withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. On call PICC nurse? Does such a thing exist?

    withasmilelpn replied to KEVIN88GT's topic in General Nursing

    We have sometimes contacted our IV on call team through our pharmacy. They place piccs and peripherals (if we can't) within about 24 hours of calling them. That's where I'd start looking, however,...

  2. Do yuo review the intra-operative notes?

    withasmilelpn replied to CIRQL8's topic in General Nursing

    I think specific proceedures and product names like the type of PICC or pacemaker/difibulator , drains, closures, etc. that may specifically effect their nursing care down the road. Patients forget...

  3. Nurses not doing assessments

    withasmilelpn replied to gucci rush's topic in General Nursing

    Happens all the time, drives me crazy! Look at your patient and know why they are there please. Document on what you saw! I hate when A&O patients say noone else has done so and so. Very...

  4. Ever had an ex-boyfriend, or someone you didn't like as a patient?

    withasmilelpn replied to preciousbaby621's topic in General Nursing

    Very funny! Mind if I borrow

  5. LPN/RN Rumble

    withasmilelpn replied to BellaItalianaLPN's topic in General Nursing

    I would have a lot of fun at her expense. Like next time she needs assistance, 'why don't you get a nurse for that?". If I was feeling vindictive and spiteful that is, I might even have a...

  6. Saline flush IV vs irrigation, difference?

    withasmilelpn posted a topic in Patient Medications

    Just curious if anyone knows exactly what the difference is between the 9% saline used in flushes for IVs and that used for irrigating wounds? We were running low on our flushes one night and I...

  7. I need some encouragement please

    withasmilelpn replied to TazziRN's topic in General Nursing

    I've tried 3 times to type something a little more inspirational, but I guess I'm too tired. Hugs and good thoughts sent your way, ok! Good luck! (and good

  8. Re: Potential Employers and your not wanting them to contact previous employers

    withasmilelpn replied to Jo Dirt's topic in General Nursing

    Truthfully just let them call. Employers have to be very careful about what they say about you. Usually they just stick to the facts like did you call out alot, you were late... With the nurse...

  9. Saline flush IV vs irrigation, difference?

    withasmilelpn replied to withasmilelpn's topic in Patient Medications

    Thanks! When one of the other nurses said you should never use it, she thought 'it was different at the molecular level or something', I thought that was unlikely and tried to investigate as I said....

  10. Charge nurse question

    withasmilelpn replied to mom4josh's topic in General Nursing

    I only write that I've noted the order if I've done just that. Transcribed on the TAR or MAR etc. I write faxed only after I actually faxed it. Keeps me honest, I guess. Sometimes since I work in...

  11. Offered the ONLY full-time day shift position (actually just told I was taking it)...

    withasmilelpn replied to flashpoint's topic in General Nursing

    I have to say, I agree with the cautious people. She should've definitely been on her toes for corporate, but a lot of these corporate honchos really wouldn't know a good nurse from a bad nurse if...

  12. Accused of being racist - how to handle?

    withasmilelpn replied to Susan9608's topic in Patient, Colleague Relations

    Yes, he could be the racist. There are ignorant small minded individuals in every race that chooses to judge people by how they look and not how they act. I would try and get past how insulted you...

  13. LTC tips please!!!...

    withasmilelpn replied to RNOTODAY's topic in General Nursing

    I always help out as much as I can, but I keep my priorities straight. Your med pass is supposed to be done in a certain time frame right? That can be difficult to do even without distractions at...

  14. "The Victim" and the "Big Ole Meanie who Made Her Cry"

    withasmilelpn replied to Ruby Vee's topic in General Nursing

    I think criticism is only effective if it is accompanied by how something should be done. Saying somebody needs to improve their time management skills won't do anything except make them insecure....

  15. Some crossed fingers and good wishes would be appreciated

    withasmilelpn replied to TazziRN's topic in General Nursing

    Fingers, toes, arms and legs crossed. Good

  16. "Granny-Dumping" in Psyche Unit

    withasmilelpn replied to Town & Country's topic in Patient Safety Issues

    On our sub-acute unit, we had a gentleman drag his mattress down the hall, threaten to kill the nurses, and punched a cna for good measure. He was very big and could walk well, and did in and out of...

  17. Can LPN's in PA do PCA pumps?

    withasmilelpn posted a topic in Pennsylvania Nursing

    We got an admission today of a patient getting continuous dilaudid via a pca pump. There was alot of confusion about whether this was in our lpn's scope of practice. I looked up the regs (pa code...

  18. Mandatory Inservices only offered on my "OFF"days!

    withasmilelpn replied to MsPiggy's topic in General Nursing

    I'm with you. There is no need to have 'mandatory' inservices. I like keeping informed, however I live an hour away. My husband and I work our schedule so that we never worry about childcare, when...

  19. ethical dilemma

    withasmilelpn replied to starbin's topic in General Nursing

    We refer some of our residents to social services, who if their poa or court appointed guardian agree, a dietary waiver is obtained that absolves the facility and physician from liability should they...

  20. Impaired at work!

    withasmilelpn posted a topic in General Nursing

    Been struggling for a while now, feeling depressed, hating my job, totaly relating to some of the PTSD posts I've seen here, when a few years ago I would've told you I love being a nurse. So made some...

  21. Is there power in the color white?

    withasmilelpn replied to bbfw2's topic in General Nursing

    I love having a choice what to wear. I also love wearing ones that are just fun, like the Dora the Explorer scrub my kids gave me for Christmas. I haven't met anyone who doesn't like it. I know it...

  22. What do you think of JCAHO?

    withasmilelpn replied to GardenDove's topic in General Nursing

    I need a doctors order to do a sat? I suppose I need one to take a temp too? Counting a resp rate ok with them? Now I know they are all CRAZY! (We got sited once because our closets weren't the...

  23. RT refused to give NEB!

    withasmilelpn replied to chenoaspirit's topic in General Nursing

    We have RTs at our LTC and rehab facility, but they mainly stay in our vent unit, and will come up and do trach changes if needed or assist with codes. But for the most part, nurses are responsible...

  24. This has been really getting on my nerves lately...

    withasmilelpn replied to GregRN's topic in General Nursing

    Can't stand "idear" for idea or want to "have a catch" when inviting someone to play catch the ball. And I definitely can't abide typos in newspapers or books, isn't that what the editor's job is to...

  25. I'm not "WIPING BUTTS"

    withasmilelpn replied to KayceeLeeRN's topic in General Nursing

    I work in LTC, the bulk of primary care falls on the CNAs because the nurses simply don't have alot of time (meds, treatments and paperwork for about 30 patients takes alot of time.) But if I can, I...