withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. Are the LPNs get the dirty works?

    withasmilelpn replied to 12breakfree's topic in LPN, LVN Corner

    Doesn't sound like your facility really utilizes their LPNs appropriately. LPNs can chart, do trach care, caths, wounds. The patients that fall out of their scope of practice should be assigned to...

  2. IV air bubble compensation

    withasmilelpn replied to JL123's topic in General Nursing

    Nurse geeks are

  3. Admits after 6:00 pm? Does your hospital do this?

    withasmilelpn replied to PickMePlze's topic in General Nursing

    Great idea! How's your staff turnover? It would be nice if someone could do cost/benefit analysis of places like these so you could present it as something that works for all involved. I bet...

  4. After reading negative thread, want to give up nursing dream!

    withasmilelpn replied to jollyjenny's topic in General Nursing

    Nursing can be very rewarding. I loved being a nurse for years. I recognize that this current stage of my life has been influenced by some outside things out of my control. This site can be very...

  5. website -- doctor-rating --problems

    withasmilelpn replied to GingerSue's topic in General Nursing

    Sorry, what I meant was why did the doctor treat you as an employee? How did he/she know you were a nurse? I did see that you were a patient at the time. Or does this Dr. make a habit of asking all...

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

    withasmilelpn replied to GregRN's topic in General Nursing

    where's the spell

  7. Ummmm..are they ALLOWED to do that?

    withasmilelpn replied to NurseJacqui's topic in Emergency

    Really, nursing everywhere needs to be staffed based on acuity. I'm just a LTC nurse but they keep putting tons of skilled patients on my floors with rehab needs and PICCs etc.. because there is no...

  8. Ummmm..are they ALLOWED to do that?

    withasmilelpn replied to NurseJacqui's topic in Emergency

    Really, nursing everywhere needs to be staffed based on acuity. I'm just a LTC nurse but they keep putting tons of skilled patients on my floors with rehab needs and PICCs etc.. because there is no...

  9. Would you recommend nursing to your daughter?

    withasmilelpn replied to burn out's topic in General Nursing

    No. There are alot of rewards in the profession, and many areas to choose from. Earlier, I wrote saying no, but I added not now because I am not happy where I am at. A few years ago I said I loved...

  10. My poor co-worker!

    withasmilelpn replied to tryingtomakeit's topic in Ob/Gyn

    My guess is that there is a bigger liability issue involved in L&D. Probably we shouldn't be taking care of mixed patient populations (known ones at any rate). Cost is probaly the deciding...

  11. need help--husband died at home

    withasmilelpn replied to pyseymo's topic in Cardiac

    I put my 7 month old down for a nap then went to work with my husband on duty. My husband found him not breathing, he did not know CPR, 911 instructed him on the phone. He did not make it. The...

  12. now considered a restraint?

    withasmilelpn replied to ktwlpn's topic in Geriatric, LTC

    Bean chairs were great for one resident we had, but they said it was 'undignified?' I guess a bump on the head

  13. now considered a restraint?

    withasmilelpn replied to ktwlpn's topic in Geriatric, LTC

    Yes I really want the low chair to act as a restraint truthfully for my residents who think they can walk but can not. Do they actually? They haven't made a chair that can keep them from doing...

  14. Don't just get to work on time....

    withasmilelpn replied to clee1's topic in General Nursing

    We have to track down the person with the assignment board and wait for thenurse on the assignment to finish. No lie sometimes I don't start report until 330p It

  15. Negligence???

    withasmilelpn replied to Epona's topic in General Nursing

    Not only did someone cover for me when I got a 911 call that I had to go the ER for my son, another coworker drove me because I was too upset to drive. I wouldn't have made it without them. I don't...

  16. Would you recommend nursing to your daughter?

    withasmilelpn replied to burn out's topic in General Nursing

    Not right now, maybe after I switch

  17. New Nurse 6 Months-float ?

    withasmilelpn replied to SALLYSMG's topic in General Nursing

    Maybe this is why Nurses leave in droves? Why not just orient a new grad at least to all floors when they come if this is the policy? Just because this is the way it has always been done, doesn't...

  18. website -- doctor-rating --problems

    withasmilelpn replied to GingerSue's topic in General Nursing

    Do you work at that office or in some other

  19. Documenting pain and pain medications

    withasmilelpn replied to fetch33's topic in General Nursing

    Always check on your patient, just don't document on them unless they have no relief or an adverse reaction, how about that approach? I just want to give my patients the best, most efficient care...

  20. Do you feel valued in your current nursing position?

    withasmilelpn replied to Brian's topic in General Nursing

    Sort of do,(feel valued) but I think I'm too burnt out to care. Might switch units, see if it

  21. What do you think of Nursing Care Plans?

    withasmilelpn replied to GardenDove's topic in General Nursing

    Repetitive, common sense that only the state looks at in LTC. We pass on what to do for our patients in report and on a card hung up in a closet. HUGE WASTE OF TIME AND

  22. Nursing school didn't prepare me for reality

    withasmilelpn replied to jjjoy's topic in General Nursing

    LTC is notorious for not giving adequate orientation for new grads. I've seen some with 2 to 3 days. Then of course when they struggle they get eaten alive. I usually will teach them whatever they...

  23. update on steppping on senior nurses toes

    withasmilelpn replied to b eyes's topic in General Nursing

    Pet peave of mine! Expecting nurses to know how to set all equipment! It is rare that that gets addressed in report. How many times has this happened to me in many other situations - plenty! New...

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

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

    :trout: Picture this, 3 nurses sitting at a desk, complaining (rightly) that an administrator chose to take all the cnas off the floor (for an hour and 15 mins!!!) for an inservice. Bells going off...

  25. I don't think I hate Med-surg, but I think I do.

    withasmilelpn replied to Wheaties's topic in General Nursing