PsychNurseWannaBe

PsychNurseWannaBe BSN, RN

LTC, Nursing Management, WCC

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All Content by PsychNurseWannaBe

  1. APTT, PT, and INR

    PsychNurseWannaBe replied to bsugar888's topic in Nursing Student Assistance

    The therapeutic levels are determined by the MD. For example coumadin dosing range can be different for different patients based on the MD and what he/she wants the INR to stay around. Their...

  2. Checking peer orders and counter signing

    PsychNurseWannaBe replied to PsychNurseWannaBe's topic in General Nursing

    Sorry you didn't realize what I was talking about until midway through my post. Was extremely tired. I'm better now... I got coffee! :chuckle Thank you for stating "transcription check" and the...

  3. Anti-psychotics and geriatrics

    PsychNurseWannaBe replied to michael79's topic in Geriatric, LTC

    I don't know what other options exist. I do not see anything wrong with using antipsychotics judicisouly...keeping into account the patient's age and other comorbidities and medications. Giving an...

  4. Doing away with side rails?

    PsychNurseWannaBe replied to mondkmondk's topic in Geriatric, LTC

    We use side rails, half rails, 1/4 rails. It is done if that is the resident's preference. We fill out a form that clearly states that the resident would like the rails. We also write that it is...

  5. Help! Problems At Work Re: Diabetic Pt, Rights

    PsychNurseWannaBe replied to debow261's topic in Geriatric, LTC

    After I talk with the resident to let them know about what may happen... I figure eat what you want... I got insulin to cover ya. Then every so often I will bring it up again. If they are A X O,...

  6. Med Error Report

    PsychNurseWannaBe replied to achot chavi's topic in Geriatric, LTC

    I would love to be not interrupted. Gosh, I could be so productive. :) I would think a lot less stress as well. What would rotating your nurses do? I would be upset if I was rotated because of my...

  7. Med Error Report

    PsychNurseWannaBe replied to achot chavi's topic in Geriatric, LTC

    I see what you are saying. You are saying careplaning... I would call it, using the nursing process. The nursing process can be used for things other than nursing (as you mentioned before) Where are...

  8. Where do you keep your care plans?

    PsychNurseWannaBe replied to BEDPAN76's topic in MDS Coordinator Information

    We keep them in a seperate binder. I think it is easier to "work" the careplan if it is in a careplan binder. I can thumb through one binder and not have to open up 25

  9. HIPAA question

    PsychNurseWannaBe replied to CapeCodMermaid's topic in Geriatric, LTC

    There wasn't any patient identifier on it? No room number, no account/medical record number, names (including family) mentioned in the dictation? If it truly was a "clean" document, I don't think...

  10. Med Error Report

    PsychNurseWannaBe replied to achot chavi's topic in Geriatric, LTC

    Where I work the above written would be written on the incident report. If I were to make a mistake, I have to state what I did. Then in a spot on the report it asks us, what are some things that...

  11. Med Error Report

    PsychNurseWannaBe replied to achot chavi's topic in Geriatric, LTC

    If you care plan an incident... doesn't that become a part of the patient's record... no longer making it an "in house" event that is to be investigated. Basically what I am trying to say is we never...

  12. What route to go..LPN first or straight 2 RN?

    PsychNurseWannaBe replied to gogett's topic in LPN, LVN Corner

    Some RN programs allow you to sit for the NCLEX-PN exam once you hit a certain part in your education. However, many RN programs don't want students to work while going to school. I think it is safe...

  13. every LPN in my hosp was laid off today

    PsychNurseWannaBe replied to FlowerbuddRN2B's topic in LPN, LVN Corner

    I did talk with the LPN, we kinda made it a running joke. Whenever I would see her I would say, "need a RN consult yet?" But we also had a serious talk and I explained that apparently the rules have...

  14. every LPN in my hosp was laid off today

    PsychNurseWannaBe replied to FlowerbuddRN2B's topic in LPN, LVN Corner

    Ummm.... $23 to $38. :smackingf I need to move. Going from an LPN to RN by me will go from $17 to $21... not that big of a move. Wow, $38... I think I am going to be sick....It puts my $21 something...

  15. every LPN in my hosp was laid off today

    PsychNurseWannaBe replied to FlowerbuddRN2B's topic in LPN, LVN Corner

    Holy COW... RNs do not make that where I work. I make a little over $21 an hour (with a BSN and $60,000 student debt). But in your scenario I understand what you are saying about almost making half....

  16. every LPN in my hosp was laid off today

    PsychNurseWannaBe replied to FlowerbuddRN2B's topic in LPN, LVN Corner

    I understand what you are saying. As an RN I do get frustrated when I see things regarding what LPN can do and what actually happens because it is more convenient for management. You get your hand...

  17. every LPN in my hosp was laid off today

    PsychNurseWannaBe replied to FlowerbuddRN2B's topic in LPN, LVN Corner

    May I lighten the mood and bit and present some realitity. LPNs do not make half of an RNs wage. It does get annoying hearing that. Well...maybe I should rephrase this... where I live LPNs do not...

  18. Soap for Restless Legs Syndrome?

    PsychNurseWannaBe replied to SCRN1's topic in General Nursing

    You open up the soap and place it in a ziplock baggie. I poked a few holes in the bag so air could get in and out. Try it... and let us know. I was very

  19. NTC Waiting List

    PsychNurseWannaBe replied to blessedx2's topic in General Nursing

    I thought tech schools got rid of waiting lists. I am surprised to see that they post student IDs. That was a big no no at UW-O. Good luck eveyone

  20. Soap for Restless Legs Syndrome?

    PsychNurseWannaBe replied to SCRN1's topic in General Nursing

    It has to be Ivory soap. I don't know why and I am quite serious. Apparently other soaps don't do the trick...but what a fantastic remedy for me. Sufferend many years and now...not so much. I...

  21. Becoming a nurse

    PsychNurseWannaBe replied to Laurel A.'s topic in General Nursing

    I always knew I wanted a career that involved helping people. It could have been MD, PA-C, NP, RN or the like. But what made me really fall in love with the act and science of nursing is the concept...

  22. Male Nurses/female Patients

    PsychNurseWannaBe replied to ern91's topic in Men in Nursing

    It is a shame that there is a double standard. It really is the very definition of sexual discrimination. If a peer of the opposite sex can perform a procedure, then the other opposite sex should be...

  23. Vitamin K - IV route & clarifications

    PsychNurseWannaBe replied to LovingNurse's topic in Patient Medications

    Whenever I have a patient whose INR is way too high. I place a vial of Vitamin K and a PO tablet in the med cart in case. I don't think it goes in the muscle d/t muscle injury and increased risk of...

  24. Questionable parameters?

    PsychNurseWannaBe replied to GLORIAmunchkin72's topic in Patient Medications

    Don't the med books normally tell you to hold if less than 90? Are these meds books practicing medicine? The med books are designed based on the effect of the medication. Now if the MD gave...

  25. End of Month Changeover

    PsychNurseWannaBe replied to NurseExec's topic in LTC: Directors, Assistant

    We put up a sign that double charting is in progress. I hate MARS/TARS days. They don't give us extra people and some of the MARS are just screwed up. The final over view comes from PM shift since...