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lindseylpn

lindseylpn

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lindseylpn has 12 years experience.

lindseylpn's Latest Activity

  1. lindseylpn

    If I want to teach CNA classes...?

    The Goodwill in my area hires LPNs to teach CNA classes, I see the job ads every so often. So maybe check with Goodwill or an equivalent that does job training? The community college, tech college and several nursing homes in my area also hold classes. I'm not sure how it's done/who teaches at nursing homes though?
  2. lindseylpn

    New grad, MRDD position...

    The direct care staff can do PO meds if they've been thru their med tech training but, we still do the things like meds/feedings thru a g-tube, trach care and injections. I'm not sure how things are delegated on a state by state basis but, this is how things are usually done. The direct care staff I work with does PO meds, minor treatments, topical meds and oral suctioning with a Yankauer. We do everything else nursing related. My facility has a nurse on site 15 hours a day and on-call the rest of the day.
  3. lindseylpn

    Nurses with children always go home early?

    I once had a co-worker who told everyone that would listen that I should have to work every weekend and holiday because, I don't have children. I already worked every Saturday and Sunday but, every few months she'd ask me to switch schedules to take all her Friday shifts as well. Every holiday she was scheduled she'd ask me to work for her too. I'd always refuse and she'd huff and puff, be hateful and bad-mouth me to everyone for weeks. I was going thru unsuccessful fertility treatments at the time and really struggling with my infertility. The constant reminder from this co-worker that I was childless was very disheartening. I don't mind the occasional switching of a shift or someone leaving early because, of their children (or whatever). We all have emergencies. I've worked with several people who use the "I have kids" excuse for everything though, like the co-worker I was talking about. Her kids were grown and didn't even live at home but, she'd used the "I have kids" statement and lots of fussing to get out of undesirable shifts for years. Just because, someone's family might only be parents, nieces, nephews, siblings or even just pets, it doesn't mean their family is any less important to them. Statements like "You'll never understand until you have kids." can be hurtful without meaning to for some people. You never really know why someone doesn't have children. We all deserve to have our time off and holidays regardless of our circumstances.
  4. If I were you, I think first I'd try to refinance the car. 18% seems like an insane interest rate. I just looked up some going interest rates and the quote for Fair credit was around 7.5% to below 3% for excellent credit, although I think interest rates might be a little higher when refinancing. If you've paid your payment on time since owning the car I'm sure your credit has improved. I'm sure you could get a better financing deal. I've refinanced a car before but, it's been so long ago I don't remember the process. All I remember was my payment went down around $80 I think. I'd also get quotes from every single insurance company. I pay $150 month for full coverage on 2 cars (Nationwide). My husband's even had a wreck without insurance before we were married and we had to get some lower tier insurance for quite a few years (the general) and still paid less than $200 full coverage for 2 cars. I don't think I'd drop down to just 12 hours a week at work either. I know going to work and school both is hard but, sometimes it's just something you have to do. A lot of people have to work full time, juggle families and go to school too. I'll definitely be harder but, I'd try and work more hours. Even if you just worked one more 12 hour shift on the weekend or something that'd be double the income. Good luck to you, I think worrying about finances is on the same stress level as worrying about school. :-(
  5. lindseylpn

    OccuVAX...? Or other flu/vaccine clinics...

