withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

Member

  • Content

    582

  • Visitors

    10,591

  • Followers

    0

  • Likes

    9

All Content by withasmilelpn

  1. I'm discouraged

    withasmilelpn replied to SuesquatchRN's topic in General Nursing

    Hi Sue. Being a manager is just as thankless a job as being a nurse can be, but worse, because you don't get the feedback from patients that make it worthwhile despite everything. When I first...

  2. What would you have said to this CNA

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

    If you think about it honestly, it is easy to go a long time without noticing that you have to go, whether you are at home or at work. Work especially, since you are pulled in so many directions and...

  3. RN program; not much credit given to LPNs!!!

    withasmilelpn replied to amjowens's topic in LPN to RN

    I started that post about challenging the NCLEX and there also were people who also said nothing changed for them (becoming an RN after being an LPN.) But now that I am going back to school, I'll let...

  4. YIKES! ADON calls on my off day!

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

    LTC regs are the reason you need to chart more. Anyone who has worked in this field knows that the lady most likely needed it AND the Haldol and we all can recall cases in which NOTHING worked....

  5. CNAs and the dining room in ALF

    withasmilelpn replied to michael79's topic in Geriatric, LTC

    ALFs are different, not as regulated. I think they are for the most part, bad places to work and put your license at risk by working there. The ones in my area have HORRIBLE reputations. They keep...

  6. Descrimination: A full hot meal or soup and a sandwich

    withasmilelpn replied to Truth66's topic in General Nursing

    It is all a house of cards. One iffy decision and people will tend to magnify things out of proportion that follow. I just think it is human nature. And who knows, maybe that isn't the only thing?...

  7. Descrimination: A full hot meal or soup and a sandwich

    withasmilelpn replied to Truth66's topic in General Nursing

  8. Descrimination: A full hot meal or soup and a sandwich

    withasmilelpn replied to Truth66's topic in General Nursing

    I already think that if it were up to me, I'd change it so that soup and sandwiches are for lunch for everyone. 1. It would save the facility money. 2. It is fair. I'm sure that the kitchen probably...

  9. Descrimination: A full hot meal or soup and a sandwich

    withasmilelpn replied to Truth66's topic in General Nursing

    It doesn't matter if YOU (whoever management, people reading this thread) think this is silly (and maybe it is), the LPNS and CNAs at this facility are unhappy. Management would be wise to try and...

  10. Descrimination: A full hot meal or soup and a sandwich

    withasmilelpn replied to Truth66's topic in General Nursing

    OK, #1 It is about fairness. If it is a cost saving measure, then it would be reasonable to expect it to be apllied across the board to all groups. #2 It is about perception as well. Clearly, the...

  11. Indiana State University BSN students

    withasmilelpn replied to EricJRN's topic in Online Distance Learning

    I did go back and revisit the site and found out that as long as you have applied only as a long distance student, you can continue to pay only the in-state tuition. I think when I first googled for...

  12. Indiana State University BSN students

    withasmilelpn replied to EricJRN's topic in Online Distance Learning

    I was just looking on-line about what their charges are per credit and there was a statement that starting 2008-2009, (for Indiana State) that all out of state distance learners would now be charged...

  13. Descrimination: A full hot meal or soup and a sandwich

    withasmilelpn replied to Truth66's topic in General Nursing

    Many CNAs don't feel valued often. Their's is a low paid job with little respect for what they do. LPNs sometimes feel that way as well. Although it is indeed a 'little thing' in comparison, it is...

  14. Would you put your family member in a LTC facility?

    withasmilelpn replied to Cattitude's topic in General Nursing

    The baby argument doesn't work because many of us actually end up needing daycare so we can work etc. and kids do eventually become more self sufficient and go to school... The elderly with medical...

  15. Do nurses talk about their patients when the leave

    withasmilelpn replied to Ms. Nurse Assistant's topic in General Nursing

    I am sorry that you feel so self concious about your arms. Nurses always see people not at their best, and truthfully we seem to talk more if anything about people's behavior than anything else. If...

  16. LPNs and IVs

    withasmilelpn replied to hottiemom04's topic in General Nursing

    Actually, I left out no bolus medications,anesthesia, or pain meds can be given either. (Like CADD

  17. LPNs and IVs

    withasmilelpn replied to hottiemom04's topic in General Nursing

    Actually LPNs may hang IV medications through a central line or peripheral in PA as the scope of practice does not specify a vector. You must be IV certified. It also depends on the facility's...

  18. How many Nurses are Girl Scouts/Volunteers?

    withasmilelpn posted a topic in General Nursing

    I was amazed at my new job how many of my coworkers were Girl Scouts or Girl Scout leaders when I passed around a fund raiser for my Brownie troop. It made me wonder about how many nurses were...

  19. LPN Petition to Take RN Boards

    withasmilelpn posted a topic in LPN, LVN Corner

    Found from a blog in Advance for LPNs, a petition to allow LPNs with experience to sit for their RN boards. I would love to do that. What does everyone else think? Here is the link:...

  20. LPN Petition to Take RN Boards

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

    In rehab/ltc you do all that. Our admissions have often spent only a few days in the hospital, and are not always stable. We assess them, we call the docs, we pass prns, we make all the decisions....

  21. Patient Died from Med Allergy

    withasmilelpn replied to NewRN08's topic in General Nursing

    I am so sorry, how horrible. Sending you

  22. nursing home difficulties

    withasmilelpn replied to hospicemom's topic in Hospice, Palliative

    Yes it is common. My Hospice mentioned that in the Nursing Homes they could not use Atropine eye gtts orally for increased secretions, because it was an off label use. They could only use Levsin....

  23. LPN Petition to Take RN Boards

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

    There are RNs at my job who never did things like TPN or Remove PICC lines and that is in their scope of practice. They learned on the job, which is just a fact of life in this field. Healthcare is...

  24. Should medication aides exist?

    withasmilelpn replied to BradleyRN's topic in Patient Safety Issues

    Why? Are the dangers no longer exisistant? The potential for errors are huge, just look at the numbers of Residents that med aides give out, without the liability or education of a nurse. LTC nurses...

  25. "Red Flags" of Drug Diversion

    withasmilelpn replied to WriteStuff's topic in General Nursing

    Could the nurse in question function without the prescription drugs? Maybe a dosage adjustment? It probably would be difficult to prove that someone is impaired if they are taking the meds as...