mslpn210

New to Clinic setting, LPN here of 5 years hospital/ltc. Question: What are the legal guidelines for prescriptions in a clinic setting being called in and documentation of such? Do you still use "TORB" to document, etc. As of now, I am the first and only nurse for this clinic and until now the secretaries have been calling all prescriptions in including some narcotics (ambien, etc - sleep clinic). They obviously aren't "TORB" or "VO" documenting since they aren't nurses, and some of the time they use post it type notes where the doctor has scribbled a prescription and putting that on the chart as documentation. I am trying to establish guidelines but it's hard since I have never worked in a clinic and I am the first nurse and only nurse in this one. Thanks.

There are also RN jobs you can get that are Mon-Fri 8-5 .. such as at a nursing home.

What will we do when the DNP is required to practice as NP in 2015? From what I understand, that means there won't be any experience anyway?

Any comments on the nurses who say if the resident wants all their meds at once (5 and 9s), then it is okay (as long as it isn't the same med, of course)?

Hi everyone, I am an LPN who left postpartum (1:6 ratio sometimes 1:8) to go to LTC because I relocated. I need all the input I can get! I have only worked the floor (orientation wise) for 2 days and so far these are the concerns/questions I have: Is a 1:30 ratio normal? (evening shift by the way 3-11) Are you SUPPOSED to check the 30 charts at the beginning of the shift? I am used to going through and checking all of my ordered medicines but this seems to not be expected of you in LTC.. especially since I don't even know how you would be able to! I have so far been unsuccessful (probably an understatement) at passing all 29 residents meds on time.... and doing the tube feedings (4) on time.... I had the nurse helping me notifying doctors, rewriting orders, etc and she also ended up finishing my med pass and doing 3 of my 4 tube feedings. AND she did my charting. I really wanted to be able to attack this and do it on my own but I don't see it getting easier? Also, I haven't even had time to see why these people are there, what all their Diagnoses are, etc because I am so overwhelmed and busy with the med pass! Advice? Systems you use? etc? ALSO: I was told in orientation in the office to do a weekly medicaid charting along with my skin assessment but none of the nurses on the floor seem to know about or do the weekly medicaid head to toe? But they do say they chart on people with pegs/catheters/ax daily.. so maybe that's why? Hmm.... and What about cath care, peg tube care.. when are they expected to be done? Thanks

I have done hospital for four years and am starting a nursing home job next week. I think that there is a different pace to each. At my hospital, we had up to 8 patients. Some days, they all have so much going on that I never stop. The post op patients come in with Q hour vital signs and I+O's, and you may get 1,2,3 fresh surgeries after another. (I am OB GYN). So, I may have say 2 couplets and 3 surgeries. The 2 new mother's may need help breastfeeding, or start hemorrhaging and then I have to put those fires out.. it can be stressful. I hope I like LTC... lol

I am a LPN at a hospital in MS and I work in postpartum. but only rns' work in l and d and nursery

missisippi, i work at a hospital in one of the more popular cities here, i started off 14.35, but i get 16.50 at night.

hello at my hospital , anyone who can transport babies, go into the nursery, etc has pink IDs with green footprints on them.... but at my hospital we don't change at work but L and D, Postpartum and the nursery all wear the same color scrubs... that's all we do.. well we also have an alarm system with baby bracelets

I was unaware LPN's who have not worked a year could put in IVs? Unless the law is different where you live, I suggest you quit practicing that, or you could be in troouble!

in my area LPNS are hired everywhere, even hospitals and are considered valuable in a hospital setting. I think the LPN route is best.. i know many disagree, but i got out of minimum wage in a year, and i can make good money and go back to school at the same time.. and also have an awesome base of knowledge setting me up for when i return to rn school. but if you have the means, and spare time to do rn first, i'd suggest that. i chose lpn first due to my limited time i had to make money quick.. i only have my boyfriend helpin me.. and he can't wait till my check comes so he can take a breather

im bout to start workin and im used to amking 6/hr and ill be makin 14/hr (lpn)... and I plan on financing a car myself...and moving but not buying a house, rentin.... I don't know where you live, but I feel like it's not how much you make it's what you do with it.. of course I dont have a kid so I don't have that extra expense....

thanks for all of the comments!...

I accepted my first job on post partum and I too have wanted to know, if I quit this job in a couple years, would I be able to apply for other areas, like even just basic med surg, and still get trained and oriented a little bit? or even get the job?? I may or may not get to practice trach care/wound care/ostomy care etc (none of which other than wound care i got to do in school) in postpartum so am i doomed for later on????

Is it just me... first off, im educated! but my problem is I didn't get a lot of hands on at my clinical in school I'm SCARED of the job. I haven't ever taken a full nurse responsibility and have no idea how it works!!! Are they expecting that, and training me or are they expecting me to know how to do everything and throwin me to the dogs after the first week? nervous about orienting............ please comments.. are the other new grads on here feeling like they know how to do all skills? and how many of you all didn't get to do skills in school such as catheterizing a pt or trach care or anything? I saw these things done, but never had the oppurtunity to do them