    I know this is an "old" thread but, it pops back up every year so I thought I'd include my experience as I just recently did a flu clinic. I think it's an odd process, there's very little communication and almost no human interaction with anyone in the company. You sign up online and do a test, then you're basically "hired". I didn't receive an email or anything for an interview/questions etc and had no idea I'd been hired really, no communication at all. You select your state and then click clinics you'd like to be considered for. There's supposed to be an email sent out every Monday with all the new available clinics (I've never received one), I just check the website. You'll get an email if you're picked for a clinic. The email says confirm via email that you want to accept that clinic and then you call and confirm with the coordinator at the site you're doing the clinic. 3 and 1 day prior to the clinic you receive a confirm text or call. When you get to the site they should have the box containing all your supplies. You set up and give shots. Giving the shots is pretty straightforward, I hadn't used this certain needle before but, it was simple. All the training was done by a PDF document (I think a video would've been nice). Like JoJo said above the paperwork can be funky. Also, from what I experienced, what the training/paperwork says and how things really are can be different/conflicting. When you open the box of supplies it'll have the vaccine and all the supplies needed syringes, Band-Aids, alcohol swabs, gloves etc and it'll have a folder with the needed paperwork and instructions. My folder was missing some paperwork so, I had to call and they emailed over the needed forms and a manager at the site printed them out. The actual work is fine, giving the shots is straightforward and easy. My clinic was just a few hours and in those few hours I gave a handful of shots. The manager said most of his employees came in after the clinic was scheduled and said he was trying to get people in earlier. Near the end of the scheduled clinic is when everyone started coming in. There's a paper in the folder that said in bold all uppercase print that said, you must stay and vaccinate everyone even if you have to stay longer than the clinic is scheduled and you can't leave until the on-site staff let's you go. I did most of the vaccinations for over an hour past the time my clinic was supposed to end. When I finished everyone waiting the manager said he had 2 more people coming on their way but, would be a few minutes. I called OccuVAX and asked them what to do since there were 2 people left and they said I should of packed up and left at the scheduled time because, this certain company won't pay for people to stay over and I was kind of "scolded". No where in any of my paperwork, emails or communications was I told this. All I had was the paper with the big bold letters that said I must stay and finish even if it's after my scheduled time. Well, anyways those last 2 people came while I was in the phone with OccuVAX and they said the finish them up. Some of the things from the paperwork/training packet are different than what you receive. The sharps container return instructions were completely different than the instructions in the paperwork. A certain form said it'd be blue in the paperwork but, it was yellow. That plus the missing forms made things a little confusing but, was simple to figure out. After the end of my clinic I packed everything up and made a trip to the post office and to the other side of my town to UPS to drop the return packages off. I know this is a long post but, I wanted to give my experience since there's not that much info out there. If you don't mind the minimal communication, training, kind of vague and conflicting instructions etc I think it could be an okay sometimes job for some people. I had fun setting up my table and enjoyed giving the injections and talking to people etc. If you're a person who needs a little more instruction, it's probably not the job for you. I don't think I'd have liked doing it as a new grad. Personally, I don't know if I'd sign up again next year. Being scolded for doing exactly what my paperwork told me to do plus the uncertainty if I'll get paid for that time has kind of turned me off. The drive to UPS was on my own time as well. I wouldn't say it was a bad experience, just kind of meh.
  6. lindseylpn

    Is this a normal patient load for LTC?

    Yep, that unfortunately is the normalish patient load in LTC. I'd say 20-40 patients is probably average. When I worked LTC we had 25 in the skilled wing (Hospital step down, trachs, tube feedings, iv ABX, many dressings etc), 40ish in the dementia lock down unit and 55 in the LTC unit. 2-3 CNAs per unit and an extra nurse on the lock down and LTC units on day shift only. In LTC you don't really get to spend a lot of time on one on one care. It's more like moving quickly from one nursing task to another, with the main task being med passes. It does get easier once you get into a good routine. Time management is key. Browse thru the LTC forums and there are some good posts on time management/tips. Making myself a to-do list and scheduling out my shift worked well for me. Good Luck.
  7. lindseylpn

    Non-nurse editing LVN Notes?

    I'm thinking it's pretty illegal to change someone else's documentation... She can ask you to amend your own note but, she shouldn't be editing it herself. I'd probably try and speak to someone about this ASAP.
  8. lindseylpn

    LPN Duties for the Day

    Where I'm at LPNs still work in hospitals but, not as much as RNs. In TN lpns have a wide scope of practice. At one hospital in my town LPNs take their own patient load and at the other hospital they do team nursing, where an LPN and an RN take patients together. Most LPN jobs though are in clinics, LTC, assisted living, home health, private duty, group homes etc.
  9. lindseylpn

    Health Care is Not a Right

    I take home probably 75% of my check and buy my own insurance which is another 20% of my income so, monthly I'd say I'm paying 45% in taxes/insurance premiums. That premium payment doesn't actually include my heathcare costs either, I still pay out of pocket till I reach my deductible then they'll cover 80%. I'm paying several hundred dollars a month on top of my insurance premium for some medical treatments I had to have at the beginning of the year. I'm guessing with that I'm paying 25-30% on medical costs right now plus taxes, that equals 50%+ of my income going to taxes/medical costs. If I were to get insurance thru my husband's job, it'd cost 75% of his income! Yes, 75% and that's the lowest tier of insurance offered. After taxes he might bring a few dollars home out of his paycheck. For the highest tier insurance, he'd get nothing out of his paycheck and we'd owe his job a couple hundred dollars a month. Like dream'n said many people have to pick jobs based on the insurance offered and not necessarily the job itself. Do I keep the well paying absolutely wonderful job I've had for over a decade that doesn't offer insurance or do I take a chance and get a lower paying job at another facility and hope they have good and affordable insurance? That's my dilemma every open enrollment period.. The heathcare/insurance situation here in the US needs some serious work. Personally, I'd definitely pay a little more in taxes to never have to worry about having insurance. Everyone's entitled to their own opinions and people can call me a beading heart all they want but, I can't stand the idea of people needing healthcare and not being able to afford it. It ways on my heart. If part of my insurance premiums are going to help an 8 year old diabetic get her insulin then yeah, that's wonderful! If part of my taxes are going to help a disabled person get a new wheelchair, great! I don't see how someone can want to be a nurse and lack the empathy for someone that might need but, can't afford their heathcare costs. I absolutely believe that heathcare is a right!
  10. lindseylpn

