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liveyourlife747

liveyourlife747

Home Health/PD
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liveyourlife747 specializes in Home Health/PD.

I am a hardworking, independent 20 year old and I love my job as an LPN! I have a wonderful boyfriend and dog and I'm about to close on my first house! Woo Hoo!

liveyourlife747's Latest Activity

  1. liveyourlife747

    Long drive after night shift

    If you get enough sleep before your shift you should be fine. I know night shifters that work a 12 then go to Walmart grocery shopping before going home. I like to crash ASAP when I worked nights, but each person is different. Just be sure to listen to your body. Maybe do a mock trial one night where you stay up and do those things the next day to see how you feel about it.
  2. liveyourlife747

    Newly Certified Nurse Aide w/ LPN Question

    I think so, but check with the NY state board of nursing. If they are a compact state then you should be fine transferring your license.
  3. liveyourlife747

    Two Nephrostomy tubes AND a foley catheter

    It depends on why the tubes were placed. I've only seen them placed for ureter obstructions. While technically the urine could possibly pass around the tube, around the obstruction, and into the bladder, I'm not too convinced that this is the reason why the pt has a foley with 2 nephrostomy tubes. But like I said, it's hard to know the reasoning behind the multiple tubes without knowing why the pt was hospitalized.
  4. liveyourlife747

    Two Nephrostomy tubes AND a foley catheter

    ^^ the nephrostomy tubes are placed in the renal pelvis, where urine is collected after being made before passing trough the ureters to the bladder. I'm not quite understanding of what you mean by "look at the placement and you will understand" urine is not made below that point. OP: not sure why they would have a foley as well, seems like the nephrostomy tubes would catch all the urine that is produced. The only reason I would think is that maybe the have a need for CBI or antibiotic infusions that would need to be inserted, left to dwell, and then released. I can't be sure though because I do not know why he/she was in the hospital
  5. liveyourlife747

    Signing out medications for my manager.

    Sounds fishy to me too. I think my manager has a code to be able to sign out Meds for our medselect machine and I doubt she would ever ask us to sign out a med for her. I think she would either give the med herself, call us and let us know the pt needed pain med, or alerted charge to the situation if I was busy.
  6. liveyourlife747

    New Grad Nurse Med-surg Unit NEED ADVICE and brain sheet

    Our unit provides general sheets that we are to use for pts, so I haven't needed to come up with a sheet. But, I did come up with a "cover" brain sheet that I am able to have a "snap shot" of my shifts to do. I have room for my assignments, PCTs and their numbers (we all carry a phone), other nurses and their numbers, then a med/to-do chart with slots for hours on the side and rooms on the top. I also have things that need to be done Q 8hrs, like assessment, Q shift charting, I&O, tele strip signed, IV fluids cleared. This way I can cross it off as I do it and so I won't waste time at the end of shift double checking all of my charting. Hope this helps you! Shift To do sheet-12.doc
  7. liveyourlife747

    How do you get out on time?????

    I agree with all of the above posters, but I definitely have to have my "brain" to stay organized. We have report sheets that are one to each person, I work up one of those on each pt if I can (doesn't always happen.) And then I have my "top sheet/to do sheet" that has a grid with the hours down one side and enough columns for each pt. There I will list meds and must do schedule time things (as in Q4 NGT residual checks) Then I can figure out a mini "game plan" for the day (although it usually gets thrown down by 0800). If you can, see if you can get a job description for your aides. That way you know what they can do and what you can delegate. We got a copy before getting off orientation. Also, if you are in the room giving meds at 0930 and the pt happens to be a Q4 vitals that are due at 1000, I go ahead and get vitals on that pt and help the aide out. I try to help the aides out when it is feasible, and it seems the aides are more responsive if I ask them to do something. Lets see if I can post a copy of my "brain" so you can see what I am talking about too: We carry phones to get in contact with each other, thats why I have room at the top for nurses and PCTs, so I can write their numbers down and have them ready if I need a cosigner for a med. I also have things that need to be done Q8hr Assessments, Q shift charting, Notes, tele strip checks, i&o, iv fluids cleared. That way I can cross them off as I chart so I don't have to worry about double checking before I leave. Shift To do sheet-12.doc
  8. liveyourlife747

    What is the difference between COPD and emphysema?

    Since this is a homework question... Have you checked definitions of the diseases and pathophysiology of the diseases? You are listing manifestations, but I think going back and looking at the pathophysiology might help you understand better. It also helps to look at risk factors as well. Hope that helps!
  9. liveyourlife747

    What makes nursing stressful for you?

    Omg! This is me to a t! But I reassure myself that I'm doing the best I can and know how to.
  10. liveyourlife747

    How to measure foot swelling, not edema

    Edema is swelling. It can be pitting or non pitting. I would have said non pitting edema to said foot. I think you also did the correct thing by measuring the foot against the other. Good judgement.
  11. liveyourlife747

    When you became a nurse...

    Techs should listen to you, that is part of their job. If they aren't then I would go to management. You need a team to be able to manage a hospital floor, if there is a break in the team your day/night will be a disaster. Just let them know you respect them. Thank them for what they do. Acknowledge that you appreciate them for the job they do, and don't be afraid to jump in and help them.
  12. liveyourlife747

    Help with Insulin/syringe math!!!

    From what I could find online, u 50 is a 1/2 strength insulin. So 5 units of u 50 would be 2.5 units of u 100, at least that's what I'm thinking. Not sure if its right. I haven't run into having to draw up u50 insulins. We have u100 on our unit.
  13. liveyourlife747

    Client safety incident reflect CNA/student nurse competency

    The post shows you care and shows you know how to accept mistakes (even though I am not sure if they could have been avoided). That is part of being a good caregiver. You need to learn from these mistakes and try to prevent them in the future. You are already on your way to becoming a thoughtful nurse. Don't let this discourage you!
  14. liveyourlife747

    How does this happen???

    It happens. Sometimes people need additional coverage for pain even if they have a pain patch. I've seen someone on a high dose fentanyl drip with additional PRN doses of fentanyl iv. Most if the times people tolerate medications fine, but other people have reactions. It just shows us that each body is different. Also it depends on if the pt told the doc he had a pain patch, if the md knew about the pain patch, if the nurse was aware of the patch and didnt clarify,if nobody assessed him well enough to see him, and many many other variables in the situation.
  15. liveyourlife747

    FIRED I didn't even see it coming , Please advise

    All they said was "not a good fit"? I would kind of be leery on staying if they only give you that reasoning for firing without write ups. Maybe try to see if you could sit down with the manager and talk about ways you can improve and ask why they felt you weren't fit for that unit.
  16. liveyourlife747

    IV narcotics?

    I agree with above posters. Pull up in a 3ml syringe with a needle (or filter needle then switch to another needle) and squirt out however many mls of NS you need to be able to have room inject the medication into the syringe. Pull back the plunger to allow air in the NS and inject the med in. Hope that's understandable.