether or not the state you are in requires that you disclose that information just depends on that specific state, it seems like they are all different. Anyway, in WA state where I am at, I am required to disclose it. In WA if I do not disclose it and they find it, they have a right to deny me licensure forever in this state. Then, a denial is just a hassle and have to report that if I ever move to another state blah blah blah. I put all required court documents together, an explanation letter, my transcripts, and two recommendation letters from clinical instructors. Oh, and why they want the court documents is because they can see any record but they can't see the details, just what you were charged with or the ending charge. So, the court documents give them some insight and along with your explanation letter, they can see what really happened during the event. Best of luck!
  7. LubbDubb77

    LVNs in Hospitals Again?!

    In WA we use LPNs in hospitals - I have seen ads for LPN ER positions. Also, I have a friend that works at a major hospital in Portland, OR as a LPN. I am not sure of her exact role, but she does the drive up covid testing right now. It is nice to see opportunities opening up for LPNs.
  8. LubbDubb77

    Anyone w/ multiple criminal charges read!

    Depends on the wording on the New Mexico application regarding criminal record. Some states don't require that you disclose expunged records. Are you testing for your RN or LPN?
  9. LubbDubb77

    New grad......did I make a mistake?

    I am a new LPN and graduate with my RN in december. I am in pediatrics and LOVE being a nurse. When the covid hit, our census was low, and I got put on per diem. So, I went into a LTC facility to get some hours and UGH - GIRL, I feeeeel you. It is just not for me and I absolutely hated it. This area may just not be for you! I met a lot of nurses in the LTC that became nurses to work in LTC. There are soooo many directions to go in nursing - don't give up on what you went to school for, for so long! You got this!
  10. LubbDubb77

    Need advice

    So, what happened? Did anything show up on the fbi fingerprint scan?
  11. LubbDubb77

    States that will license a RN with a criminal background

    https://www.google.com/amp/s/convictionfree.com/becoming-a-nurse-after-a-criminal-conviction-faq/amp/ Read this. I found it very informative and interesting. I think it will answer a lot of questions for Californians trying to become a nurse with a criminal history - and give you some hope!
  12. LubbDubb77

    Need to vent!!

    I am currently a CNA and have my nurse delegation with special focus on diabetes. I am also enrolled in a RN program and am half way through the program. So, I have summers off from school so I have been working through an agency. However, I was head hunted for a small assisted living facility (memory care). I have been working there for about a month now and was hired on as a CNA/Med tech (never did end up being trained on the cart). The nursing director is an LPN, no RN's on duty. There are med techs on duty - some are CNA's, most are HCA's or RA's. The med techs that are HCA's and RA's like try and boss me around - im not having it. I had a pt who desperately needed a shower and had been refusing for who knows how long. When I told the HCA, well this pt is now saying yes to that shower. She said you have to do your scheduled showers and if you have time you can do it. Where is the critical thinking or good judgement in that?!?( I gave her a shower anyway). Next, a med tech claimed to be a nurse - that pissed me off, she is not a nurse. Guess what, I told the nursing director and we pretty much got into it. I told her I will not be delegated patient care tasks by the med techs especially because one told me she was a nurse and the other has bad judgement, I don't agree with it. She says it's the chain of command and she as an LPN has taught and been the boss of many RN's. I stopped her and said I have read those laws and excuse me - you can never ever delegate a patient care task to an RN. Also, I just don't understand how that make sense. Back to that pt I gave a shower to - I told her about that situation with the HCA and that the pt smelled. She said that pt's who have IBS usually always have an odor (ridiculous, the pt was dirty). I gave her a weird look like "YEAH OKAY". So, my question, should I just not go back to this job and turn in my assigned equipment on Monday? I did turn in a note just before this discussion saying I will no longer be working full time as of in a couple weeks because I will be back in school.
  13. LubbDubb77

    Lower Columbia College Fall 2018

    Yep! I applied for fall last summer and got put in the winter quarter cohort. Quite a few of my classmates got denied for fall acceptance and reapplied for winter and got in! Just keep at it and don't ever give up! The year prior I applied to Centralia and got denied acceptance. Took that next year retaking classes and taking additional classes to apply at other colleges as well. Finally when it was all said and done I got into all the schools I applied to. Best of luck to all of you!!
  14. LubbDubb77

    Easy Win-Wins to Impress Your Clinical Instructor

    Show up to the med pass knowing your meds. One student in my class passed a med and just said there was no known mechanism of action. But, in the drug guide it shows how they think it works. Giving any info that is in book versus nothing is better. That didn't blow over too well with the instructor.
  15. LubbDubb77

    Nursing school Clinicals

    In my program, we were specifically instructed to not bombard the nurse with questions because they already have enough on their plate. If we have questions, to ask the instructor. In my opinion I would talk to the instructor and apologize. Just explain that you didn't know and won't do it again. Just show a sincere interest in correcting whatever you did wrong and ask for help.
  16. Everyone learns differently but for pharm I write out the classification and the meds underneath. Then I write out the things they all have in common. Under that I write out what the outliers are or if there is anything specifically different for a particular med. It's tough to remember each one bc a lot of them do the same thing. But some have different side effects, BBW's, and contraindictations. I like the idea of colored pencils. I tried doing something similar with highlighting and it didn't work for me. Maybe writing in different colors will help. I hope my post helps you! Best of luck!