withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. Male nursing students can do assessments on the women?

    withasmilelpn replied to PHLEBOTOMIST_TO_RN's topic in General Nursing

    I think it's discrimination and should not be tolerated. I had a male CNA assist a LOL to the bathroom. When he returned to help her off, the son appeared and objected. He wanted the other female...

  2. involved in public policy/admin. out there?

    withasmilelpn replied to forward25's topic in General Nursing

    I don't know if this helps or not. When I went to U of D I wanted a dual major (Art and English- before went into nursing). What I had to do was confer with the heads of both departments to determine...

  3. What part of pt care gets overlooked most often

    withasmilelpn replied to chenoaspirit's topic in General Nursing

    Oral care big time. I'm responsible if the CNA's don't do it. If I"m made aware I make sure they do. My NPO patients I usually do try to do even though the CNA's are supposed to. The other day of...

  4. My preceptor gets frustrated with me.

    withasmilelpn replied to Zumz's topic in General Nursing

    Your first insinct was right about the capsules. I have the MD switch the order all the time to Micro-K for my little old people who can not swallow big pills. Micro-K capsules can be opened and put...

  5. devices for home self-testing PT or INR

    withasmilelpn replied to GingerSue's topic in General Nursing

    Don't forget bed bound patients. Chronically ill patients often have tons of equipment and need someone to transport them. (Think vent/o2 etc) Someone who gets stuck all the time might not have the...

  6. Why can't RN take LPN positions?

    withasmilelpn replied to jjjoy's topic in General Nursing

    Actually, I think you are safer working as an RN, where your practice is more defined. There are a lot of misconception as to what a LPNs scope of practice is, and it varies state to state. I also...

  7. Why can't RN take LPN positions?

    withasmilelpn replied to jjjoy's topic in General Nursing

    In my state I could hold both LPN and RN (if I got it), just have to pay for both! (licensures) I think you are just worried about charge. Not every place will require you to do this until you are...

  8. any comment?

    withasmilelpn replied to unwanted RN's topic in General Nursing

    Call the school and find out whether there are people that live in your area that you can carpool with. Somehow you made it through school, without his support, you can do this as well. Get to know...

  9. ? about forms

    withasmilelpn replied to Schmoo1022's topic in Geriatric, LTC

    Good luck! Let us know how that

  10. ? about forms

    withasmilelpn replied to Schmoo1022's topic in Geriatric, LTC

    Sorry to be so cynical above, but it does seem as if I&O is one of the ones least likely to be filled out, and I"ve been to a quite a few

  11. ? about forms

    withasmilelpn replied to Schmoo1022's topic in Geriatric, LTC

    The more forms we have the more likely we are to miss one or two. In our facility we have mars, tars, pain, behavioral, mood (yes seperate with about 20 questions in teeny, tiny print), mds adl...

  12. Nursing student in distress...Please Help !!!!!

    withasmilelpn replied to k.lvn.mom's topic in General Nursing

    Keep your head up, you'll be done before you know

  13. Is there such a thing as "too positive"?

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

    I always try to be kind, considerate, and respectful to my patients. I've been known to dance for my patients amusement and love to joke with them. But I know I am not the whole heartedly optimistic...

  14. Doctors that think they are god...

    withasmilelpn replied to DebRN06's topic in General Nursing

    Kevorkian (sp?) actually administered medications to cause death. Choosing not to have treatment is totally different. I have a patient who decided not to undergo surgery for osteomyelitis. (She...

  15. Doctors that think they are god...

    withasmilelpn replied to DebRN06's topic in General Nursing

    Life is precious, but how do you define life? For me, if I can't ever hug my kids again, and take care of them the way I need to, LET ME GO! For me life is about much more than a heart beating, but...

  16. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    withasmilelpn replied to DutchgirlRN's topic in General Nursing

    Yep! Exactly what I would've done as well. Doing what you think is best for your patient, based on your knowledge is the way to go. I think what these posts all prove is how much we all are trying...

  17. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    withasmilelpn replied to DutchgirlRN's topic in General Nursing

    No, not towards you. I really love all the great information you posted. I meant what I said, the post was fascinating. What I really feel though that we as caregivers constantly try to muddle...

  18. Umm...I will have 47 residence to care for !!!!!

    withasmilelpn replied to BigB's topic in Geriatric, LTC

    I have 26 patients and 2 CNAs. Its the acuity that totally makes the difference. Even though we are LTC, if the rehab/subacute unit is full and ours isn't we get them. Alot of the time they come on...

  19. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    withasmilelpn replied to DutchgirlRN's topic in General Nursing

    Fascinating! Thanks for that great post! I guess then it all comes down to how good your lawyer

  20. Posters that are not nurses

    withasmilelpn replied to Cattitude's topic in General Nursing

    Thankyou! It's not only that staffing when we are 'short', that concerns me, like the having to work 16 hours etc.. It's the staffing period. In LTC especially there seems to be no concensus or...

  21. What would you have said to this??

    withasmilelpn replied to DebRN06's topic in General Nursing

    I write it word for word, exactly as the horse's a** , I mean MD states. While I have the MD on the phone, I also ask for what he should've ordered in the first place- CBC, UA C&S etc and...

  22. Posters that are not nurses

    withasmilelpn replied to Cattitude's topic in General Nursing

    I think most errors could be prevented by having more staff, period. :trout: Nurses probably should not have to multitask as much as we do. Balls get dropped when you are juggling too many of them....

  23. Do we expect little of people these days?

    withasmilelpn replied to CapeCodMermaid's topic in Geriatric, LTC

    Even if you happen to have a brain in your head, there's little to no time to use it. I work 7a-7p weekends. It is not uncommon for me to get a lousy report (everyones fine) and never even look at a...

  24. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    withasmilelpn replied to DutchgirlRN's topic in General Nursing

    The poll is very

  25. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    withasmilelpn replied to DutchgirlRN's topic in General Nursing

    We just had a schizophrenic patient in our vent unit in resp distress refuse to go to the hospital. Full code. The paramedics refused to take her. A psych consult was pending to determine...