withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. Documenting pain and pain medications

    withasmilelpn replied to fetch33's topic in General Nursing

    What is wrong is we don't have time to do all the documentation and take care of our patients. We have too many patients to get overly involved in charting what we do or don't do. I always make sure...

  2. Can LPNs Flush P.I.C.C. lines in TN

    withasmilelpn replied to dorrybnursing's topic in Tennessee Nursing

    By the way, hospitals often have policies that completely differ concerning what LPNs can or can't do, that do not conform to the state's practice act. They are more likely to limit what LPNs can do...

  3. Can LPNs Flush P.I.C.C. lines in TN

    withasmilelpn replied to dorrybnursing's topic in Tennessee Nursing

    An LPN that is IV certified is operating under her scope of practice and would be responsible for any mistake they made, not you. We can lose our license, which is why I make sure I'm aware of what I...

  4. Does anyone else see discrimination? Long Post but please read!

    withasmilelpn replied to SoontobeAdrienneRN's topic in General Nursing

    Sounds like the nurse who reported you was probably the racist assuming the worst of you, since she didn't "see" you do it. Was the patient demented or unaware? We get family members who insist...

  5. Understaffed and sick of it!!

    withasmilelpn replied to kate1969's topic in Geriatric, LTC

    What do you think of a trach/vent unit with 12 patients, 1 nurse 1 RT (who also does trach care for the rest of the building and checks those on bipap at hs and o2 and the crash carts are stocked....

  6. The End Is Near

    withasmilelpn replied to banditrn's topic in Geriatric, LTC

    Oh banditRN I am so sorry! I too have enjoyed your posts. I hope that you are able to find a solution, whether it is a change of position or adaptive equipment. I wish you the best! let us know how...

  7. Eight or Twelve Hour Shifts

    withasmilelpn replied to outcomesfirst's topic in General Nursing

    I work weekends 12 hours which is hard sometimes physically, but worth it for the benifits it brings to my life. (More time with my kids) I think the fewer days helps me cope better with the stress...

  8. Affectionate terms

    withasmilelpn replied to marjoriemac's topic in Geriatric, LTC

    I call my friends 'dear heart', say hey girlie, etc, all terms of affection. When I meet a patient I ask them what they prefer to be called. Patients I have gotten close to get called angel,...

  9. Nurses are Pathetic!!

    withasmilelpn replied to lorster's topic in General Nursing

    Wow! I think nursing can be a calling too, I loved it for years. Now I don't. Even though I don't feel the same way anymore, I still can tell you I give 100%, because I still take pride in my work...

  10. Why I get the urge to quit nursing sometimes

    withasmilelpn replied to GardenDove's topic in General Nursing

    They will probably miss you when your

  11. Scripting Nurses?

    withasmilelpn replied to Cindylufus's topic in General Nursing

    He's not apparently following his own advice. From what I googled about him one of his principals is to make sure management gets employee feedback after and before policies are implimented, that it...

  12. Scripting Nurses?

    withasmilelpn replied to Cindylufus's topic in General Nursing

    Well, if you do have to toliet your patient or do anything else on rounds, doesn't it throw off what time you actually see your next patient? And what if one patient requires much more of your time,...

  13. Universal coverage for pregnant women and children = 9 days of DOD spending

    withasmilelpn replied to HM2VikingRN's topic in Activism, Healthcare

    That assumes alot! Lots of families go through circumstances out of their control. Layoffs, illnesses... There was a period of time when my children were covered by CHIP and my husband and I were...

  14. Double Shifts: Your tips and tricks for getting through it

    withasmilelpn replied to UM Review RN's topic in General Nursing

    I work 12 hour shifts weekends LTC. They staff 2 nurses on our floor from 7a - 11p for 56 patients then go down to 1 nurse for 56 patients from 11-7. Many times it seems as if they 'forgot' to...

  15. Thrifty Facilities?

    withasmilelpn replied to indigo girl's topic in General Nursing

    It sounds like you work at my facility! Even worse, in my opinion is the 11-7 nurse supervisor that shrugs and says, "I guess we won't do them then", when it looked like we were running out of test...

  16. patient family and nursing documentation

    withasmilelpn replied to shilohmae's topic in General Nursing

    I am glad that you ammended your response. Just try in the future to remember that this site is helpful because it can provide answers to questions we have, no matter how seemingly small. We were...

  17. Er

    withasmilelpn replied to vonxojn's topic in Emergency

    I was at work when I got the call to go to the hospital ER for my son, so of course I was wearing my uniform. Be compassionate please, sometimes its worse for people in the medical profession. We...

  18. "Hardened" Healthcare Providers

    withasmilelpn replied to cwinlv's topic in Patient Safety Issues

    The only reason to become 'hardened' is to protect your feelings from the assault of tough situations health profesionals deal with daily. The trick is to maintain your humanity. Treat everyone how...

  19. Better ICU nurse with med/surg experience?

    withasmilelpn posted a topic in MICU, SICU

    I am not an ICU nurse, however I am curious to think what ICU nurse think about the trend of new grads going directly into critical care. I remember when every job posting mentioned requires one year...

  20. Nurses Week: what makes you feel appreciated?

    withasmilelpn replied to douglask's topic in General Nursing

    Really good food is always appreciated. And make sure there is plenty set aside for each shift, clearly marked so that no one picks at it. I do like things like bandage scissors and flashlights that...

  21. Physicians orders

    withasmilelpn replied to remched's topic in Geriatric, LTC

    If I have to stay over, I stay on the clock. They want to fire me for finishing my work, fine. I will never work off the clock. It is against the

  22. now considered a restraint?

    withasmilelpn replied to ktwlpn's topic in Geriatric, LTC

    Well then we need to go back to being facilities that are not designated 'restraint-free', because some people quite frankly need them in order for us to keep them safe. I know the dangers, we just...

  23. now considered a restraint?

    withasmilelpn replied to ktwlpn's topic in Geriatric, LTC

    At an old facility I worked at a resident I had fidgited constantly until she scooted out of any chair we put her in. We finally hit on a bean bag chair which worked great. State came in said...

  24. What the heck is this doctor thinking? Actually not thinking!

    withasmilelpn replied to DutchgirlRN's topic in General Nursing

    Thankyou for your informative post! (I just love this site:balloons:

  25. Nursing students and new nurses.....about injection sites

    withasmilelpn replied to TazziRN's topic in Patient Medications

    My first IM (and first injection) was given to a tiny lady in my ambulatory care rotation in clinicals. I was absolutely petrified. Because she was tiny of course my instructor felt it would need...