tatgirl

tatgirl

Geriatric and now peds!!!!

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All Content by tatgirl

  1. Scope of practice for a LPN in VA

    I am a new LPN who works in a LTC facilty. My question is what is my scope of practice in the state of VA? I have looked repeatedly on the board home page and can not seem to locate this. Can anyone please help? I just need to know what I can and can...
  2. Patients Going Behind Nurse's Station

    I too let my patients behind the nurses station! But they are disabled children. However, when I worked with adults, it was a no-no. Wendy LPN
  3. Getting burned out?

    I worked at a facility like the ones above too. 46 residents total, 2 nurses, 4 cnas. Lord help us if we were short (which we usually were). Admissions always came on my shift (3-11). You would think that the don or adon would tell me if I was having...
  4. Hourly rounding in LTC????

    yesterday at work I was handed an article on hourly rounding studies that were done in the hospital and how hourly rounding can cut down on call-lights and falls. The study sounded reasonable as it had been done on med-surg units, but not in the nurs...
  5. Turnover

    Nurse hanson: do we work at the same facility? lol. I am so tired of having to scrape up supplies to do my treatments. My patients pay alot of money to be there, and by golly they deserve all the supplies that they need!!! Last week we ran out of iv ...
  6. Is nursing hereditary?

    My mom was an LPN for 35 years. My great-grandma was a nurse too. My great aunt was a surgical nurse. i grew up reading my aunts nursing journals lol. Dinner conversations were a riot with the non-nursing family members turning green!!! Also have a c...
  7. Hourly rounding in LTC????

    That is the key word "Staffing". When they worked us short all last month, the head honchos never gave us a thought as they left at 5pm to go home. The study worked well because it was done in the hospital where the nurses dont have the pt load that ...
  8. LPN program @ ECPI

    I attended the VB campus from Sept 2004 to March 2006. I went to the night program which is 18 months long. I chose them, b/c I had to work fulltime during the day. At the time I went, they were in the process of changing d.o.n's so it was very stres...
  9. How Many Lpn Students Made It Out Of Your Class

    My class started with 50 students. As classes progressed people failed or dropped out. Once we made it to first clinicals, people started dropping like flies!!! We graduated with 10. I work with 3 of my former classmates, and keep in close touch with...
  10. Hostile Family Members!

    I am in the midst of dealing with a hostile family member myself. I have a pt who has a trach. Now mind you I work in ltc, so i also have 23 other residents I am responsible for. this particular pt gets most of my attention and time. The daughter com...
  11. No, it is not a morbid reason at all. My son is the reason why I am a nurse today. He was born in 1990 with a rare genetic birth defect. At the time of his diagnosis, he was the 5th reported case in the world. The name of the disease is brachycephalo...
  12. the answer is yes, yes, yes. I am a charge nurse on the 3-11 shift in a ltc. Right now I have 43 patients total for my one unit. There were 2 nurses on the floor, and only 3 cnas. Each cna had 14 residents apiece. I busted my tail to get my meds done...
  13. What nursing "invention" would make you famous?

    An aersol spray system that would deliver Ativan in the air for those aggitated patients, their grouchy families, and sometimes the cranky nurses!!!! lol. Wendy LPN
  14. bereavement policy?

    My facilitys policy is 3 paid days. In fact I am using one of them today. My mil passed away on Dec 23rd and her funeral is today. I have a sneaky feeling since we are short staffed on nurses, that I may get a phone call begging me to come into work ...
  15. Bite Me!

    I have been bitten in the past month twice!! No one else gets bitten. My co-workers say I must be tasty!!!! lol. Thank God, the bites didnt break my skin!! Gotta love being a nurse!!! They dont tell ya these things in school.... Wendy LPN
  16. Advice needed

    I am a LPN working in an LTC/Rehab unit. I have been on the job for 19 months now. I recently had an experience that has got me quite worried. I have a resident who is a paranoid schizophrenic. she has halluciations and can become verbally abusive an...
  17. Advice needed

    Our policy here if a resident states suicidal ideation is to notify the md, and then they are on suicide watch. Personally I feel that the mds nurse since she supposedly heard the patient say this should have charted it immediately, then notified the...
  18. notifying families

    At my facility it is policy to let the family members know. We also let the patient know too. Wendy LPN
  19. Is this normal?

    That is just plain gross. I guess they have never heard of the term Infection Control?? I wouldnt even want to think about what could be swimming in that bathing water.... Wendy LPN
  20. PEG feeds

    I always run the formua through the line before attaching the line to the patient. That is what I was taught in school. Wendy LPN
  21. Your earliest memories...

    I had to go through a few hip surgies as a kid. Since we were military they were done at Portsmouth Naval Hospital. I stayed on the pediatric ward and there was a nurse there whose name was Bonnie. I was scared of her.She was mean to me, and gave me ...
  22. I once had a new resident who repeatedly kept telling me she was going to die. I checked her vitals and they were all normal, and her o2 sats were in the high 90s. she had copd, and eoth dementia. She had only been in our facility for one day. The ...
  23. Why my patient quit nursing...

    When I started nursing over a year ago at a LTC, my DON told us that we are a restraint free facility. That means "residents have the right to fall" Personally I think that is the biggest crock of kaka I have ever heard. Yes, we put the beds in the l...
  24. CNA: Krappy attitude

    CNA's are a vital part of the healthcare team! I appreciate my CNA's and tell them thank you for their hard work at the end of the shift. I appreciate them and try to mentor them and encourage them to go on to nursing school. They have a hard job, th...
  25. How Burned Out Are You?

    I have only been a nurse for a little over a year now and I feel like I am slowly burning out. working understaffed and answering call bells while trying to pass meds within a 2 hour time frame every shift. add to that mix families with unrealistic e...