withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. Healthcare is NOT a basic human right.

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

    Quote from realmaninuniformThis is to 37 degrees - No it is not irrelevant, whether you are or in your case NOT a nurse. This is a site and a thread for NURSES. You are clearly not one. Did anyone...

  2. Healthcare is NOT a basic human right.

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

    I AGREE -don't understand how people can be so uncaring. Say we stop providing emergency care when someone is in a car accident - it's not a right - correct? No proof of ability to pay - no care -...

  3. SIDS Pediatric Code

    withasmilelpn replied to harrird's topic in Emergency

    My son died of SIDS - thank you for being such a special

  4. Medication Mistake

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

    True - I worked for a home health agency as a private duty nurse.

  5. Medication Mistake

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

    We actually did draw up meds for the next shift when I worked nights home care. The day nurse had to go to school right away with our client and did not have time. All were labeled though and had the...

  6. LPN scope of practice

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

    In PA Nephrostomy tubes are not addressed in either LPN or RN scope of practice -If you consult the nursing board admits that there is no way to cover all that a nurse may encounter - so the nurse...

  7. Do Nurses eat their....lunch?

    withasmilelpn replied to massrn116's topic in Patient, Colleague Relations

    Oh - I did bring the laws to their attention by the way. And did get some places to change their practices by pointing out it was in their interest to follow the law. Labor law violations can be VERY...

  8. Do Nurses eat their....lunch?

    withasmilelpn replied to massrn116's topic in Patient, Colleague Relations

    It is not an infringement of labor laws in many states to miss lunch breaks. Check your state Labor laws. The US Federal Labor Law simply states that a worker may have an 'unpaid' break if the break...

  9. Family Members and their pearls of wisdom...

    withasmilelpn replied to R!XTER's topic in Patient, Colleague Relations

    Just the other day I had a visitor say she had a couple of questions. Then she stated 'Telephone calls'...I was like - you need to make one, your loved one wants to make one???Twenty questions later I...

  10. Completely confused about this Foley Catheter issue...

    withasmilelpn replied to SunSurfRN's topic in Patient Safety Issues

    It is not an uncommon thing that a foley will get displaced. In fact - occasionally they get dislodged with balloon fully intact - ouch. Can't count the number of determined dementia patients I've had...

  11. An RN's thoughts on the health care law

    withasmilelpn replied to RN4MERCY's topic in Activism, Healthcare

    It bothers me that some practioners would drop patients if Medicare reimbursements are lower. Thank goodness for those that choose to serve communities. When my husband and I didn't have health...

  12. Left a job because of bad situation...what to say on application?

    withasmilelpn replied to busybeethatisme's topic in Job Search, Interview, Resume

    I say never talk badly about a former employer. It's too small a world - you don't know who they know, etc, etc. "not a good fit" sums it up nicely - leave it at

  13. DNR- Do Not Treat?

    withasmilelpn replied to GinaCat's topic in Patient Safety Issues

    This is very difficult. DNRs really only indicate what we should do should a patient go into resp arrest or cardiac arrest. Up until that moment / anything goes. The parents did not want their child...

  14. Narcotics

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

    The charge nurse definitely should've stepped up to help. I would've said so. It's too easy to make a med error too stopping in the middle of pouring. Leaking caths are not an emergency. Falling...

  15. Texting while doing patient care?

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

    I use my smart phone to look up ID9 codes, policies, safe practice, scope of practice, labor laws, proceedures, figure out short hand abbreviations from medical records, etc and have used the note...

  16. I think cutsey scrub tops look ridiculous on adult units

    withasmilelpn replied to AZO49008's topic in Scrubs, Uniforms, Gear

    Yellow and orange, hmm. Would not go that route myself. (Halloween maybe - probably not as not a huge fan of orange.)But I rather like my new light blue scrub top with smiling frogs - it makes me...

  17. New HIPAA forum

    withasmilelpn replied to sirI's topic in News, Announcements

    That's not unusual to be told that. Plus - I'm not sure that you are entitled to have updates anymore as your patient isn't under your care at the time. It is my understanding that information...

  18. Reprimanded for someone elses mistake??? What???

    withasmilelpn replied to sasha2lady's topic in LPN, LVN Corner

    It's weird to me that it's part of the chart to say whether it's been transcribed correctly or not. Most I Would ever put in a chart is 'order clarified' -i question your facility

  19. Need help regarding insulin policy in LTC

    withasmilelpn replied to anielle's topic in General Nursing

    I'm surprised there wasn't an emergency supply of insulin. Insulin is normally given on a sliding scale based on a fasting blood sugar. Results obtained after a patient has eaten 'post prandial' are...

  20. I think cutsey scrub tops look ridiculous on adult units

    withasmilelpn replied to AZO49008's topic in Scrubs, Uniforms, Gear

    My job is too serious as it is. I like wearing what I want. End of

  21. Reducing Alarms

    withasmilelpn replied to rmaruschock's topic in Geriatric, LTC

    Please don't think that I think for one minute that they are children. We recognize that are children are vulnerable - and we staff accordingly. We don't value the elderly which is why we don't staff...

  22. Reducing Alarms

    withasmilelpn replied to rmaruschock's topic in Geriatric, LTC

    I don't see how that's possible. I've been at this for 21 years now (6 as an aide) and I find them helpful. Every time I catch a Resident - I've prevented real harm. It promotes independence - have...

  23. Reducing Alarms

    withasmilelpn replied to rmaruschock's topic in Geriatric, LTC

    Our alarms page us and tell us who is setting it off - our pagers are also set to vibrate. I have worked where staff ignored them - those staff weren't the most caring frankly. In our facility that is...

  24. Refused to float without orientation ...Terminated

    withasmilelpn replied to SFnrs's topic in Travel

    I've always wondered why many agency positions didn't have orientation before hand. I mean - why have orientation at all then for your hired staff? No need for inservices then either, right? It's not...

  25. The happy policy

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

    Today my son would've been 8. I have to work today - no time off left to take. (My last vacation day they took for my sick day - since we don't get sick days too where I work.) promise you today I...