withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. Working with angry unstable incompetent RN

    withasmilelpn replied to pedsRN121's topic in General Nursing

    Don't leave, go up the chain. Those kids need you! Though sometimes they can't tell you what they are trying to do as far as getting rid of an employee as it is confidential. Keep documenting and...

  2. Nurse

    withasmilelpn replied to kanny's topic in General Nursing

    Check your facility policy. 5 to 10cc should be enough to dissolve each. 30cc in between each is what you stated and what you should do. I was always taught to do the meds fairly quickly after the...

  3. Calling in sick....feeling worst after the call!

    withasmilelpn replied to TeresaB930's topic in General Nursing

    I am home sick right now, and feel horribly guilty about it. Was supposed to do a 16 hour shift, so I know I really hurt their staffing. Stomach is just twisted up in knots, don't even want to drink...

  4. Patients without insurance who self prescribe from livestock supply catalogues

    withasmilelpn replied to FireStarterRN's topic in General Nursing

    I want to know why the very same medications and dosages are available for so much less than for humans. Unethical pharmaceutical companies gouging their consumers is what I think. I think the same...

  5. Blended pediatric/med/surg adult units?

    withasmilelpn replied to withasmilelpn's topic in General Nursing

    This is exactly my fear. My opinion in this case is don't admit them at all, then - it is not

  6. Rudeness from EMTs and Paramedics

    withasmilelpn replied to TheCommuter's topic in Geriatric, LTC

    Don't you ever transport people you have little to no information about? Please don't dump on the Nurse who is filling in. I always grab the chart when I don't know my patient, but if the info is...

  7. What Patients do to make you mad!

    withasmilelpn replied to MichaelFloridaRN's topic in General Nursing

  8. Pulling Meds for Multiple Patients

    withasmilelpn replied to trustsupplyguy's topic in General Nursing

    Where do you keep the bags of meds? I work in LTC and we stil have carts we push. We used to have a pixas just for emergency drugs, so I am familliar with how they work. It sounds to me as if you...

  9. Radio Talk Show Host Calls Nurses"Kevorkian Fan Club"!!

    withasmilelpn replied to Simplepleasures's topic in General Nursing

    I posted my own opinion anyway, in the hope that maybe some readers of his blog might gain an understanding why a parent might choose to make their child a DNR. ( Of course after I posted, I realized...

  10. Personality Type and Nursing

    withasmilelpn replied to Mesomorph's topic in General Nursing

    INFP Introverted Intuitive Feeling Percieving Thanks for posting,

  11. CKD, Liver Disease, & heading for ICU

    withasmilelpn replied to OncNewbie's topic in General Nursing

    You were terrific! Hospitalist was looking to shift guilt and blame on you. You reported the facts to him, it is his job to interpret what needs to be done, not yours. Wife also is just scared and...

  12. Absolute No-No's

    withasmilelpn replied to Drysolong's topic in General Nursing

    Faxing a lab result for a PT INR rather than calling a physician. Giving coumadin for weeks without getting a PT INR as ordered. Giving coumadin too early or too late. Not taking seriously that...

  13. Stripping an IV?

    withasmilelpn replied to S.T.A.C.E.Y's topic in General Nursing

    In my recertification class I just finished, this is what they said as well. They also encouraged us to do this, whether on a pump or not. All I could think of was - more to do,

  14. Are psych nurses safe to float?

    withasmilelpn replied to Jelli_Belli's topic in General Nursing

    This is crazy. As a LTC/Rehab LPN, I take care of supposedly stable patients with a predictable outcome. So it should be a piece of cake for someone with a med-surg background 6 months out of school...

  15. I had very poor LVN/LPN training. Anyone else?

    withasmilelpn replied to I love my cat!'s topic in General Nursing

    wow, i think what the original poster was trying to say, was she wasn't really prepared by her program even in the 'task' aspect of being an lpn. which is the 'hands on' part that is expected of...

  16. Ethics: Does it bother you when people are in nursing to make money?

    withasmilelpn replied to CaLLaCoDe's topic in General Nursing

    I go above and beyond every time I go to work because I believe my patients and my co-workers deserve no less. But I feel absolutely no shame in going after money in the process. By being a...

  17. So I'm fired. Again.

    withasmilelpn replied to SuesquatchRN's topic in General Nursing

    Sue, I am so sorry! Just proves why not every nurse should precept. You should know how you are doing from the get go and all along. But, I do think the fact that you did not like it from the start...

  18. Stop times for IV piggybacks now required on MAR?(by Medicare)

    withasmilelpn replied to FireStarterRN's topic in Patient Medications

    Who comes up with these requirements? We just started doing a similar thing with our nebulizers, documenting that 1. We gave it. and 2. How long it was administered for! So everybody writes 10...

  19. Feeling like a TOTAL loser (long)

    withasmilelpn replied to Jen1228's topic in General Nursing

    Off topic, how many patients do you

  20. Attitudes towards RN's and lack of respect

    withasmilelpn replied to Epona's topic in General Nursing

    Sorry for the way you were treated, however when my 4 year old needed blood work they had a hard time getting it and she never cried or said a word, just watched fascinated. (Which is why I always...

  21. Attitudes towards RN's and lack of respect

    withasmilelpn replied to Epona's topic in General Nursing

    Sorry for the way you were treated, however when my 4 year old needed blood work they had a hard time getting it and she never cried or said a word, just watched fascinated. (Which is why I always...

  22. Attitudes towards RN's and lack of respect

    withasmilelpn replied to Epona's topic in General Nursing

    Not true! I actually have had an MD ask me what I thought regarding a patients INR and coumadin dose (he was a bit scary, truthfully), and I frequently make 'suggestions' of what I want from

  23. Have you ever reported your coworker to the supervisor and got the person fired

    withasmilelpn replied to Bala Shark's topic in General Nursing

    Off the subject, but next time just tell her to shut up- the family is outside! Healthcare workers do weird things sometimes during a code, its very stressful and

  24. Did I do the right thing? (long)

    withasmilelpn replied to LilDKessler's topic in General Nursing

    I would have done what you did. That pharmacy officer needs to consider what might've happened should it have been him or a loved one of his in that condition and the pharmacy came up 6 minutes...

  25. What's "CVVH" in the ICU??

    withasmilelpn replied to tutored's topic in General Nursing

    I'm fascinated, let us know what happens,