LesMonsterRN

LesMonsterRN ADN, RN

LTC

I'm a Long Term Care RN with a passion for person-centered care. I'm also a penguin-obsessed musician as well as a wife/mother/grandmother in flyover country.

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All Content by LesMonsterRN

  1. DON on cart

    I am very fortunate that my nurses rarely call in. And when it does occasionally happen on day shift, the remaining nurses will divide their duties differently to help each other out and make the situation work. For night shift call ins (we have only...
  2. I hate fake call outs.

    I think we've all been there or will be there at some point. And yes, it does feel good to think about the revenge call out, for a short period, but it reinforces to me the fact that those of us nurses with honor and commitment tend to get bitten rep...
  3. Was I wrong?

    You were the patient's best advocate that day and exactly right. I'd have you take care of my loved ones any day of the week and twice on Sunday. THIS is what our profession is about. Well done.
  4. I was writing this whole reply in my head and then read Emergent's reply; I couldn't have said it any better. Just look at the experience as a temporary setback. I also think that working as a CNA, if it's possible at some point with regard to your i...
  5. Off going or oncoming responsibility

    I agree wholeheartedly for non-urgent situations. I recently had a situation with potential for a really bad outcome during change of shift report. I work on a 25-bed subacute rehab unit that cares for a large number of orthopedic patients on anticoa...
  6. Is Bedside Nursing Really for me?

    Yes, but those areas do (and should, in my opinion) require some amount of experience at the bedside.
  7. RN:Pt Ratios

    1:12 here and we have med techs to pass pills, fortunately.
  8. Appropriate gift for co-workers when leaving job?

    What a classy thing to do! Edibles are always a hit and I like the jar of pens idea, too. Good luck in your new position!
  9. Does this make sense?

    When my children were small I worked every weekend and one day a week. My then husband stayed at home with the kids on the weekends, and I was fortunate enough to have a mother who ran an in-home day care and she was very flexible with scheduling wha...
  10. Advice please: Withdrawal of feeding tube

    I agree with the others. I would also get in contact with Social Services as soon as possible and detail your concerns with her/him.
  11. Step pay effect on older nurses getting hired?

    I think this is a gross generalization and very ageist. EMR and other technologies can be learned by anyone and if as a manager I had to choose between a younger (less expensive) nurse with great tech chops and a nurse with 20-30 years experience wit...
  12. A very positive clinical experience

    Great job! What a great reinforcement of what you learned about therapeutic communication and simply listening to your patient. I'll bet you remember this experience for the rest of your career. And congratulations on your upcoming graduation!
  13. New grad RN in LTC

    1:20 is a good ratio for LTC and should be very doable, even for a new grad. Work hard on establishing a routine early on and you'll do fine.
  14. St John's Regional Medical Center Joplin Missouri

    I am so sorry, Stever01. I am thankful your family is okay. I can't imagine a disaster of this magnitude. I hope you can hear from your friends very soon and will keep them all in my thoughts. From Central MO, Les
  15. Unbelievable inmate requests

    We got one today where the offender's complaint was "swollen phallus and itchy knutz".
  16. I'm exhausted...it's ridiculous (and unsafe)

    This doesn't have to be the norm, however. One licensed nurse for 58 is dangerous. Sure, someone with a set routine and experience can do it in good time, but that doesn't leave much wiggle room for an event like a code or a fall.
  17. A surprise reminder

    Very cool that you found it just when you needed it.
  18. would it be appropiate for me to attend the funeral?

    I went to the funerals of several residents over the years that I have gotten close to. It was great closure for me, and as I had grown close to the families, too, it gave me a chance to say goodbye to that part of my relationship with them. Some fam...
  19. Tell me someone else has felt like this....

    I have always told new grad orientees that they will learn more in the first year out of school than while in school. and that's saying a lot! Thats one of the beauties of nursing is that there's always something to learn.
  20. giving smaller dose med?

    This is how I originally read the op. What I understand now is that the patient originally had an order for 1000mg and the doc changed the order to 500 but pharmacy was closed at the time. I would halve the tablet if scored but only until pharmacy w...
  21. Pearson Vue Trick - Poll once you receive your results

    It worked for me and I passed.
  22. NCLEX Mistaken Identity

    Oh, what a relief after such nightmare! Congratulations.
  23. Is it too late for me?

    You just shut your mouth, child! I graduated in May, will turn 46 in July. Age is just a number, my Dear. Good Luck!!!!
  24. Seeking the truth about Nursing School acceptance...

    It's always fun for me to read old threads that are updated with good news. Good job, Sam - eye on the prize!
  25. Expert!!!! WOW!!!!

    Very cool! What a great affirmation. :) A little recognition goes a long way, doesn't it? Nice work, MissBecky.