withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. I received a "write up" warning at my LTC

    withasmilelpn replied to Blackcat99's topic in Geriatric, LTC

    Delegate as much as you can to the next shift when it's something that happens at change of shift. Make a note in the patients chart that you did so. LTC - love my patients, the rest of it, not so...

  2. Does your LTC get mad when you send patients do the ER?

    withasmilelpn replied to Blackcat99's topic in Geriatric, LTC

    Because they lose money. It's your license though. Basically if a Patient needs me in their room constantly or even very frequently due to an unstable condition and I can't care for them or my other...

  3. Need help. How do I sound the politest way possible?

    withasmilelpn replied to NursingBro's topic in LPN, LVN Corner

    You need to start doing in order to start really learning. It will help you get the routine down and really learn the process so you'll do better when it's all of them. 6 patients is a good number....

  4. Need advice...New RN working LTC

    withasmilelpn replied to kimberly_1878's topic in Geriatric, LTC

    I do my own vitals - trust mine more

  5. Did I miss something?

    withasmilelpn replied to MimiLPN's topic in LPN, LVN Corner

    Did the hospital admit her? Just curious. And despite what the nurse felt, you did call the doctor and if he wanted her sent out, he would've sent her out. Though I will say I have sent patients out...

  6. First 70 days :(

    withasmilelpn replied to katiebug92's topic in LPN, LVN Corner

    15 years of nursing and I forget things - get home and realize I didn't chart x or finish y form. Amazingly there is the next day - late entry's are not the end of the world. There's a lot to do....

  7. Do you call the doctor at night for low B/P's on night shift?

    withasmilelpn replied to Blackcat99's topic in Geriatric, LTC

    Brewski -I'm curious what you mean by lack of support for an RN? The advice we are giving is support. Not sure what you are expecting. Not criticism really towards you, just wondering what you think...

  8. Do you call the doctor at night for low B/P's on night shift?

    withasmilelpn replied to Blackcat99's topic in Geriatric, LTC

    No - the sad thing in LTC is you have very little time to actually think. Over time you'll know when to call the doctor just by looking at the numbers AND your patient. The MAP will confirm what...

  9. Moving on.....

    withasmilelpn replied to TorsadesRN's topic in Nurses Recovery

    Best of luck to

  10. Do you call the doctor at night for low B/P's on night shift?

    withasmilelpn replied to Blackcat99's topic in Geriatric, LTC

    If you are uncertain, call the doc. Tell him why - Then ask for an order for parameters so you don't have to call him again - and say it in just that

  11. Help! I'm trying to understand this med test for employment

    withasmilelpn replied to tempestxoxo's topic in LPN, LVN Corner

    You are welcome

  12. First LPN Job, 5 day orientation, 1:40+ patients...advice?

    withasmilelpn replied to inky-york's topic in LPN, LVN Corner

    Don't work off the clock. They owe you that money and it's

  13. Help! I'm trying to understand this med test for employment

    withasmilelpn replied to tempestxoxo's topic in LPN, LVN Corner

    And general safe practice generally means wash your hands before and after patient care/ med administration and know the patient rights right time, right med, right person, right to refuse, etc....

  14. Help! I'm trying to understand this med test for employment

    withasmilelpn replied to tempestxoxo's topic in LPN, LVN Corner

    Also quality of cough and whether it's productive or non. Pain management - you want to document if they have pain, where, how they describe it, rate it according to the scale your facility uses...

  15. Help! I'm trying to understand this med test for employment

    withasmilelpn replied to tempestxoxo's topic in LPN, LVN Corner

    Synthroid is given on an empty stomach - typically 11-7 gives at 6 or 7 am - though my facility is experimenting with 4 pm for Residents that don't want to be woken early. The guidelines for...

  16. Getting patient information before shift

    withasmilelpn replied to AikoRN's topic in General Nursing

    Nothing for free! You don't do your workplace any favors either since there is an electronic trail showing you working off the clock. Someone complains about labor violations all employees histories...

  17. Nurses, how are you going to vote? 2012 US Presidential Election

    withasmilelpn replied to Brian's topic in General Nursing

    Thanks Brian for posting, fun! (political junkie -

  18. Nurses, how are you going to vote? 2012 US Presidential Election

    withasmilelpn replied to Brian's topic in General Nursing

    Obama

  19. Healthcare is NOT a basic human right.

    withasmilelpn replied to Asystole RN's topic in Activism, Healthcare

    I don't think the people who post about 'forgoing' getting their nails done, etc. Have any real life experience in life without health care themselves. I have a friend, who had a stroke at 33 years...

  20. Healthcare is NOT a basic human right.

    withasmilelpn replied to Asystole RN's topic in Activism, Healthcare

    Real man in uniform you missed my point but that's ok. I think you're mind is made up and anything I have to say you'll find a way to put it down in frankly an insulting way. Not in my opinion a great...

  21. Healthcare is NOT a basic human right.

    withasmilelpn replied to Asystole RN's topic in Activism, Healthcare

    Exactly. Ethics committees can help when facing difficult choices - families so often struggle making decisions as if they are causing their loved ones' deaths instead of merely prolonging

  22. Healthcare is NOT a basic human right.

    withasmilelpn replied to Asystole RN's topic in Activism, Healthcare

    Hospice care is cheaper than the end of life care the articles speak of. The care they refer to is when people continue aggressive care even when faced with a terminal

  23. Healthcare is NOT a basic human right.

    withasmilelpn replied to Asystole RN's topic in Activism, Healthcare

    The part I object to the most is -' the name of "research"? Take your propaganda somewhere else comrade. It's not welcome here in the land of the free, and home of the brave!"' And yes - I would...

  24. Healthcare is NOT a basic human right.

    withasmilelpn replied to Asystole RN's topic in Activism, Healthcare

    From http://articles.cnn.com/2009-06-05/health/bankruptcy.medical.bills_1_medical-bills-bankruptcies-health-insurance?_s=PM:HEALTH Medical bills prompt more than 60 percent of U.S. bankruptcies...

  25. Healthcare is NOT a basic human right.

    withasmilelpn replied to Asystole RN's topic in Activism, Healthcare

    From http://articles.cnn.com/2009-06-05/health/bankruptcy.medical.bills_1_medical-bills-bankruptcies-health-insurance?_s=PM:HEALTH "Unless you're a Warren Buffett or Bill Gates, you're one illness...