withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

Member

  • Content

    582

  • Visitors

    10,590

  • Followers

    0

  • Likes

    9

All Content by withasmilelpn

  1. The happy policy

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

    I love the tip jar idea! Usually if you have an environment that has a lot of dissatisfied, grumpy people - there is a culture problem and no 'Disney Model' is going to fix it. If the nurses don't...

  2. NEW Hospice RN Case Manager Question!!

    withasmilelpn replied to ShimmaShimma0304's topic in Home Health

    Also - if a nurse calls Hospice - they are looking for support. They do not always know the answers to families questions. Or they simply aren't comfortable. Or with their 20 - 30 or more patients -...

  3. NEW Hospice RN Case Manager Question!!

    withasmilelpn replied to ShimmaShimma0304's topic in Home Health

    Why are you counting narcotics? We have hospice come and I worked for hospice. That never happens. The nurses at the facility count at the start of a shift and at the end of shift. To count again...

  4. No more internet access

    withasmilelpn replied to racing-mom4's topic in General Nursing

    I use it for directions for patients/families, print menus for them also and staff, look up phone numbers, drugs, diagnosis. I think it's a useful tool and shouldn't be abused. Frankly - no one should...

  5. The dumbest thing you've ever heard...

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

    I once had a LTC patient's brother call me to complain that his sister had a UTI because our place was 'dirty.' (She did her own care.) It was a bit of a weird conversation trying to explain possible...

  6. wow-ltc is crazy!!!!

    withasmilelpn replied to pn5437's topic in Geriatric, LTC

    Ask the regular nurses who they do first. Who gets crushed, takes it how, who gets accuchecks. that way you can prioritize your care. The good thing about LTC is the residents don't change all that...

  7. LTC facility-TAKE DOWN THAT ARTWORK NOW!!!

    withasmilelpn replied to juzme's topic in General Nursing

    They can ask for a variance. I worked in a nice place that really cared about the residents. We got cited for closet size - apparently they are supposed to be x and ours were y - it was an old...

  8. How do you guys carry your stuff at Clincal?

    withasmilelpn replied to kk83's topic in General Students

    A quick way to use your Notebook app is to make an assessment template in advance - that you can just quickly fill in. Name, dx, allergies, O2, diet etc. Then copy and paste each time to use for each...

  9. How do you guys carry your stuff at Clincal?

    withasmilelpn replied to kk83's topic in General Students

    Can't you use a notebook ap on your iPod touch instead of

  10. Our new hire, new grad charge nurse

    withasmilelpn replied to kimbo9's topic in General Nursing

    I think the issue comes down to 'it's patient safety first." of course the LPNs can't be charge, and of course they should support her. But is it the BEST situation - no way. And just because some...

  11. Yelled at for posting on AN

    withasmilelpn replied to Bormio's topic in General Students

    :)Interesting enough there is a case right now that Feds are saying an EMT was illegally fired from her job for facebook comments. I'm very interested to see how it plays out. If you ask me -...

  12. Do you work in a Neighborhood/Household LTC model?

    withasmilelpn posted a topic in Geriatric, LTC

    I work at a retirement community that plans on converting from a traditional LTC setting with a central nursing station and halls to a Neighborhood model. In this model, there are households of 10 -11...

  13. Do you work in a Neighborhood/Household LTC model?

    withasmilelpn replied to withasmilelpn's topic in Geriatric, LTC

    Not looking too hopeful. I think they are changing something that works pretty well to something that will compromise care. Thanks for all your

  14. Do you work in a Neighborhood/Household LTC model?

    withasmilelpn replied to withasmilelpn's topic in Geriatric, LTC

    Reviews on these communities focus on the relationships being built between staff and residents in a more homelike atmosphere, but I wonder how much of it is really a cost saving measure. I don't...

  15. Do you work in a Neighborhood/Household LTC model?

    withasmilelpn replied to withasmilelpn's topic in Geriatric, LTC

    Sorry for the errors - can't correct properly on an

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

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

    Please. I work in hospice and we all wear whatever makes us smile and happy. My hands down favorite scrub is one with smiley faces sticking their tongues out. It always gets compliments. You have to...

  17. Help please -Benefit for a fellow nurse

    withasmilelpn posted a topic in General Nursing

    My question is, have any of you ever hosted/taken part in a benefit such as a 'Beef and Beer", to help raise money? I haven't, but plan on doing something along those lines, so would much appreciate...

  18. Is It Possible An LPN Can Make More Then An RN?

    withasmilelpn replied to smartnurse1982's topic in General Nursing

    This silly and easy. It is called negotiation. Men do this in the buisness world all the time. I didn't work for an agency for long, but I took all their certification courses and made myself...

  19. Feeling bad because I didn't "go with my gut"

    withasmilelpn replied to LuVnLpN08's topic in General Nursing

    Hey Virgo, I respect all you have to say, really, not in a ******* match with you, honest. There is plenty of stuff I don't know, and plenty you can teach me. It's just that when I am sure of my...

  20. Feeling bad because I didn't "go with my gut"

    withasmilelpn replied to LuVnLpN08's topic in General Nursing

    definition of prophylactic prophylactic: a preventive measure. the word comes from the greek for "an advance guard," an apt term for a measure taken to fend off a disease or another unwanted...

  21. Feeling bad because I didn't "go with my gut"

    withasmilelpn replied to LuVnLpN08's topic in General Nursing

    What is prescibed depends on the practioner and institutional practices. I'm just pointing out that there are cheaper alternatives that are in use even though they aren't "first line of defense" or...

  22. Feeling bad because I didn't "go with my gut"

    withasmilelpn replied to LuVnLpN08's topic in General Nursing

    Re: Feeling bad because I didn't "go with my gut" No offense taken. The article backs up my assertion. It states that platelet aggregation inhibitors, such as aspirin (Plavix is not mentioned, but is...

  23. Feeling bad because I didn't "go with my gut"

    withasmilelpn replied to LuVnLpN08's topic in General Nursing

    http://emedicine.medscape.com/article/284371-overview no offence but please refer to this emedicine article regarding blood thinners/prophylatic for prevention of DVT complications post surgery. Plus...

  24. I'm discouraged

    withasmilelpn replied to SuesquatchRN's topic in General Nursing

    She probably can 'grow' some but sometimes people get a notion in their head and that is that. (Besides, Being muleheaded and stubborn can also be a good trait under some circumstances.) I love all my...

  25. Feeling bad because I didn't "go with my gut"

    withasmilelpn replied to LuVnLpN08's topic in General Nursing

    Why not coumadin? Don't forget, Plavix, Aspirin or Heparin either. FYI, lots of ambulatory patient's get blood thinners for a variety of reasons, AFIB is a big one. People who have had CVA's, hx: Of...