mel1977

mel1977

Brain Injury Rehabilitation

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All Content by mel1977

  1. chronic pain and pain control

    I am very aware of how careful us nurses have to be when it comes to using narcotics. I know that as long as you don't abuse them and have a legal prescription then there is not a issue. But, a part of me just doesn't feel right using any narcotics a...
  2. I have had fake's a couple of times, usually they are off in a week. I realized they cost too much to maintain, I had great nails, and I was in nursing and knew they weren't great for that ( I was a CNA at the time). I lived in Vegas as a CNA and ...
  3. wow-I really appreciate the feedback. I think the reason I even asked is because we DON'T have a ban on them. And, being around others who have them makes my mind start to wonder....but, I really DON'T want them to be honest. I am going back to eve...
  4. we switched to a concept called PFC or patient focused care. What we used to do: for one hall with 21 beds-day shift. 2 RN's/LPN team leaders, 1 med nurse (RN/LPN) 3 techs. The TL does the orders, assessments,dressing changes, the med nurse all me...
  5. Rehab nurses-especially HealthSouth in patient

    other HealthSouth facilities I have worked in have RN case managers. They are the primary nurse and case manager/social worker wrapped into one. My mom is one of the TBI primary nurses. She will have roughly 1/2 of the hall, but is assigned to only o...
  6. Rehab nurses-especially HealthSouth in patient

    We are a full rehab facility. Our corporation is HealthSouth. We used to be owned by the university of missouri hospital and clinics but HS bought Rusk where i work, and now we are a joint venture with the university, but we are healthsouth employe...
  7. Rehab nurses-especially HealthSouth in patient

    I think for us, it is a hard transition. We deal with pretty heavy patients-my hall is mostly brain injury. They come straight from acute to us-mostly at the lowest level and stay with us as long as they can. Trachs, PEGS, foleys etc.... South hall ...
  8. Morphine in TB Syringe, etc

    I haven't read all-but it is in our policy only to use insulin syringes to give insulin-We never substitute and I would think if you didn't have the correct syringe you would call a physician and get an order to either hold the insulin and or give in...
  9. At some point if I really need an "official" answer I will consult my HR department, but right now I am just getting general info as this really doesn't pertain to me personally. If you have a prescription for pain meds and don't abuse it, can you ...
  10. prescription pain meds and work

    I really appreciate the feedback and what you say makes sense. I am a chronic pain person (two back surgeries, knee injury, yaddyyadda-but I only take ultram) she is a unit secretary so that would almost even make it less of a big deal, unless that ...
  11. Patient Focused Care-PFC

    I work in rehab-stroke, SCI, TBI, etc...and we just started this new way of doing patient care-well, new for us right now, not new for others. We used to: have a team leader, usually an RN sometimes an LPN. Then that nurse would Team lead over a gro...
  12. Patient Focused Care-PFC

    that is a new way to put it! Yeah, def less people-for 17 we would have had 1-2 Rns, 2-3 techs and a med nurse.
  13. found a pill/not given....

    I was picking up and found a pill on the floor in the package. Because the pill had been washed, I could not read the package. I opened it and found it was an oxycodone. I give meds pretty much all the time, and the uniform that was washed was from...
  14. Nicotine Test

    I used to smoke, have been free for four years, so I can understand all aspects. BUT, come on. That is taking it too far if you ask me. I can understand asking employees not to smoke while working-to keep the smell down for a patient's sake (like ...
  15. found a pill/not given....

    I truly do appreciate the feedback, and I am even more happy to see everyone seems on the same page. And you know, you are right about watching out for each other. (as long as the patient doesn't suffer, of course)
  16. LPN Med Error

    I have had to write numerous incident reports on others for mistakes and have made a few myself (many I blow the whistle on myself). As long as you understand and accept responsibility then it is okay. I have cried HARD over one, been bewildered by ...
  17. How was LPN school for you?

    oh it was LONG. 11 months almost split between two rooms in a very old elementary school house (the next class got the new building). Mon thru Thurs from 0700-1600, starting with 34 and ending with a graduating class of 15. We had wonderful instru...
  18. How was LPN school for you?

    this was a duplicate post, I deleted it.
  19. found a pill/not given....

    what pill????? ; )
  20. I found out I already have plantar facitis (28 years old). I have six months until I graduate from my LPN program and have been in the nursing field for near eight years. Anyway, shoe dilemma started with just the shoe. Okay, so we have to have whi...
  21. I work in a private rehab hospital which is funded pretty well and we have most items we need for patient care. I was in a hospital today, doing my second to last day of clinicals (graduate Thursday from LPN ) that depends soley on donations for pat...
  22. Health South Rehab Hospital?

    I have been working for HS since 1998 and at our facility we chart by exception. Meaning, anything out of the ordinary we chart. Now, we always do the daily one time assessment-usually on days, as well as any dressing changes. The other shifts sign ...
  23. Crocs!

    I just got a pair not long ago-a gamble though I must say. How they heck are they so good!? I have Plantar Faciitis-I had Berkies which were so much better than my tennis shoes but man, my heels would hurt so bad, seriously, a 10/10 on that pain sca...
  24. OOPS, mom's blurt-

    I work with my mom who is a CRRN. I am currently in LPN school. She has always been such a wonderful TBI nurse and pretty professional too. But, you know there are times when we all goof up. She just came home and said she let an unprofessional c...
  25. san antonio LPN/LVN pay

    Might be moving if hubby gets the job, we were wondering about pay for LVN, just basic say hospital care, not nursing home or agency. Any range would be fine, I make 13.65 as a new grad with previous nursing experience. I will be out for a year in ...