withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. It's Wrong! (A night shift perspective)

    withasmilelpn replied to Sixtyseven's topic in Geriatric, LTC

    3-11 would work fine - Lab needs to pick up within 24 hours. No need for 11-7 to

  2. Telling "STATE" you don't have supplies....

    withasmilelpn replied to nervousnurse's topic in Geriatric, LTC

    I can not stand running out of supplies and will track down and notify everyone possible to make sure we get them. We are usually well stocked where I work now. However I did work at a facility that...

  3. Nursing and the Ebola Virus

    withasmilelpn replied to 0.adamantite's topic in Disaster Preparation

    I will not lie -moving Ebola infected people to our country worries me. Infectious protocols are only as good as the equipment and staff used in caring for them. Human errors happen. Quarantines...

  4. Is there a legal way to do this...

    withasmilelpn replied to BrnEyedGirl's topic in HIPAA Challenges

    Your security team needs some education on HIPAA - no PHI is being disclosed, and falls within our duties as healthcare workers as both Esme12 and GrnTea have pointed out. Highly recommend printing...

  5. Advice please: Withdrawal of feeding tube

    withasmilelpn replied to Clubsingr28's topic in General Nursing

    Definitely call the ombudsman. You'll be anonymous, if it's neglect a guardian can be appointed instead of the sons as durable power of attorney. Speech services can still go on through Hospice and...

  6. NEW ADON

    withasmilelpn replied to Makama1's topic in Geriatric, LTC

    Wow, heavy responsibility for that length of experience. Best of luck to

  7. "It's Not That Special --

    withasmilelpn replied to Ruby Vee's topic in Patient, Colleague Relations

    I think it's only a benefit if you have something to contribute, and seriously, why not? If you don't think it's beneficial, move on to the next post. Getting affronted that someone is posting in a...

  8. "No One Respects My Religious Beliefs"

    withasmilelpn replied to Mikey31079's topic in Patient, Colleague Relations

    She sounds immature and opportunistic. Tell her she must arrange coverage and she can't leave the floor without notification. These are standard expectations for the job, and have nothing to do with...

  9. I Hope No One Hires You

    withasmilelpn replied to CapeCodMermaid's topic in Geriatric, LTC

    I also want to acknowledge the nurse could in fact be a self serving jerk Then good

  10. I Hope No One Hires You

    withasmilelpn replied to CapeCodMermaid's topic in Geriatric, LTC

    I think it's very unproffesional. I think that it also an unwise decision in relation to finding another job and unfair to the staff and residents who depended on you. That being said, like the poster...

  11. Anti-Intellectualism in Nursing

    withasmilelpn replied to fakenurse's topic in Nursing Professionalism

    Green tea - if you read what I said - it calls for BSN prepared nurses - I just posted it because I found the one comment interesting - the no " definitive research one." It makes plenty of...

  12. Anti-Intellectualism in Nursing

    withasmilelpn replied to fakenurse's topic in Nursing Professionalism

    " Cross-sectional studies can help us find and investigate relationships between variables though they are quite susceptible to the issue of "correlation does not equal causation". " This is...

  13. Anti-Intellectualism in Nursing

    withasmilelpn replied to fakenurse's topic in Nursing Professionalism

    Sorry, I never said it was my opinion that the study was wrong. And no where did I state I was against BSN prepared nurses being better for patient care. I'd like to be one, I'm not, and given my age...

  14. Anti-Intellectualism in Nursing

    withasmilelpn replied to fakenurse's topic in Nursing Professionalism

    There are studies that don't necessarily agree with the BSN argument by the way. The one above by Linda Aiken is from 2003 - this one is 2011 concludes experience does matter and BSN does not:...

  15. Anti-Intellectualism in Nursing

    withasmilelpn replied to fakenurse's topic in Nursing Professionalism

    Essentially, a nurse should always be THINKING while they are doing their TASKS :-) This from an insatiably curious LPN who initially went to College for English and Art, then had to drop out of my...

  16. How to deal with angry doctors

    withasmilelpn replied to ann915's topic in First Year After Licensure

    I don't agree with this in regards to the affront to their egos by asking whether they are familiar with their patient. Many times doctors are not, they are on call, not the primary as the Patient's...

  17. Did I do the right thing?

    withasmilelpn replied to Kaysmom8's topic in Geriatric, LTC

    That's a really big deal. Three days? I'm sorry but I would make an enemy too. I'm on the fence with a nurse right now who I personally like, but am becoming less and less impressed with her attitude...

  18. Everything is our responsibility. Rant.

    withasmilelpn replied to dudette10's topic in Patient, Colleague Relations

    We are in the middle of transitioning to this type of work environment and I'm freaking out about it. One unit has opened up already and things are the same as you describe. (Ours are next.) We were...

  19. Critically ill pts wanting to go AMA?

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

    I would ask the patient how they expected to get from the taxi to their house/apartment? No nurses to help then. You need to make it on your own steam if your going AMA. Or find someone to help you do...

  20. Acidic Posting

    withasmilelpn replied to NurseGuyBri's topic in General Nursing

    Thank you and I want to let you know that I always find your posts to be educated and professional. And to let you know that I was tempted to flame some people in another topic when I found their...

  21. Describe your 10/10 pain. Piggybacking off of recent pain discussions.

    withasmilelpn replied to 0.adamantite's topic in General Nursing

    The pain scale is such a subjective and difficult thing even for me as a nurse. I think the worst pain for me was with my having my first Child - was given Cytotec, and the contractions were so fierce...

  22. What do you think of fibromyalgia?

    withasmilelpn replied to Emergent's topic in Health, Stress Management

    Fibromyalgia is real, as real as any headache you might complain of that I can't see, but yet still believe you when you tell me. Years ago I started having problems with my knees, then over time...

  23. YAHOOOOOOOOO!!!!!

    withasmilelpn replied to CapeCodMermaid's topic in Geriatric, LTC

    Congratulations!!!!!

  24. Everything is our responsibility. Rant.

    withasmilelpn replied to dudette10's topic in Patient, Colleague Relations

    When PT, OT, SS, let me know that my patient is requesting, juice, blankets, pillows, etc and I'm clearly in the middle of pouring meds or doing something else, I always direct them to where they can...

  25. Why Are Nurses So Critical of Other Nurses?

    withasmilelpn replied to bluegeegoo2's topic in Geriatric, LTC

    Clearly it's a case by case basis, as some facilities staff are able to initiate IV s and administer IV Lasix, and some are not. I've worked in facilities that we could, but the one I'm in now we...