2rntish

I have a child that will soon graduate from HS. The topic of carrer choices came up at work...most of my co-workers were suprised that I would not encourage nursing for my child. I will support them 100% if that is what they really want to do. What w...

Good day one and all. Does your facility have a policy that limits the drugs that an LPN can give IV after attending an IV push class? I have polled several hospitals in our area and had a variety of answers. Our facility has about 15 drugs the LPN c...

What is the groups opinion on agency LPNs doing IV Push meds? I recently asked about hospital LPNs doing IV Push and had a variety of answers. If anyone does allow it...how do you measure competency? We have some agency nurses that are here day after...

There are also major changes to ACLS so it is not just for the lay rescuer.

Do you have a standard concentration for your post code drips?? We are in the middle JCAHO and one of our hospitals got a ding for the old Broselow tape and rule of 6... Is there a reason we can't use a premix dopamine gtt at 1600mcg/ml (800mg/500ml)...

During menstruation one has to lessen physical exertion including walking, dancing or heavy house-hold work. The body demands rest and relaxation and one needs to provide that. That would be after all the a** chewing you did during the 1-3 weeks of P...

If you have a PRN dose q 4hr. Give a dose at 0700. Is the next dose due at exactly at 1100? Or do you have a window at you facility. We use Bridge and if you are 15 seconds early, it will generate a warning. I think there should be a "window" prior t...

Look forward to it. I am looking at 21 computer generated "prevented med errors" right now. 3 are actual prevented errors. The rest are "noise" like the PRN time issue. I am more than happy to wade thru all of these if we can prevent even 1 error. W...

I,m sorry, I should have explained. Bridge is the Bardode scanning system that is supposed to help varify the 5 basic rights of med admin. Scan your badge, scan the pt armband, scan the med...It does a cross check for allergies, order in system, wron...

Our guidelines state what the assessment is, the scope of the RN, scope of the LPN but says nothing about times. JCAHO leaves it up to the hospital to define times. I have not sorted through all of the CMS regs yet. I think that in our case it is on...

Can anyone help with guidelines for reassessment by an RN? Our current policy states q 24hrs. Our sister facilities say it should be every shift...It would be hard to have an RN do the shift assessment every shift in our facility. We have a great gro...

V Tach with a pulse is fairly common. Some patients are stable...good BP, no SOB...just a little fluttering in the chest. Some are unstable: chest pain, SOB, diaphoretic, hypotensive... Some are pulseless. You never have a pulse with V Fib...

Orientation is important if it is directed towards your position on the floor. We do 3 days of history and tradition of our system. By the time we get the nurses, they are brain dead and ready to quit. Most orienttes want to be assured they will not ...

I started in nursing for all the wrong reasons. I grew to love it, advanced to a position that is more rewarding than any I could imagine. Please let him do it.

Last post (I almost spelled pist :chuckle ) for the day. Not all of the state boards of nursing agree with you and your BON. I know of atleast one that leaves it up to the facility and the MD at the bedside. I also wonder if all the extra training ...

Reminds me of an old saying. You are just like an ostrich, you can bury your head in the sand but your *** still shows. Too many miles between us. I will go my way, you go yours. There are happier threads to follow. You stand on legalaties, I will s...

Whoa there sister, take my meager attempts at humor in stride. Did not intend for you to take the "idiot" thing serious. And I don't remember any inservice on Dream Cream. I have learned a lot from the posts on this subject. Nothing to sway the numbe...

I will try to stay civil because I do choose to repond. You are an idiot...I AM TEASING>>>LIGHTEN UP Every scenario I have discussed involves an MD being at the bedside. Not some lowly CRNA. AGAIN TEASING...I respect these guys and gals as m...

I will try to stay civil because I do choose to repond. You are an idiot...I AM TEASING>>>LIGHTEN UP Every scenario I have discussed involves an MD being at the bedside. Not some lowly CRNA. AGAIN TEASING...I respect these guys and gals as m...

My point with Diprivan Stevierae. Nothing could be more critical than having a catheter inserted through 2 chambers of the heart and into the pulmonary circulation system. Leave it wedged...major problems. Have it pulled back into the RA...major pro...

My point with Diprivan Stevierae. Nothing could be more critical than having a catheter inserted through 2 chambers of the heart and into the pulmonary circulation system. Leave it wedged...major problems. Have it pulled back into the RA...major pro...

The last care plan I did in school was 24 pages. My best friend and I choose our patients. They were identical, same diagnosis (CHF), same Dr, same meds...I suggested he do the first half, I would do the last half...we would swap and have a complete ...

No hostility here (I don't think). I have seen situations in ER where we have several RN,CCEMT-P working. A patient comes, difficult intubation, facial trauma...anesthesia is called, can't get the tube in. Critical care paramedic is mentioned. People...

Kudos to you Yoga for being the only person in the medical profession intelligent enough to do anything. I also work with RNs who think the LPN should only do bedbaths and bedpans. I think it has something to do with job security.

It never ceases to amaze me what 2 more years of education does for some people. Yoga needs to realize setting in class is not the only way to learn good pt care. I know some MDs that spent more than 2 years in class that I wouldn't take my neighbors...