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M/S, Foot Care, Rehab
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LaShell has 7 years experience and specializes in M/S, Foot Care, Rehab.

LaShell's Latest Activity

  1. LaShell

    New LPNs going to EC....why not?

    True true true. I thought I knew so much when I got my LPN. Now after 1 1/2 years of science and prereqs for RN and just starting these new classes, it is very obvious that we are thinking at a whole different level. I feel like I really see the patient in a different light now, and know sooo much more what can go wrong and that I would be the one responsible when it did. It's not just memorizing steps for putting in a foley... I wouldn't go the short route either, you'll learn so much more in school and do a better job as a RN someday.
  2. LaShell

    ? about pregnancy test

    Definitely just have your sis buy a kit from the drugstore, they're very accurage early on. I work in a clinic and it is policy to not call patients if their tests are negative (I think this is not appropriate in many situations because the patient is left hanging). They seem to think, no news is good news.... She can certainly call the nurseline. Urine preg tests come back within 10-15 minutes and an hcg blood test takes 30 minutes where I work.
  3. LaShell

    RN is he making a pass at me what will this do to my job

    there is this icu nurse who is very friendly to me such as telling me i smell good and i look pretty in pink. are those the reasons you want a man to love you? how about your brains and personality? why would he be instered in me with the age gap being so far apart? as you age (and mature) you will learn that all men like younger women, whether they're 40, 50, 60, 70, or 80. he hugs me too and rubs the middle of my back. this truly is sexual harassment. even if he were your husband and you worked side by side, he should not be doing that at work. it's unprofessional and you can bet that all the nurses notice and most likely think it's pretty rude and disgusting, especially us middle-aged ones who don't smell so good, haha. he is married but his wife and him just live as roommates. are you really interested in a man who would treat his wife like this, and disrespect her by discussing her with workmates in this manner? it could be you in her shoes, getting pregnant and then losing all your cuteness in his opinion!! i will tell him tomorrow when i have to work that i just wan to be friends. i really doubt he wants to be your friend. how much would you have in common as friends? stick to people your own peer group. be prepared for a very cold shoulder from this guy, and live and learn.
  4. LaShell

    LPN question

    Usually there is just a general assessment test to get into any school/college. It covers math and reading, results help you determine which class level you should start at (basic math or algebra...). Really isn't much to study, it's just to help determine where you should start. If you just want to review what is on the test, ask the testing people at your school. Sometimes they'll have sample packs of the typical questions asked. It may jog your memory for any pre-algebera you may have learned in high school but forgot. If you score lower on these assessment tests and need to take refresher courses, don't feel too bad. I know it's time and money but you'll be better off in the long run really feeling comfortable with the material as things only get harder as you progress along in school.
  5. LaShell

    L.P.N. to R.N. is it that much harder?

    Thank you! That's what I thought too. Even if you didn't know, it takes two seconds to look it up, then 'wallah!"
  6. LaShell

    L.P.N. to R.N. is it that much harder?

    I have been an LPN since June 2003, started my RN prereq a year ago and now will be starting the real RN courses and clinicals next month. I've heard both sides... one is that LPN's have a slight edge because we're much more comfortable and experienced with patients and so clinicals are a little easier. The other side I've heard is that LPN's jumping in halfway through the program have a tough time because teachers will refer to something the other students learned the previous semester (the example I was given was the teacher referring to a "bruit" and the LPN's didn't know what it was). I had a short LPN-RN transition course and clinical which I think most colleges now offer and it warmed us up a bit. They advised reading the textbooks and subject materials that were covered first year. I am doing this and find it's mostly review (and good to review!). I'm not too worried, just plan to be on my toes and open-minded... like a sponge!!
  7. LaShell

    high fever in 1 year old

    I work in an Urgent Care and we have seen a lot of kids this last season with high fevers lasting about a week. My own son got it too, very scarey. Or docs were treating many of the kids with zithromax and it helped them. Hope your babe gets better soon!
  8. LaShell

    Anyone else hate their clinicals?

    I am an LPN just starting my RN transition. I too really hated clinicals, I guess it was mostly nerves and feeling soooo out of place. We sometimes had a teacher we had never met before (too many students so the class divides up) and that was nervewracking. I enjoyed my patients, but never really knew what my place was, especially as an LPN. I never really understood the line between being the "real" nurse?, how much to do myself or let the staff nurse do/direct/teach, etc... Most times I felt totally left on my own, the staff nurse would take the opportunity to focus on other patients or whatever.... My teacher would have a line of students waiting to ask questions so didn't have much time for me.... the skills I was supposed to get checked off on would never happen when the teacher was available (me to staff nurse "uhh, I need to and want to do that dressing change but my teacher needs to watch me so can you wait for me????" Big frustrated sigh from staff nurse....) It felt like how you feel on the first day of a new job every day of the clinical. Plus a really ugly, stiff, starched uniform that I would never wear in real life and that made me look really fat!!!! haha Now I'm starting the whole process over again as an RN transition student and am dreading clinicals all over again. I'm hoping they'll be better as an RN student... And yes, I LOVE nursing in real life, it was just the clinicals.
  9. LaShell

    Scared to be an LPN.....

