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Lorie P.

Lorie P.

Med/Surge, Private Duty Peds

Content by Lorie P.

  1. everyone! for those of you that would like the yahoo study groups for helping with excelsior, here are the ones i belong too and wanted to pass along. tons of great information, advice and files to look at. www.excelsior_college_cpne@yahoogroups.com www.lpnrn@yahoogroups.com www.lpn_to_rn@yahoogroups.com www.lpntornstudygroups@yahoogroups.com www..nontradnurses@yahoogroups.com good luck to everyone and i hope these groups will help!!:monkeydance: nurse hobbit
  2. Lorie P.

    Thank goodness for my laptop!

    or i would be so bored right now. my pt is sleeping up to 6-7 hours for the 8-10 that i am here. i would go bonkers if i didn't have my laptop. anyone else here have a pt that sleeps alot? if so, what do you do to help pass the time? not that i am complaining, but it does get slow and i have to have something to help me stay awake. thanks!
  3. i have to let it be known, i loved my first week as a private duty nurse! after only one day of training, i had my routine down and could not belive how well it went. i had had time to sit and talk with my pt, make him laugh, talk more than he has in the past 2 months! i also got to teach mom a few things about pt's g tube, how to keep his rick of gi distress down! i will be working with this pt and family 3 evenings a week for 6 hours each night. i get to be home with my family every night and not have to leave when they get to go to sleep! i do believe i have found my calling, after 5 years on a very busy med/surge floor, it feels sooooooo great not to have to rush, listen to co-workers, i can actually leave work on time!! wow, i just can't get over how well it is going and just wanted to share my with all nurses!
  4. Lorie P.

    Post Traumatic Stress Disorder in NICU Parents

    the mom of a former 23 week 6 day 1.4lb , 10 inch daughter i can so relate to this. she spent 121 days in the nicu and it was pure hell at times. unless parents have experienced this , it is so hard to explain the roller coaster ride that is taken during that time. my daughter was born at one hospital and taken to another 2.5 hrs away. i wasn't able to see until she was 8 days old. i went full eclamptic and spent 4 days in the msicu. then was moved to pp. talk about feeling lost. i could hear the other moms talk about their babies and mie wasn't there. nothing like leaving a hospital with out your baby and having to drive 2.5 hrs just to get a glimpse of this tiny fraile human that has skin so transparent with all these tubes and wires hooked up, laying in a warmer with plastic wrap over her to keep the lights from burning her. no one explained to me this is what i would see the very first time i did see her.. till till this day i can't not stand the smell, noise or thoughts of having to go to a nicu ever again. it changed my life forever! the great part is i now a very happy, healthly( minus asthma ) 11 year old daughter. thanks so much for this article!
  5. Lorie P.

    Why Do Nurses Write: "no new orders received"?

    cya, cya, cya.... i usually put " no new orders received, continue to monitor pt's status" of course i chart why the doc was called and all info i gave to him/her. from a past experience i had to call an on call doc 3 x about a pt that had a major change in status and the pt expired right at shift change. i had over 3 pg of notes documenting everything, which is what saved me and the others per risk mgmt.
  6. we have a comfort kit that our medical director will order and we can give atropine 2-4 gtts q 4 prn for secretions...
  7. Lorie P.

    leaving pt with a teen?

    doesn't sound like a wise thing to do..if the sibling was 18 ( adult) i would feel better about it. did the agency have the parents sign a release form so that you wouldn't be held responsible? sure the agency says once you sign out no problem, but leaving a disabled pt in the care of an under aged minor is not what a "prudent nurse" would do... just make sure your hind end is covered!!
  8. Lorie P.

    Who Should Decide the Survivability of Newborns?

    each birth is completely different and i am so very blessed and thankful that the medical team decided my only child would be one of the very few to survive. at 23 weeks & 6 days, a very tiny 1.2lb baby girl was born after severe exclampsia that caused mom to have 6 seizures before the emergency c-section was done followed by a complete hysterectomy due to placenta accreta. she is my only child , we spent 121 days at uf shands children's hospital nicu. life was hell for those 121 days. the emotional rollercoaster ride hit every day during that time. i wasn't even sure i was going to make it. no one explained that when i saw my baby for the very first time when she was 7 days old that i would be in complete shock. this tiny littel creature was so small that at first you couldn't even see the baby for all the tubes and wires, no one told me that my baby would be in a warming bed, with plastic wrap ove the top to prevent her transparent skin from burning. no one told me that she needed hundreds of blood transfusions, test, lab work, etc etc etc. . no one said her skin was so thin you could see through it. her eyes were still fused for the first 3 days. her chance of survival was only 5% is what they did tell me. no one knew if she was going to be blind, mentally challenged, maybe deaf, etc. all the bad things that could happen to such a very tinie baby wasn't explained, al i was told was take it one day at a time. today i have a very healthy, straight a, petite 10 yr old daughter . she is happy, energetic, no learning disabilities. perfect eye sight, hearing and no major medical problems. i know that we are one of the very few who have been blessed by having such a wonderful turn out. so as far as the question "who decides" i am only glad i am not the one making the decision, there is no right or wrong, simple answer, only god knows which baby will make it and which ones don't. sorry to have rambled on, but with complex, morally and ethically questions such as this where is the line drawn? i have no answer for you, only what i have experienced and the turn out of that.
  9. Lorie P.

