withasmilelpn

withasmilelpn has 18 years experience and specializes in Rehab, LTC, Peds, Hospice.

Latest Activity

1. Is it outside the scope of practice for an RN to tell another RN to call 911?

   withasmilelpn replied to Guest688994's topic in General Nursing

   This is almost definitely a $ issue. I worked at a LTC facility that wanted us to call the DON to get approval to send a patient out. They definitely wanted their beds full. Trouble is, you are the...

2. Med aid problems!

   withasmilelpn replied to Doobyk's topic in Geriatric, LTC

   Doesn’t seem to be your medication aides are the problem but the expectations of the facility on the RN. To have one RN cover both a skilled unit of 20 and be responsible for assessments,...

3. Husband is not ready for me to go to nursing school!!

   withasmilelpn replied to hamolady's topic in General Students

   I am glad you are going to counseling, however I think no matter what happens you should go ahead to school. If he sees that this is important to you he will come around. If he doesn't he's probably...

4. Are nurse's all that and a bag of chips?

   withasmilelpn replied to Nash3222's topic in General Nursing

   You are making me laugh describing what the "majority of what they do" to us. Sounds like a piece of cake job. Where do I apply? I also have to say the majority of aides I've worked with that seem to...

5. Are nurse's all that and a bag of chips?

   withasmilelpn replied to Nash3222's topic in General Nursing

   At first I thought, yes that shirt is dramatic and over the top and I would definitely never wear it. Then I thought about it it a bit more and realized that we do in fact have nurse colleagues that...

6. Negligent CNA?

   withasmilelpn replied to halerac88's topic in Geriatric, LTC

   We just do education. Silly that they reported it as negligence. Doubt that anything will come of this unless it's a serious

7. LTC has changed-How do you give out 5pm meds now?

   withasmilelpn replied to Blackcat99's topic in Geriatric, LTC

   Actually quite a lot of them always took their meds at their meals. Some people actually have insisted I give them to them on the toilet no matter how much I protest I can come back. (Yuck.) Most...

8. Unpaid orientation LTC

   withasmilelpn replied to Cwyan's topic in Geriatric, LTC

   No. It's not legal. Can I hold a 1 day unpaid training for new hires? | Human Resource Blog After you find a job notify the Department of

9. You are NOT allergic to...

   withasmilelpn replied to BuckyBadgerRN's topic in General Nursing

   Autocorrect plus up too late í

10. CNA's not doing vitals & slow to answer lights?

    withasmilelpn replied to garnetgirl29's topic in Geriatric, LTC

    I get my own vitals. Fastest way to do so for me is to put them on an automatic cuff then pour their meds. I keep a manual on my cart for rechecks and only do the most necessary during med pass the...

11. You are NOT allergic to...

    withasmilelpn replied to BuckyBadgerRN's topic in General Nursing

    interesting. Maybe not all insulin though? Just aspartame? Thought you might appreciate this article: The Human Insulin Analog Aspart Can Induce Insulin

12. You are NOT allergic to...

    withasmilelpn replied to BuckyBadgerRN's topic in General Nursing

    Sometimes Items get entered as allergies because the families or patients insist on it and won't take that medicine, despite the fact that they aren't really allergic. No amount of education ever...

13. Nurses forced to work as aides

    withasmilelpn replied to NewYorkerGirl's topic in Nursing Professionalism

    Patients need care. If your short staffed, you may be needed to do 'CNA' work. Even managers need to be able to pitch in in my opinion. In fact you get a more accurate picture of your patient when you...

14. Elopement and LTC

    withasmilelpn replied to acuriousLPN's topic in Geriatric, LTC

    I would've stood my ground, said their accusations were baseless and unfounded, and that I would not be spoken too in such a manner. I would reiterate that I am indeed happy to work with them to...

15. Why are LPNs allowed to supervise RNs in Long-Term Care?

    withasmilelpn replied to RNnLTC's topic in Patient, Colleague Relations

    Most of the facilities I worked at you were required to call the doctor when PT INRs obtained except for one Doc where we had standing Coumadin orders based on the range. Protocol for loose stools...