    telling manager you want to take off?

    Maybe text something like: I'm sorry I was mistaken, I'm only available for the Friday and Saturday shifts, my apologies. Maybe offer to work half the Sunday shift? Or do this weekend and then in the future only say you're available for 2 days? Good luck with school!
  11. Does your facility have standing orders? When I've worked SNF/LTC we've had standing orders and stock meds for things like: nausea, diarrhea, fever, cough, headache etc. One unit had a stock and emergency med box in their med room. The standing orders books were at every unit and incase of something like diarrhea we'd look up the patients Dr and there where their orders. Dr. A's orders may be too give Imodium but, Dr. B's orders might be the call the on call service. If there was an order for meds, we'd transcibe it into the mar and go to the stock med box for the med. You may want to look to see if there are some standing orders, they really make situations like this so much easier. Not all facilities have them though. I personally wouldn't have called at night unless the diarrhea was excessive and the pain was intense, unusual etc. We'd routinely send in med requests to the Drs though at night by fax and then dayshift would receive the orders back in the morning. I would fax something like: pt has 24 hours of diarrhea with pain, standing dose of Imodium given, further orders for diarrhea/pain meds? The Drs/nurse would fax back like: continue with standing orders, an order for more meds or say call for Drs appt. Every facilities procedures are different though. Even if you'd called the Dr would you have the meds to cover for the order or does your pharmacy deliver emergency meds at night? Not all facilities have access to the pharmacy at night so, even if you got an order dayshift would still have to get the meds. The facility I work at now (group home) doesn't have standing orders and we have no access to the pharmacy at night. OTC meds are Incorporated into our Mars though incase we need them. The nurses in the home don't contact Drs at all either, only our office nurses do. If a pt really needs something at night, then a trip to the ER is the only option. For something like diarrhea we'd probably wait till dayshift for orders if possible. The 3-11 nurse should've really addressed it though (unless it started at the end of the shift or something).
  12. lindseylpn

    Gastric Tube tricks no clogging

    I once worked with a nurse that did this. She had no rational why she did it other than it was a "trick" someone showed her.
  13. lindseylpn

    Health dilemma + school clinicals = what to do??

    As someone who has struggled with infertility myself, personally I wouldn't wait to try for kids. I'd do school and maybe just stop "trying to not get pregnant" and see what happens. Or maybe try an ADN or LPN program that's not so long instead? I went to school (LPN) with a women that was pregnant, she took a semester off when she had her baby and then came right back and just graduated a little later. Good luck.
  14. lindseylpn

    License at Risk? Put up or shut up,,,

    One revoked, for witnessed abuse. All her licenses we're revoked (RN, Vet Tech, EMT and CMA) and criminal charges were filed. One reprimanded (I think suspended), for repeated failure to document meds given. Diversion wasn't suspected, she just never documented when she gave any PRN meds and was given many warnings.
  15. lindseylpn

    Potential night LTC/ subacute needs advice!

    I'm not in LTC anymore but, when I was our ratios were: 25 in the skilled units, 40 in the lockdown unit and 55 in LTC. 25-40 seemed okay but, 55 was a bit much in my opinion. Yes, we were the only nurse on the unit but, not the only nurse in the building. We had 2 CNAs per unit. Time management is key. Try to schedule your night out, make a list of the things you have to do and mark them off as they're done. Med pass will take the biggest chunk of your time, at first it'll take you longer than you think.
  16. lindseylpn

    Lpn told me she works ICU??

    Some places do team nursing where both an LPN and an RN are assigned to a patient, with the RN doing the more complex tasks. It isn't as common practice as it used to be but, some hospitals still do it. LPNs used to be utilized more in hospitals too so, if she's older it's possible she could've worked in many areas. I don't know any ICUs near me that have LPNs but, most still employ LPNs in other areas of the hospital, a few even have LPNs working in the ER.