withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. nursing home difficulties

    withasmilelpn replied to hospicemom's topic in Hospice, Palliative

    It may be billing issues, unfortunately. As long as a person can be medicare skilled the NH gets reimbursed hirer than if they are on hospice. I loved bringing on Hospice at the nursing home I...

  2. "Red Flags" of Drug Diversion

    withasmilelpn replied to WriteStuff's topic in General Nursing

    How do you know that the person with the illness isn't takeing prescription drugs? Perhaps that is why they can't

  3. Managing symptoms for a �good death�

    withasmilelpn replied to NRSKarenRN's topic in Hospice, Palliative

  4. LPN Petition to Take RN Boards

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

    in ltc/rehab you as an lpn are responsible for everything. rns are few and far between. hospitals don't have you talk to the docs because they make that their facility policy. in pa we can do orders,...

  5. Do YOU answer call lights in a hospital?

    withasmilelpn replied to JHansen's topic in General Nursing

    In LTC it is difficult to get your work done and do patient care as well. Which is why when I answer bells, I will often only do those tasks that don't require large blocks of time. I just don't...

  6. Do YOU answer call lights in a hospital?

    withasmilelpn replied to JHansen's topic in General Nursing

    I just left a facility where noone answered call lights unless the administrator was around, because he would be on you pretty fast. When he was not on, the supervisors would try to get on the CNAs...

  7. LPN Petition to Take RN Boards

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

    Throughout my years as an LPN there are constantly skills that I or my fellow RNs did not do before. You just can't be exposed to everything during your clinicals and the changes in the medical field...

  8. LPN Petition to Take RN Boards

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

    I just don't agree with the clinical portion of it. I disagree that job experience isn't more valuable than theoretical clinicals. I have a sneaking suspicion that it would be incredibly boring to be...

  9. what do i do in this scenario? i need help with so many things!

    withasmilelpn replied to mashamontago's topic in General Nursing

    Know your patients weight bearing status. Think like a lawyer. If your patient is not allowed to walk, you can not help them do it. Sometimes you have to be firm. One option though would be to get...

  10. Job transfer with almost no notice!

    withasmilelpn replied to SaraO'Hara's topic in General Nursing

    I've heard that it is very rare that they ever go after what they paid you for school. Has anyone else heard this? It is not unusual to have schedulers think ofyou as a body they can plug in...

  11. Backstabbing in LTC

    withasmilelpn replied to deedee1245's topic in LPN, LVN Corner

    I just left LTC/Rehab. I couldn't take it anymore. Even though our staffing is better on the Rehab floor, they still found a way to increase us to 20 patients. And on the LTC they keep having us...

  12. LPN Petition to Take RN Boards

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

    I am going to go through the Excelcior route, even though I am worried about the fact that Georgia, Virginia and California have disallowed that route. (I wouldn't put it past the PA BON!) I just took...

  13. Wife with BSN with NO drive, what to do??

    withasmilelpn replied to Tony1790's topic in General Nursing

    I think if you stay together for the sake of the kids, then you owe them at least some counseling. Otherwise you aren't doing them any favors. So she has worked part time, did she take care of the...

  14. Should medication aides exist?

    withasmilelpn replied to BradleyRN's topic in Patient Safety Issues

    Did the facility have med aides or a nurse on staff that gave meds out to other patients? Doing the math, it seems like they paid that person about $33/hr to do that function. I'm sure as well that...

  15. Upset

    withasmilelpn replied to sarbell's topic in General Nursing

    I forgot to say that if you bring your license, Soc#, ID, CPR, and list of contact#s and offer that to them, you'll be that far ahead of the hiring process. And your preparedness (word??:wink2:) will...

  16. Upset

    withasmilelpn replied to sarbell's topic in General Nursing

    I would absolutely agree with the above posters. Follow up in person with all your documents and copies of your resume in hand. I think sometimes resumes get lost in that to do pile of all the other...

  17. Should medication aides exist?

    withasmilelpn replied to BradleyRN's topic in Patient Safety Issues

    Of course the nurses gave up. I can't believe even the med aides put up with

  18. Echo Heron

    withasmilelpn replied to Tippy-ta-ta's topic in General Nursing

    I love her books and reread them like another poster

  19. Just one persons opinion

    withasmilelpn replied to dauschundlover's topic in General Nursing

    I can't imagine not keeping current. I want to protect my license! I don't understand people who don't

  20. Should medication aides exist?

    withasmilelpn replied to BradleyRN's topic in Patient Safety Issues

    There were enough nurses at our facility. Then they cut our LTC floor from 3 nurses to 2. Despite the fact that they routinely admit rehab patients to that floor. Then send them downstairs when a bed...

  21. LPN's managing RN's in LTC setting

    withasmilelpn replied to Thor77's topic in General Nursing

    Administrative duties are primarily what I do when I supervise in the LTC/rehab that I work. Pretty much involves making sure all I's are dotted and all T's are crossed. Since I've been there what...

  22. What is the dumbest most degrading, most unprofessional thing...

    withasmilelpn replied to Chico David's topic in Patient, Colleague Relations

    Seriously? Where do you work? I think the day they came to us with that list I'd turn in my

  23. Your boss insists on employees taking flu vaccine

    withasmilelpn replied to seenitallERnurse's topic in General Nursing

    I'm allergic to thirmisol. Is it still in the vaccine? I know it is not used in some other vaccinations that previously had used

  24. Nurse manager requests a change in my documentation

    withasmilelpn replied to mommy#1nurse#2's topic in General Nursing

    Don't do it! If she obtained that information that the person lied, SHE needs to document it. This is only hearsay to you, and will not protect anyone anyway. It is a third party statement, one not...

  25. Nurse fired for calling police

    withasmilelpn replied to Runman1914's topic in General Nursing