withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. CNA as a NURSING SUPERVISOR?

    withasmilelpn replied to militarymom06's topic in LPN, LVN Corner

    If she let her CNA lapse, would you be more comfortable? To me, a staffing coordinator position is no different than any of the other non-nursing filled positions, like the receptionist, buisness...

  2. is this what its really like? 2 wks in...

    withasmilelpn replied to chicagobsn's topic in Emergency

    I'm so happy for you!

  3. LPN's and PICC's

    withasmilelpn replied to MarcyLPN's topic in LPN, LVN Corner

    I am IV certified and currently able to access PICC/ Central lines and do the dressing change. Also can access implanted ports. This is in PA. Can't insert them or remove them. Only an RN can do...

  4. The worst part of nursing?

    withasmilelpn replied to SeattleKid09's topic in General Nursing

    :banghead:Families. I used to enjoy most of them, but now I have so much to do I want to run and hide when I see one coming. It is a shame, because I used to feel I had a knack for them, even the...

  5. Should there be a 'White Nurses Association'?

    withasmilelpn replied to FireStarterRN's topic in General Nursing

    I dislike racially based groups because I feel they are inherantly divisive. However, I do understand that it does help bolster minorities' power and voice. So it would be overly simplistic of me to...

  6. nurse terminated

    withasmilelpn replied to grandee3's topic in General Nursing

    Fired means fired, done, finished, caput. If that DON truly wanted her to finish her shift, she should've waited until shift change was over! I like the idea of a wrongful termination suit, that...

  7. is this what its really like? 2 wks in...

    withasmilelpn replied to chicagobsn's topic in Emergency

    Also, as far as participating in a code, you may want to find out how long it was before your preceptor participated in a code. I know my girlfriend first was on the urgent care part of the unit,...

  8. RN responsibilities in LTC

    withasmilelpn replied to saraltx's topic in Geriatric, LTC

    LadyJRN, perhaps you need to take an honest look at yourself as to why you are having so many problems with such a wide variety of people? I mean, if most of us here agree that there are good and bad...

  9. RN responsibilities in LTC

    withasmilelpn replied to saraltx's topic in Geriatric, LTC

    I have really good assessment skills, with a critical care background, so I guided the LPN's in the decision to transfer pts. out. Some LPN's wanted me to assess and make the decision, others did it...

  10. They dropped my mother head first

    withasmilelpn replied to signet123's topic in Geriatric, LTC

    I don't think sueing is the answer. The lawyer gets the biggest chunck of any monetary damages, and the nursing home will cut staff, supplies, ect. in order to meet their budget and pay for the...

  11. So...you give out pain pills?

    withasmilelpn replied to maire's topic in Rehabilitation

    Wow, if she said that to me right now, she would get an earful! I am very frustrated with the public perception of nursing care. (A few months ago even I probably would've been lower

  12. The Frazier Water Protocol?

    withasmilelpn replied to TheCommuter's topic in Rehabilitation

    Is the oral care done to promote stimulation? Or prevent germs? Or

  13. rehab in LTC vs rehab hospital

    withasmilelpn replied to phoebebrat's topic in Rehabilitation

    I work in a similar environment to Commuter. Our turnover in patients is typically 6 weeks, compared to the LTC unit which can be years. We have admissions and discharges amost every day. PT, OT...

  14. is this what its really like? 2 wks in...

    withasmilelpn replied to chicagobsn's topic in Emergency

    Make it seem like her idea. Compliment how smart she is, and how you have learned a lot from her, but that you noticed that she appears frustrated with you. Ask her if she thinks you and her would...

  15. I was let go !

    withasmilelpn replied to gt4everpn's topic in General Nursing

    I'm pretty positive you are confusing a nurse flushing with H2O as checking placement. Flushing just clears the tube feed from the tube before you administer the meds. The rationale is that some meds...

  16. At dinner out, I am chastised for drinking before work by manager -- help?

    withasmilelpn replied to SoundofMusic's topic in General Nursing

    The average rate of elimination of alcohol from an adult is approximately ½ to 3/4 ounce per hour, the equivalent of 1 ounce of 100-proof whiskey, one large beer, or about 3 to 4 ounces of wine. If...

  17. Nurses Past Their Prime

    withasmilelpn replied to dialysis12041999's topic in General Nursing

    I'm 40, been working in healthcare for 16 years, and many of my orientees have said that I was their best teacher. I love teaching newbies, students and even orienting new nurses that aren't 'new.'...

  18. Nurses need a workspace where they can think critically, and chart to avoid med error

    withasmilelpn replied to charlitsweb's topic in General Nursing

    LTC is the worst! Your cart goes with you room to room. Med pass takes 2 hours, because of all the interruptions. You are a target for every question, complaint, demand... Sometimes I want to snap...

  19. How did it come to this?

    withasmilelpn replied to Southernurse's topic in General Nursing

    I feel your pain. I miss saying I love being a nurse. I said the other day I feel like I have sucker tatooed across my forehead, because I try to do everything, while my many other co-workers do the...

  20. Things you wish you could say to your co-workers...

    withasmilelpn replied to nurse4theplanet's topic in Patient, Colleague Relations

    To the immature nurse that always wants to go home because "she's sick." (Signed up for a double, but doesn't want to stay, again!) It is amazing how you get sick immediately after you argue with an...

  21. LPN Petition to Take RN Boards

    withasmilelpn replied to withasmilelpn's topic in LPN, LVN Corner

    Over the years, I've heard enough LPNs express the wish that they could get their RN, but didn't because of the time/$ factor. Lets face it, once you are practicing, a nurse's schedule can make it...

  22. LPN Petition to Take RN Boards

    withasmilelpn replied to withasmilelpn's topic in LPN, LVN Corner

    That is a good question. Not having been to medical school, I don't know, but probably not. I would love to pick the brain of someone who has done both. We have one Doc who has, and she is...

  23. LPN Petition to Take RN Boards

    withasmilelpn replied to withasmilelpn's topic in LPN, LVN Corner

    Overtime, though you can teach those things to yourself. I wanted to know how to do a full assessment on my patients, detailed neuro assessments involving the cranial nerves that we were not required...

  24. LPN Petition to Take RN Boards

    withasmilelpn replied to withasmilelpn's topic in LPN, LVN Corner

    Exactly! I've often wondered why they didn't offer on the job clinical training/ courses to become an RN. I almost took a job at a Rehab Hospital that was working on that kind of program in house,...

  25. LPN Petition to Take RN Boards

    withasmilelpn replied to withasmilelpn's topic in LPN, LVN Corner

    I have had college A&P, Chemistry and Microbiology. I know that LPNs get an overview of these subjects, not the in depth versions that RNs get because I have taken them. But they are now out of...