kstec

kstec LPN

Geriatrics/Family Practice

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All Content by kstec

  1. Regulations re: MARS

    I just started at a new LTC facility and I'm wondering if what they are doing is necessary. When we get orders from the hospital for a new admit we of course have to write them all out on the POS, but my question is do you really have to write all t...
  2. I've been a smoker since I was 14 years old and will be 36 this Sept. I have two boys who are 7 and 9 and hate the fact that I smoke. No I don't smoke in my house or car. The other day my 7 year old looked at me with his big brown eyes and cried w...
  3. Better clinicals with BSN program???

    I'm a LPN, but from what I've heard and gathered from talking to RN ASN, vs. RN, BSN is that ultimately you both take the same state boards, but a lot of the testing is on assessments and what to do first. Well, I gather that you get a lot more time...
  4. As a LPN, I've experienced the hierarchy crap too. I think it goes all the way up. If your a CNA, then why aren't you a nurse, if your a LPN, than why aren't you a RN, then it's when are you going to get your BSN, then your master and on and on. W...
  5. LPN's are in charge of themselves in LTC. We don't answer to RN's. It would of been the nurse whether it be LPN or RN to contact the MD. As for her being on orientation, in the future always look at the original order and then look to see if on th...
  6. I Quit!

    I had to do that appx. 3 months ago. It's a little different for me, but the reasons were the same. I'm a LPN and was working at a LTC facility. My unit had 32 residents (10 hoyers, 7 diabetics, 3 tubefeeders, and almost everyone was incontinent a...
  7. As a new grad, expect to stay late?

    For the one's that think that I get paid overtime for my extra hours over my 8, I don't. I get straight time, because I'm prn. My facility doesn't pay overtime until you get to 40 hours a week. I'm sure that hospitals are an entirely different ent...
  8. As a new grad, expect to stay late?

    Well I have found that on a very rare occasion I get out on time. Most of the time it's anywhere from 1 to 3 hours late. I work at a rehab facility and was just supposed to cover from 6pm to 10:30pm I got out of there at 12:30am. Once I got off or...
  9. [color=#d600d9]am i a firemanyet?? [color=#8e15ff] in phoenix , arizona , a 26-year-old mother stared down at her 6 year old son, who was dying of terminal leukemia. [color=#8e15ff] although her heart was filled with sadness,she also had a strong fee...
  10. Transgender Nursing Student

    Nursing school is hard enough alone, but adding the whole being (externally) your changing, that is going to take it's own toll on you emotionally, physically and psychologically whether you want this procedure or not. I would either do one or the o...
  11. Please help me

    Study up on what you know are your weak areas. Review sample NCLEX questions. Then just try and relax. My thought was, if I don't know it by now, I'm not going to learn it in the short amount of time before the test, except for the few areas I kne...
  12. Honesty is the best policy. If you interview with a facility who has any understanding of family first, then they will understand and be willing to be patient as you get your feet wet again. I would also brush up on skills according to what area yo...
  13. Second Med-Surg Shift...Woot!!

    Where do you live? I'm just wondering, because the hospitals around where I live wouldn't touch a LPN with a ten foot pole. When I originally started my pre-reqs for the LPN program LPN's were still in he hospitals, and my plan was to do a year atle...
  14. First Job!! First Day!!! Ahhhhhhhhhh...

    You'll be a nervous wreck and it will continue that way for about 2-4 weeks. Once you get used to the residents and the medpass, it will get easier. At first you think that there is no way you'll be able to do it, but if its a good facility and you...
  15. A question for geriatric nurses...

    On admission, we copy what the discharging MD wrote and give a copy to dietary. The RD will then meet with the resident and family after looking over the the diagnosis(s). She will then request any changes after that. We as nurses then will contac...
  16. Liability and giving opinions

    I don't see what you did wrong. I had a patient recently who had already had one leg amputated and all toes off the other. He had numerous necrotizing spots on the foot with no toes. When the daughter asked me what she should do, I told her to con...
  17. Nursing, Smoking, and Kids

    Call me the dummy. I'm a nurse who smokes with kids. I know it's bad and have tried to quit with every product out there. I quit when I was pregnant and while I was breastfeeding and then started right back up. My boys will be 9 and 11 years old....
  18. Does Pharmacy Experience Help??

    I worked in a hospital pharmacy for 14 years as a pharmacy technician and it helped me emensely (sp). I actually tutored in LPN school for the critical care drips and calculations. In pharmacy you learn dosing, what PPN's, and TPN's are made up of,...
  19. Take the LPN course, it will open up all kinds of doors and if you like it,(working as a LPN) obviously continue, if not, quit. There are always other options for different careers. If nursing is something you feel strong about, do it. The one thi...
  20. Does anyone feel the same way?

    The LPN/RN thing is a neverending story. A RN, ASN or RN, BSN, does not a good nurse make. Anyone who goes into nursing for the right reason whether it be a CNA, LPN, or RN are excellent in my eyes. In the city I live in with 3 hospitals they do n...
  21. Dementia pts refusing to eat.

    I've had dementia residents who still know to hold a cup, so they lived on 2 cal or medpass, or whatever each facility calls it. If it was 5-10 cups a shift, than be it. Also, like someone else mentioned, finger food is a good option. Try and find...
  22. death and dying

    When I started as a nurse two years ago I'd experienced two deaths in my family, so death was not my area of expertise. The first death was my grandmother who was 48 years old and I was 8 years old and living with her when I found her dead in the mor...
  23. IJ catheter for Dialysis

    Thanks for all the replies. Yes the resident was brought to us to pass. He is alert and confused and does pull at this IJ and peg tube. My question also was ,why didn't they pull the port before sending him to us. We are not an acute LTC facility...
  24. Unfreaking Real!!!!

    I had to call yesterday to let my boss know that I would be late getting to work because my grandmother was actively passing. When I went up to the hospital before work I had no idea that she had deteriorated so bad since the day before. Her b/p was...
  25. I am just curious as to how many of us came from a dysfunctional family. When I say dysfunctional, I mean children of alcholics, drug addicts, mental illness, child abuse whether it be physical or emotional. I read years ago that 75% of all nurses ...