withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. LPN Petition to Take RN Boards

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

    I am thinking about that, but it seems pretty expensive. Do you mind me asking how much it cost you? It seems to

  2. LPN Petition to Take RN Boards

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

    I also didn't mention the fact that I started out an English/Art major- 2 years worth then switched to an RN program. But as money and time were an issue, when I got accepted to an LPN school I went...

  3. LPN Petition to Take RN Boards

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

    If it was that easy where I live, I'd have done that as well. Here it takes almost 2 years, which in my view you might as well just sign up for your A.D. I've been an LPN for 11 years and am always...

  4. The sugar that just kept dropping...

    withasmilelpn replied to NewWayofLife's topic in General Nursing

    I had a LTC patient that did this. She even ate a sandwich. We would get her up to the 50's and then she would drop. We finally ended up giving her an IV bolus glucose while we waited for EMS. She...

  5. Hospital forcing RNs to participate in unit-base committees

    withasmilelpn replied to nelcoy4's topic in General Nursing

    If you are not salary, that is illegal and you need to call the Federal Labor Board. They must pay you for time worked doing anything that benefits their facility and also any insevices or training....

  6. Passing Meds??

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

    The pharmacy delivers our meds and we put them in the cart. A few years ago, we had drawers delivered with the meds, and the pharmacy would switch the drawers weekly. Is this what you were

  7. My sister was not taken care of in a nursing home

    withasmilelpn replied to Ginger45's topic in General Nursing

    No offense, but you guys are missing my point. It is not why she is on it, I totally agree that it was inappropriate to stop her meds. It is up to the PA, NP or MD to order the meds. Period....

  8. My sister was not taken care of in a nursing home

    withasmilelpn replied to Ginger45's topic in General Nursing

    Ok, I am going to present another view. I was told by my ADON to not even consider administrating an antianxiety med or antipsychotic without having tried and documented all other avenues first. I...

  9. Vancomycin infusion after allergic reaction

    withasmilelpn replied to phoebebrat's topic in General Nursing

    I forgot to ask, did any actual harm

  10. Vancomycin infusion after allergic reaction

    withasmilelpn replied to phoebebrat's topic in General Nursing

    I have heard that doing something that is 'reasonable and prudent' in an emergency situation can cover you if no doctor is immediately available to give you an order. Has anyone else heard

  11. Nurses salary vrs teacher's salary

    withasmilelpn replied to ShayRN's topic in General Nursing

    Oh yes, you will be expected to work miracles by administration, patients and families with no supplies, no staff and strict impossibe standards. And you will find yourself staying past your shift on...

  12. No wonder people abuse the ER...

    withasmilelpn replied to hoppermom3's topic in General Nursing

    Diffferent perspective about length of symptoms on my part. When I somehow injured my hand and could not use my thumb, I did what I knew the MD would tell me, ice and rest. The night I finally...

  13. My Story / Mayo Clinic

    withasmilelpn replied to buffscotty's topic in Nursing Career

    The fact he was fired speaks well for them also, in my opinion. On this site you will find more than one story of the 'good ole boy' mentality where Doctors are protected and coddled vs nurses. I...

  14. Hourly rounding in LTC????

    withasmilelpn replied to tatgirl's topic in Geriatric, LTC

    I spend a lot of time down my hall, helping meet my residents needs during my med pass, treatments, etc. With 2 CNAs to 30 patients, someone always needs something. It makes my med pass very long, so...

  15. Having the "Right to Fall"

    withasmilelpn replied to TheCommuter's topic in Geriatric, LTC

    We do restrain, though when they are in a stroller or cart. Serious injuries have happened to children who were not restrained. Children are also less likely to break a bone when they fall, unlike...

  16. "I have kids! I need to come in late, need more sick time, etc."

    withasmilelpn replied to Plagueis's topic in General Nursing

    For years, we had trouble getting 7p-11p filled. My staffing coordinator would request that a 11-7 stay late and I change my shift from 7a-7p to 11a-11p in order to help them out. I did. A little...

  17. "I have kids! I need to come in late, need more sick time, etc."

    withasmilelpn replied to Plagueis's topic in General Nursing

    I have a great co-worker who recently missed a lot of work due to his son's chronic heart condition. He was in and out of the hospital. He was only 11 and he died. Do I begrudge him one minute of the...

  18. I need help managing a very difficult resident!

    withasmilelpn replied to Lovely_RN's topic in Geriatric, LTC

    We had a manipulative gentleman like your lady. Insisted on kosher covered food, that we would then have to go heat up for him if it was acceptable. Usually it wasn't, and we'd have to call for...

  19. "I have kids! I need to come in late, need more sick time, etc."

    withasmilelpn replied to Plagueis's topic in General Nursing

    When I didn't have children I did work every Christmas, and I didn't really mind. I also covered for others and came in if they had call outs. I never called out. Now that I have children, they...

  20. Disrespectful Employees

    withasmilelpn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Nope, not a DON. But very interested in all aspects of this field. Usually the employee that has administration's back because I educate myself about the rules and regs. I just thought maybe my...

  21. Disrespectful Employees

    withasmilelpn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Also, even if you could do all her patients with one hand tied behind your back, riding a unicycle and on a tightrope to boot, doesn't meen you should say it. (I am convinced that you can and are an...

  22. Disrespectful Employees

    withasmilelpn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    CapeCod, how did you ever do that? Did you have good support staff? I find our 7-3 shift fairly manageable with 20 patients on our sub acute unit with all the help, like PT OT, recreation,unit clerk...

  23. Having the "Right to Fall"

    withasmilelpn replied to TheCommuter's topic in Geriatric, LTC

    We need to be able to protect our residents! They (regulations) make it very hard to do

  24. Need Advice- stressing!

    withasmilelpn replied to beachbum3's topic in General Nursing

    I think just having this site helps alot when you find out you aren't alone. I remember being just in your place, thinking I was an imposter, a nurse impersonator if you will, in no way ready for the...

  25. Diversion- what are we missing?

    withasmilelpn replied to happynursy74's topic in General Nursing

    That's