kstec

kstec LPN

Geriatrics/Family Practice

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All Content by kstec

  1. IJ catheter for Dialysis

    I'm an LPN, so I do not know a whole lot about Picc lines, central lines, etc. I'm only familiar with you basic INT. In my state we don't even get to learn about them, much less do anything with them. Well my question is, I had a new admit at a r...
  2. 50 yr old LPN in LTC

    30 residents is a lot. Where I work the limit for true LTC residents is 25, that is with no medicare charting at all. We have a wound care nurse, but we still have to do dressing on PM's. There is a lot of falls (incident reports), lots of behavi...
  3. Help!!! I Cant get hired anywhere!

    Is the area your in just wanting a year experience for LPN's, or for RN's also?
  4. A couple questions about med injections

    I was given phenergan IM in my deltoid during a surgery by the nurse anesthetist (sp). No I did not have any nausea post surgery, but my arm hurt for 3 weeks post-op. I actually asked the surgeon at my follow up appt. if the darn needle had broken o...
  5. Grounds for termination

    If a CNA cusses at you (the nurse) in front of two residents, do you think that is ground for immediate termination? I think so, but instead I have to continue to work with this CNA. Not that I'm trying to save face but I didn't do anything wrong t...
  6. Grounds for termination

    I was the original poster of this and I have come to find out that certain types of disciplinary action are taken according to the residents cognitive ability. Have you ever heard of that? Both of the residents that I was cussed at in front what yo...
  7. Grounds for termination

    The reason that I'm fearful is that she is known to be a CNA you don't mess with and is already walking on thin ice due to her attitude. When she was brought into my bosses office all she could do was demand to speak to me face to face and I guess h...
  8. Grounds for termination

    We as floor nurses are not allowed to write up anyone. If we had that type of authority, I would of sent her home that night. She is still employed there and her story is the same as mine, except due to her being so mad at me when written up she wa...
  9. peg care protocol

    Could someone give me a website re: nursing care re: checking for placement, how much residual, how much H2O to flush with between meds, how much to flush with before and after meds. This information only needs to pertain to the nursing protocol of ...
  10. Protocol re: peg tubes

    State is coming in for our routine survey and we were told to make sure that we know everything about peg tubes re: checking for placement and residual. If I remember correctly you put in 30 cc of air and listen. As far as checking residual its ov...
  11. nurses with anxiety and depression

    You will find that a mass majority of nurses suffer from depression and anxiety. It's not just a nursing thing but a societal thing. Through my own personal experiences and work experiences, I've found that the "normal" people are the minority and ...
  12. fired

    I'm guessing you worked LTC. If so, if anyone wanted to find a reason for any nurse to get canned they could. When you take care of way to many patients you learn to cut "safe" corners. If LTC nurses did it by the book, noone would get their am me...
  13. How long did it take you to feel comfortable in LTC?

    Long Term Care, a.k.a: nursing home
  14. Are LPN/LVNs a dying breed?

    Long Term Care, aka: nursing home
  15. 75 residents/3 nurses

    In two out of the last 3 facilities I've worked at we shared a cart. I thought it was pretty much common practice since you always work short in LTC. Where I'm at now we have 4 med carts but usually only have 3 nurses so there are 2 nurses getting ...
  16. 75 residents/3 nurses

    Supervisors are added into the daily staffing? How can that be when they don't provide patient care? So in that case my facility we are over staffed everyday, due to having to many chiefs and not enough indians. Interesting......
  17. Are you content at LVN level?

    I've recently decided to go back and get my RN. Why, because I've been told one to many times that I can't do this or that as a LPN. I want to do this and that. I'm going back in January and the thought of it nauseates(sp) me. It's a love/hate rel...
  18. Cant find a job...

    Are there a lot of jobs available for LPN's in your area? If not, that could be the problem. A little advise from when I was in your shoes. Kill'em with your charm. Come across as confident, but not to confident. Convince then that you are worthy...
  19. 75 residents/3 nurses

    Welcome to LTC. It's all about the money and you either figure it out or get out. You learn to do your best with what you have. There are days, I know that I've just about went against everything that state would tag us for. When the states came ...
  20. I don't know all the legalities in a hospital, but in our LTC facility we can talk about code status and quality of life at anytime. We don't need a MD to tell us what the patient and family have options to do. Some patients come in for rehab (medi...
  21. Are LPN/LVNs a dying breed?

    From what I understand as of this year all IV's are off limits to LPN's. We used to be able to be certified, but that is now null and void. The LPN's at my facility are no longer able to start IV's or hang any premade iv's. The scope is getting sm...
  22. Are LPN/LVNs a dying breed?

    From what I gather, the scope of practice has been narrowed over the years for the LPN's, which contributes to the phasing out. How can we as LPN's ban together and get our scope of practice broadened back to where it used to be. Here in Illinois t...
  23. I'm just curious as to how many jobs you had after graduating school before you found your fit and was it because nursing was not what you thought it would be? I graduated LPN school 2 yrs and 1 month ago. I've worked Family Practice and Internal M...
  24. Are LPN/LVNs a dying breed?

    I think it depends on where you live. My area kicked LPN's to the curb a while ago. Your choices were either get your RN or get fired. I know when I was in LPN school we especially focused on geriatrics, which is predominately where LPN's are. I ...
  25. Ibuprofen & Percocet together?

    ibuprofen / oxycodone - oral [color=#006599]pronunciation: (eye-byou-pro-fen/ox carefully consider the potential benefits and risks of combunox and other treatment options before deciding to use combunox. use the lowest effective dose for the shortes...