    Wow, exciting and scary, you'll do GREAT! I've been an LPN for 1 1/2 years. I can't believe what I've learned in this time and didn't even realize it when it was happening! Don't worry about your knowledge base. Every job is special in its own way and requires knowing certain things. When you don't know something, a disease or med or treatment, do some reading on it. Usually there's decent reference books at the nurse's desk, or refer to your old school books when you get home. Be open, and learn from others (good and bad!) And don't spend too much money on scrubs until you work a few shifts and know what kind you need/like, haha. I've spent lots of money on cute scrubs and then realized I needed that third pocket, etc.... Good luck!
  10. LaShell

    Giving meds in a timely manner

    eeer, memories of rehab... nope believe it or not it's the state that's concerned with their dining experience. when they are doing surveys, that is one of the things they look for--that we aren't giving meds in the dining room. from my experience, many patients didn't mind getting meds during their meal, and many of them preferred to take meds with food to help get them down. I worked at two subacutes and it was on a rare occasion that meds got done on time. also, we couldn't always start passing meds right at the beginning of our shift because residents didn't want all their meds on an empty stomach before breakfast, or they're stuck in the bathroom, or they don't want to be woken up so early...... Many bad habits were done by the staff, like putting meds in cups and taping them shut with the pt's initials on them and then passing them all quickly before breakfast. so sad we don't have the time/staff to do our jobs correctly and risk our licenses..........
  11. I'm one of these "crazy" moms (now an ER nurse) who brought in their kid for seizures for two long months before getting a diagnosis... I heard it all from several lousy docs "oh, it's been 5 years since you've had a baby, don't you remember they jerk???" "oh his eyes are just rolling back in his head because he's light-sensitive..." and this was the best one when he had a diaper full of blood after being on the ketogenic diet for several months "you're probably just feeding him lots of red jello, bring the diaper in and let me look at it". What wonderful satisfaction I got when she opened that diaper and went pale and quickly admitted my son. Yes, we do get lots of ridiculous reasons for visits, but let's all take our patients as seriously as we can..........
  12. LaShell

    How do you really feel about 5-star rooms?

    I work in a transitional care unit that caters to wealthy people. Seems to me there are as many obnoxious rich people as there are poor people. We do get some snobs who manage to wiggle into any conversation how much money they have. I'm always tempted to say, "yes, I noticed when I was wiping your butt that your poop has a better smell than others"... or when changing a dressing, "Oh, your pus is just glowing!!" I loved the lady who was often bragged how much money her and her husband had donated to the local university ($100,000) but wouldn't pay $40 for van transportation to a clinic appointment. And even though our facility looks great on the outside, we still run out of linen and supplies, and the food still stinks!
  13. LaShell

    Sub-acute/rehab floors

    It seems at my job (with 25 pts, 2 nurses, 2 aides, 1 tma) it is rare that we have a "good" day. Usually 1 or 2 of the patients are pretty sick and on the verge of going back to hospital, or we have a couple of admits or discharges. However, if we have enough aides (3 instead of 2) the shift seems to go smoothly. When the nurses get tied up doing too much basic care, then we can't get our treatments and paperwork done. I really enjoy doing 'aide' work (feeding, toileting, bathing, etc.)and the patients like it too when their nurse spends time with them, but if I do too much then I fall behind on my own stuff. That's the frustrating part of my job. When I walk into a room to start an IV or do a dressing change and find they need help getting dressed, wiping the spilled food off them, need a diaper change... I want to have the time to do that also instead of hitting the call light and requesting an aide come into do it. Maybe I was an aide myself too long during nsg school??? Old habits die hard..
  14. LaShell

    Sub-acute/rehab floors

    Max is 25 patients (usually have about 22). Day and evening shifts, 2 nurses, usually 1 RN and 1 LPN, 2 aides and 1 TMA Night shifts is 1 RN and 1 aide
  15. LaShell

    What patient phrase today made your day great?

    My most unfavorite part of my job is having to wake people up to turn, give meds, etc. I went into the room of a sweet 80-something man on my sub-acute unit. When I gently nudged him awake, he jumped! and said he was dreaming. I asked him what he was dreaming about and he said "my beautiful nurse..... and there you are". ooooooohhh, did my heart melt. About two months later I had the great opportunity of caring for him the day he died. He put his arm around me several times throughout the day. He actually passed away an hour after I had left. His family came back to the facility about a week later just to find me and thank me for the care I gave him. Wow, that's what makes my job great.
  16. LaShell

    Im going insane!!!!

    Yup, I'm a new ( In an 8 hr day, after subtracting a a couple of hours for meals (at my facility they cut food service to save money so the nurses dish up food for everyone, which includes going down to the basement to look for supplies, then do the dishes); then subtract another hour (at least!) for paperwork such as medicare, 30 day, weekly charting, new orders, monthly treatment sheets and med sheets; then subtract another hour for basic patient care like toileting, a shower here and there, changing linens (yes we're always short of aides, plus we try to act as a team); another hour dealing with families on phone or on the floor. After all those basics are done, we have to do our treatments. You get the point. And yes, I hear all the time how easy 11 patients must be. But frankly, I don't how anyone could manage 30 patients like these. Even with only 11 or 12, it seems like the 1 or 2 stable patients get totally ignored. Sometimes I feel like I'm getting better at my job, but then is it because I'm become as crusty and tough-shelled as the rest? haha :rotfl: And yes oh yes, I hate calling on call docs on nights and weekends too! The oncalls get perturbed if you call for little things but if you don't it just gets left for day shift who then feels a grudge..... Somebody's got to do it???