    Seeing video firms up end-of-life care decisions

    I wish people were educated on end-of-life care, death and the natural process, exactly what a CODE is like...It sure would help!
  10. like others have said it takes time, background checks, reference checks, and plus the HR people still have their daily jobs to do. Patience is needed just hang in there!
  11. Lorie P.

    orientation went very well.

    my orientation for the prn hospice position went very well. i spent 2 days in a classroom and then was able to ride with a nurse for days when she did her visits. the first day out, i jumped right in and did assessments on a couple of pts, then went back to the office to chart. i love the computer charting!! then on friday, i went with the same nurse and did a couple of more assessments, drg changes and actually called a couple of md's for meds and charted everything. so now next week, i will be assigned a couple of pts on my own to do everything. now i know why nurses love hospice care so well. the nurse i rode with, gave me great reviews and told our supervisor i will be really great. also the rn that did orientation said that she was so happy to get a nurse that could jump right in and take off with little direction. so thanks everyone!! who helped me through a difficult month last month!!
  12. Lorie P.

    orientation went very well.

    it was a nation wide company, but they downsized and some of the nurses that worked there got some investors and bought the company. so now it is a private owned company. the pres is a rn with a mba and all of the top admin folks are rn's too. it is pretty tight nitt group of folks.
  13. Lorie P.

    Pt./Family Comments that Leave You Speechless

    was doing my assessment on a terminal pt this past week, he stated he felt like he was going to pass out. i asked him if he felt light headed, dizzy, faint, seeing stars, etc, he looked at me and said " i see monkeys", his wife replied, i never heard him say that before!! a first for me.........had to bite my lip to keep from cracking up!!
  14. Lorie P.

    Question re the progression of Stage 4 NSCLC

    it person is different, i know of 1 pt that has been like this for 3 yrs, but justlast week he took a turn for the worse. so please enjoy the time you have with him that he is still able to do things.
  15. I didn't say that I was going to give po meds pr, jut mentioning what was told. I know better than to just take some one's word for anything , I always research and go by the Policy manual. Thanks so much!
  16. i just ocmpleted my first orientation day for a local hospice. i asked about the "butter" being used and was told yes! it works and they don't have a problem with it. the rn that did ( doing) orientation says" what can be used for the good of the pt" use any and everything!! was also told that the pharmacist told them that almost any pill you give po can be given pr, except the enteric coated and a few others. i learn something new everyday!!
  17. Lorie P.

    Negative Threads

    :yeah::yeah:this is why we have an's so that we can vent and not wind up losing our minds!!
  18. but like other areas of nursing....some just aren't cut out for pdn! maybe one day i might consider going back to pdn, but for now i am going to work for a very realible hospice company. those recruiters at the agency not all of them,were something else. that would be a whole other topic!!
  19. nope sometimes we need to take care of us! don't feel guilty about working prn, if you can than more power to you. here in the deep south there are alot of pdn positions posted. i have seen both lpn's and rn's work the same cases, not sure about the medicare rules. the only other thing i have noticed is that some agencies will post the same case just about every 3 months, raises a red flag with me. anyways glad to hear you able to be flexible with work now.
  20. Lorie P.

    Pediatric patient with seizures

    a very sad thing......... sorry i have only done iv dilantin in a hospital. hope the doc gets things done for the pt and can ease the suffering for all persons involved. thanks to you for being so caring!
  21. Lorie P.

    confused on istudysmart.com & excellsior

    you need to check with your bon in the state you live in to see if they accept ec. also remember that if your state does except ec and you plan on moving to another state, you may not get endorsed by state #2 cause you went the ec route. also go to the distance learning forum and there is a ton of info on ec, the good, bad and ugly! good luck in your path to becoming a rn.
  22. Lorie P.

    The HR office is driving me nuts!

    stop by the hr office ask to speak to the supervisor and politely ask what can be done to expedite your background check. if they give you a time line say check back so-in-so then show up againa and request what you need . sometimes the hr dept are really busy and i have known some to wait until they had a certain # of checks to do and would complete all of them at one time. my last position, my back ground check took 2 weeks, the one before that only 2 days. good luck and keep politely asking!!
  23. i start orientation next week for a hospice position, any advice, thoughts, recommendations would be greatly appreciated. i am nervous but excited. a new area of nursing for me. also any of you wonderful lpn's have any advice? i know the rn's do, but i won't be doing admissions so i'm not to concerned about that area. can someone describe what their orientation was like? thanks so much!!
  24. so sorry this happened, but move on and learn from it. too many times i have seen some really wonderful nurses that really knew their stuff and then some one would become jealous and complain and the nurse would either be let go or leave on her own. i tell you, nursing is stressful enough without worrying about petty jealousy. be glad that it happened now and not later, that nurse could have caused you major problems. good luck with the job hunting!
  25. Lorie P.

    Frustrated with preceptor

    just spend the next 2 weeks focusing on your pt care, med pass and knowing that you are still getting experience in time mgt. i would pull the preceptor aside again and ask him point blank but in a nice way what is it that i am doing wrong if you tell me i am doing fine. have him explain it to you. hope all goes well. stay with the job and realize that even nurses with years of experience still have their "off" days and nothing is ever the same 2 days in a row!