roro13us

What are the rules regarding a cna staying over until the next shift relief comes in? What if the current cna has worked 16 hours? Are they still required to stay over until the next cna relief comes in?

You all have been very helpful to me. More than you know. Again, this was my very first time experiencing someone's drug seeking behavior like this. But I knew if I prayed about this, the Lord would come through. He sent all of you to respond to my post. :) I just got home from work, and as usual, that particular patient was wanting her prn phenergan elixir, prn benadryl, and prn combivent at the time she could have it. And like you guys stated, "I documented, documented, and documented." If anyone else have anymore suggestions, please send them my way. Pleasseeeee! Thank you all soooo much.

The reason they accepted her into our facility is because she didn't have anywhere else to go. She's been kicked out of other long term care facilities. She has no family. She was an orphan. She's her own primary contact. And as I stated before, it's just not painkillers she seek, she wants all meds. When she was admitted into our facility, everyone knew she was a drug abuser and it's documented. My thing is, I just want to protect me and my license by doing the right thing. So I have been documenting everything. This is the first time I've encountered a person like her. I just want to be in the right. You know? Her physician is very much aware of her behavior. Uh, oh!!! Time for me to go to work. You guys keep replying. It's helping me more than you know. God bless ya'll for the help. Ro

Thank you so much for replying. The patient's dilaudid is routine. Before the patient came to the north side, she was on south. They had orders for her to go to pain management, but she kept changing her mind and then refusing to go. And after 3 times, they wouldn't except her. It's just not pain meds she's interested in, it's all meds that can cause the drowsiness effect. Right now, her main thing is the Phenergan Elixir and Benadryl. She has faked her cough so long, and now she may be serious. Her Phenergan Elixir is 2 tsp every 4 hours prn and her Benadryl is 25 mg 2 tabs every 6 hours. After she recieves that, she comes back to the nurses station again, c/o shortness of breath, in which she has prn combivent and prn albuterol/atrovent inh.

I need a professionals help on showing me the right way to protect myself and my license. I am an lvn and I work at a nursing home. We have a 46 year old female that's a patient there. Her history states she was a heavy drug user and seeker before she was admitted into our facility. The problem is, the physician gives her whatever she wants. For example, some of her routine meds are dilaudid, soma, duragesic patches, tegretol, etc. Next she complained that she has a cough that robitussin want help. So he puts her on prn phenergan elixir(which is also an antihistamine), then she c/o itching due to her patches, he then puts her on prn benadryl. Two days ago she called the doctor's office herself and stated she had oral pain because the dentist saw her. The doctor's nurse called our facility and gave a t.o. for hydrocodone. The only problem there was, the dentist didn't do any oral procedure on her. And she had never complained of pain to us. The patient frequently comes to the nurses station asking for different meds: phenergan elixir, benadryl, combivent, etc. She just about wants every prn drug she has. My question is: what do I do to protect myself and my license? she has orders for these meds and she makes the complaints. She also has a drug book in her room. She's very smart. I try to make the best judgement, but it's hard when the patient and the doctor agree on everything. When she complains of a problem, do I give her prn or refuse her? How do I deal with a very drug smart, drug seeker and be in the right with my Texas state? Please help me someone. Ro

Thank you so very much. But will it be hard for me to get into HH since I have no eperience? I only have nursing home experience. But I am a very fast learner. roro13us

I'm an LVN in Texas and I work in a nursing home. I love my job but I want to learn the home health atmosphere. How do I get started? I have no experience but I want to learn. Please give me some advice. Thanks to all who respond to this thread. You will be a blessing to me. roro13us

I became an LVN through PJC in 2006. A good school.

Hi, sorry it took me sooo long to reply. But yes, the program is difficult to get into. And we usually pass the boards. I believe that in my particular class, everyone passed the nclex-pn except 2. I have been accepted into the RN program twice and I dropped. The first time I dropped was because I was burnout. The second time, I was not willing to put in a 100 % study mode because my son was a senior basketball player getting ready for college. I didn't want to miss supporting him at anything during his last year of high school.:) Now he attends a university in Arkansas, and I lack 5 more classes at PJC before I recieve my associates of science degree. I'm an LVN working on my business administration degree. Yes, the RN program was going to be overwhelming for me. But as I see it, if that's what the LORD wants me to have, I'll eventually get it.:) But this business degree that I'm working on, I can eventually work in hospital administration after I end up finishing at my local university. Rolonda

If you don't mind me asking, how did you prepare for the Hesi exit exam? I just started the RN program and at the end of the Rn program, we must take the hesi and pass with an 850. We only get 3 tries and if we don't pass, we don't take the boards. Whatever info. you could share, it would greatly be appreciated. Thanks, Ro

I'm an LVN who's just been accepted into the RN program. I've been working but I must continue to work. Has anyone worked on weekends, while going to nursing school during the week? If so, how'd you do it? Please help. Ro

I just recently got accepted into the RN Program. I have orientation in over a couple of weeks. At the end of the orientation day, we will have a practice Hesi exit exam but it's not for a grade. It's just to see how much we know. The minimum passing score for the Hesi exit exam for here is 850. Even though it's practice, I want to score at least that. But the real Hesi exam comes after you complete the RN program. You have 3 shots to pass it. And if you don't pass it, you don't get to take RN boards. So my question is this: Can someone out there give me any advice on how to prepare for the Hesi exam? I pray and I have the Hesi book already, but any other preparation techniques will be greatly appreciated. There were quite a few students before me that didn't pass it and I was told that a professor said, "they just forgot about basics." Whoever responds to this thread, God knows that I will be truly appreciative. I was the student who had to drop out of RN school last year due to my husbands surgury. Well the Lord has given me a second chance. Ro

I was wanting to know if anyone here has ever attended PJC's nursing program other than me? Ro

Paris here. I just got my lvn license last year in June. I graduated May 06. They also go by points. The maximum points is 100pts. We didn't have the hesi entrance exam for our lvn program. But if I get accepted into their RN program, I have to have the Hesi exit exam before I can ever take the nclex-rn. What I liked about that school is you can get your lvn license first, and if you decide to continue on to the RN program, it's your choice. Some of us continued on and some of us took a break to get over the stress, burnout, and to earn a little money. ro

Hello. I had a 3.9