PralineLPN

PralineLPN

TCU, LTC

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All Content by PralineLPN

  1. How to deal??

    What's so wrong with being 20 and a BSN?? Are you jealous or something? I finished a BS in chemistry 2 years out of high school. I could be done with med school and halfway through residency by 25 if I wanted, is that OK by your standards?? PMD
  2. New Nurse Fired for wanting more training

    What is reporting them to the State Board of Nursing going to do, exactly? Are they breaking any laws?
  3. i did so many errors today.*needing comfort guys

    What?? Sounds like you're making life a little too complex.
  4. i did so many errors today.*needing comfort guys

    I don't know if you are kiddding about these mistakes or not. If you are being serious, this thread makes me nervous. I handle narcotics with utmost care. I stop and clear my mind, breath for a second or two, do 3-4 checks on my narcotics, then check...
  5. Medical Equipment

    These devices are very simple to operate-don't be worried about them. The o2 tanks have a knob that controls flow (rated in Liters/min), usually set around 2-3, no more than 4. Be careful with the tubing, when you move the tank or the pt, make sure ...
  6. This could be a problem...

    If your facility has in-house laundering for the residents, you could check their "orphan" clothes box for some that fit. Tight fitting clothes, espically shoes, are an issue for some patients, skin tears and breakdown are more likely to occur, good ...
  7. Blood Pressure Kits for Obese??

    This is what we do, too-Works fine, sometimes the sounds are a little diminished, but just turn off the TV and listen really hard. Paul
  8. Feeling green about 1st clinical site

    What Kristi said.. You'll be fine-Jump in there-Didn't your teacher give you a assessment list to follow? Check your nursing books for "Head to Toe Assessment" this is what you need. And just talk to your patients like you would a good friend (even i...
  9. phasing out?

    This is entirely false. There is only a re-distribution of the labor and skill sets. I don't know where this rumor started, or why, for that matter. The facts are-LPN/LVN usually work in LTC/rehab/dementia/nursing homes. RN/BSN's do the hospitals an...
  10. Has this happened to anyone before??

    I had this same exact thing happen to me in Dec 2006. I woke up feeling like the room was spinning, threw up several hours later, it lessened over 10 hours, then resolved. Scared the double-hades out of me, whatever it was. Some weird flu or somethi...
  11. being a new grad... ;(

    Make sure you eat. I don't care how busy you are, bring a sandwich or something to keep your sugars at a decent level. Yesterday, I had 8 thousand things to do, and I went to lunch anyways. Still got done by 3pm, some of my treatments had to wait a w...
  12. HELP! I DON"T WANT TO GO THROUGH CNA first...

    All I can say, is that being a CNA/GNA (geriatric NA) was horrible and a hard, no-thanks, low paying, crappy (literally) job. But it payed off in dividends while in school. Also, as a LPN, I am easily able to transfer pts, and I learned a lot about t...
  13. B careful LPN-RN Online

    I would like to do LPN-BSN online, but I am very leery. I would like concrete evidence I can work in Maryland as a BSN with a degree from Indiana State U. I don't know, I think I'll just stick with brick and mortar for the actual nursing portion of t...
  14. Do you really want work with foreign nurses?

    I've worked with European (Poland, Germany, Czech, etc) as well as African nurses before, and I have absolutely no problem with it. I find other cultures fascination, and I'm always willing to teach as long as you're willing to learn! Paul PS- about ...
  15. Would you do anything about it?

    Report it. The anti-biotic issue alone needs to be taken care of. This is why we have lovely strains of MRSA, VRE and who knows what else brewing. As I'm sure you all know.
  16. Do you trust automatic "vitals" machines??

    I don't like the fact I don't get the "hand-on" aspect of autos. I like to feel my pulses and hear my sounds, I also get a chance to check skin moisture and temp. Autos are kind of dehumanizing, I think. I've also had pts complain of pain from the cu...
  17. Can you sue your instructor?

    Litigation in America-the first and only answer for everything! Yesterday a Pt hurt my feelings, and there was too much paperwork, I think I'll sue for emotional distress. Seriously, the time and money (good lawyers are NOT cheap) invested in bringi...
  18. Drove home in tears...

    It takes a while, but focus on the things you HAVE learned and accomplished. I can guarantee, the knowledge you have accrued is not insignificant. Everything will fall into place. Ask for help and guidance. Pick one weak area per shift, and try to im...
  19. I have. A cleaning lady was mouthing off to residents and cursing in the halls. This woman was a total disgrace. I'm glad she was fired. DON and the Admin actually thanked me for writing it up. It was the last straw. I also had a problem with a med t...
  20. What do I tell her?

    Yes, she should have at least told someone she was leaving.
  21. New grad about to Quit - what to say & do??

    Can you clarify what you mean by you "want you manager to know you are serious"? It sounds like you've already made up your mind about quitting. In that case, write a letter of resignation, and state your last day of work in it. It's that simple. Is ...
  22. Most common drugs used in hospital

    Here's a few- Coumadin-Check your PT/INRS Heparin Narcotics (Morphine, Oxycodone, Hydrocodone, Fentanyl, Dilaudid) Just be aware of last time given, use the least amt needed for relief, IE don't give oxyIR when 2 Tylenol will suffice. If you find you...
  23. New Grads- what starting rates are you seeing?

    I know LPN's in MD can make around $24/hour + differentials if you look around. I'm sure RN's can do similar or better on a med-surg floor. Ask for $25/hour, seems reasonable.
  24. $100 gift card from B&N... what to buy

    How about a awesome Medical Physiology book? Always something new to learn! http://search.barnesandnoble.com/booksearch/isbninquiry.asp?ean=9781416023289&z=y
  25. Clinical Groups? Please tell me they change!!

    I had the same problem with a few of my clinical groups. Luckily, ours changed for each rotation. For my last group before graduation, I had the lazy one, the pushy one, the one who freaked out over everything, and the whiner. I had one good classmat...