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I wanted to update that I submitted my application with my classmates the beginning of March, along with all the required documentation regarding my arrest, dismissed charges, letters of explanation and reference letters. The school submitted our transcripts on April 1. Today I received my ATT along with my classmates so I believe this is positive news! Scheduled my test date!

Thank you. In California, the BVNPT oversees LVN licensure and the BRN oversees RN licensure. Two separate boards unfortunately. I am 99% sure everything will be ok. But that 1% is giving me major anxiety

In 1999 at the age of 19 I had a possession charge that was dismissed after diversion. In 2006 I applied for LVN licensure. I disclosed, sent copies of proof of dismissed charge and letters of recommendation from the program director. I was issued an license with no restrictions with the standard letter of my charges were significantly related to the scope of nursing but due to length of time etc they were not pursuing any action against my license. I will graduate the RN BSN program in March of 2019. I know I will again need to disclose and send proof. I guess my main concern is will the BRN choose to penalize where the BVNPT opted not to? Have any LVN to RNs faced a similar situation?

Were you an LVN prior to the charge? I'm getting myself all anxious. I had a dismissed charge from 1999 when I was 19 years old. I disclosed to the Ca LVN board when I applied for licensing in 2006 and was issued a license with no restrictions. I will finish the RN BSN program in March 2019 and know I will have to disclose again. I am so afraid the Ca BRN will punish me where the BVNPT didn't for the same issue.

Very sad that the Hospice wont pursue treatment... The goal for this pt's wound should be to maintain and/or improve the wound WNL for the patient's disease process, and while I can understand treating in a non invasive manner for a hospice patient, (i.e. no sharps debriedment or painful enzymatic debrieders) to just let the wound go seems uncaring on their part to me. Have you talked to the RNCM or routine Hospice nurse that comes to visit the patient? Have they seen the wound lately? Its apparent that the current tx is ineffective and needs to be changed. As far as the charcoal pad, its sometimes called an odor absorbing dressing. I will go to central tomorrow so I can find out the manufacturer

I work for a hospice, and my organization does debridement (sp?) when needed. With out seeing the wound its difficult, but sounds like Santyl, a mild enzymatic debrider, may be appropriate. I would also ask the MD to consider a PO ATB if the family is not opposed. Using a charcoal pad can help with the smell. Cleansing with dakins may be appropriate for a period of time as well. Sounds like the wound should be changed to a daily dressing too. These are all things the hospice I belong to have done for wound care. Some things to consider with a Hospice patient, however, are that despite best efforts, the wound may still not heal due to the patients poor nutritional status. just some ideas, hope it helps

I travel to different SNFs and RCFEs seeing hospice patients. At the company I work for, we work as an RNCM and LVN team. My RN and I often see our patients together so we can assist each other with turning/ repositioning, wound care, etc. We were planning our day and she asked who I wanted to see first. I responded "Let's knock out Mrs. X" (referring to the 400lb pt with a sacral ST. IV) and she started to laugh "Let's knock her out, huh?" I realized what I had said and started laughing too... It's now our running joke.... Which patient are we gonna "knock out" next

Im in Hospice care and the ex (and there are a lot of reasons why he is an ex) said to me one time after a particularly grueling day... "your job cant be that hard, I mean you cant mess up because they all die anyways right?"

lol... I had a (very confused dementia) patient on shift yelling for me to "rub lotion on my member, Rub it, rub it good" I told him I would put the lotion in his hands and he could rub it all he wants. He responded with it was my job to do it and if I wouldn't, then he would talk to my supervisor... Laughing, I told him hand j*bs were not part of my job description, to which he responded " you nurses aren't like the one's in the movies" OMG!!!!!!

No it is not ok to tape an alcohol pad to the skin tear on the little ladies forearm and call it a dressing. SNF's, please don't order CBC's, CMP's Chest Xrays etc on my actively dying patient who is mottled from her toes to her knees just because her O2 sats have dropped to 89 and she has a cough... No, wound consultant for the SNF's corporate, I do not think it is a good idea to debried an intact heel eschar, nor do I think it is appropriate to attempt to debried dry shriveled gangrenous toes. All this and none of these are the patients I am scheduled to see today, 2 hour long IDT meetings, Clinical staff meetings, computer system upgrades, inservices to keep the Snf's and RCFE's in compliance. But then a family member tells you with tears in their eyes how much they appreciate all you have done, and your favorite patient sings to you when you walk in her room and you realize why you do it

The LTC I work at has protocols in place... Call MD if BS x, routine insulin has parameters to hold if BS below a pre set amount and all Diabetics get an HS snack... The orders are all obtained at admission, a little more work in the beginning but assists in creating BS control in the long run

Our PCM reminds us to chart to the Hospice or billable Dx. If a patient is on service for COPD or Lung Ca, make sure to include doccumentation showing any decline (increasing SOB, more frequent use of O2 or PRN neb Tx to manage Sx., etc) in that area. Of course it is important to chart overall decline and declines in other body systems as well. We had a patient on service for ovarian CA, but was asymptomatic of the disease by the time 3rd or 4th cert period rolled around. She met criteria for coverage under dementia guidelines, however, so her hospice diagnosis was changed to dementia. Don't know if that helps or not, as I too am still a Hospice newbie... Just somethin I've learned in my short time their

Hard to fathom that an LTC or SNF could run in any state without RN's or LVN's. Makes me wonder if this isn't an RCFE (residential care facility for the elderly). In California at least, they are licensed by the department of social services, not the dept. of health. Some will have a nurse, usually and LVN that works for 8 hours a day, checking mars, med reconciliation etc. But many RCFE's have no licensed staff at all. Med techs or medication aides give meds, but can only give PO meds. If the residents have any PRNs, the parameters must be clearly defined (i.e. cant use mild, mod or severe pain as that requires assessment, must be broken down into the pain scale. 1 pain pill for pain rated 1-5, 2 for pain rated 6-10). In any case, I agree that she should not have identified herself as a nurse. While I have met some very smart, sharp med techs in my work experiences ( I work for a hospice and have some patients that still live in RCFE's) I haven't met that many that have the critical thinking skills that come with a nursing education and experiences. Being able to say "I am a nurse" is an honor and priveledge that is earned through hard work and also carries a great responsibility. I think if "Jessica" had realized in some states she could be held responsible as a nurse for stating she was a nurse, she would have had second thoughts about saying that. Just my lil ol 2 cents.

I'd say I'm fairly young (28) and have been working as an LVN for the local non profit hospice for 8 months now. I absolutely love what I do. I am one of the, if not the youngest licensed nurses working for the outpatient team. Yes, many of the nurses I work with are of a higher age demographic, but what I have found is that they are eager to work with young nurses, who are still fresh out of school, up to date on new medications and treatments, and tech savy, what with the computer charting that was initiated by the company I work for just last year. I agree with other posters that it is the individual nurses maturity that can detirmine if they are on "the hospice page" or not. I still find myself in a "saving" mode from time to time (i guess that comes from my part time job on the sub acute unit) but realy do embace the hospice mission of a good, comfortable and peaceful death. Oh, and we have several male nurses and CHHA's

to add.... " if life gives you lemons, make lemonaide. Then find someone whos life has given them vodka and have a party" Think its from Ron White, Blue Collar comedy tour