bluegeegoo2

bluegeegoo2 LPN

LTC

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All Content by bluegeegoo2

  1. LVNs: Your duties?

    0700: Get report, check skin books, tx books, the calander to see who's to be LOA for the day. 0800: I am fortunate enough to have med aides, so I start tx's while the med...
  2. I might gag

    :yeahthat:And don't feel bad: When I do trach care I have a hard time NOT gagging, and have on occasion had to walk away for a minute to compose myself. We all have our "thing" that gets us. Vomit...
  3. New grad LPN need advice

    In Indiana, if you have an Associates degree in Nursing, you may sit for the NCLEX-RN boards. There are Associate in Science and Associate in Applied Science degrees, neither of which are granted when...
  4. New grad LPN need advice

    Yes, I know. The Associate of Applied Science is a RN program. The PN program results in a certificate, not a degree. My school offered the same types of programs. The lady was asking if after...
  5. Just wondering

    Hey, we'd ALL like a smiley-face sticker now and
  6. Tips on being more assertive and managing nurses aides

    I will pitch in and toilet someone, help dress, wipe butts, and whatever I can do for my aides. Lord knows they do a lot for me! At first, I couldn't get an aide to look at me cross-eyed, much less...
  7. License Expiration Date question

    In the state of Indiana, all LPN licenses expire October 31st of even numbered years, and all RN licenses expire October 31st of odd numbered years. I was licensed as a LPN last year but still have...
  8. Facility moving units to 60 bed "mixed" skilled unit

    Side bar: I LOVE the Holy Grail! And you're right: It's always the money. However, the more they stretch us to increase profit margins, the lower quality of care our residents receive, the word...
  9. New Rn Fired For Bgl Issues

    I was taught to ALWAYS chart high/low bgl's, what intervention was used, and the outcome. Our instructors hammered home the message, "Chart to save your OWN
  10. What skills do you use/not use?

    In LTC I give a lot of injections, like insulin, B12, Procrit, sometimes antibiotics (which usually require reconstituting). There are also the need for straight caths, Foley caths, flushing the...
  11. Just wondering

    My humble opinion is that if they let you know what a good job you're doing as stated by residents and family, you'll want a raise...or 2 or 3. I've had a couple families tell me they praised my care...
  12. dnr in geriatrics

    I have recently run into an entirely different situation at work. We have a 97 y/o woman who was admitted with a hip fx. She has some confusion, but otherwise seems to enjoy her life. Her hip has...
  13. New Rn Fired For Bgl Issues

    I would definitely use the fact that they fired 12 other people and 2 quit r/t state being in. Most hiring managers are sympathetic to situations such as that, and realize if circumstances had been...
  14. New grad LPN need advice

    There is no such thing as an associate LPN degree. The PN program awards you a certificate upon completion. The ADN, associate degree in nursing, is the RN
  15. LPN School: How Many Hours Did You Study Per Day?

    I would review my notes after supper, but wouldn't kill myself studying. I would hit the highlights, which were adequate for me. Our instructors were good about letting us know what was really...
  16. Pain management in LTC

    How would one go about getting a grant like that? I live in Indiana, and don't know if such a thing exists, but it would be GREAT to have better training at spotting pain. It took me a few WEEKS to...
  17. What is Nurse's MDS note?

    Our MDS nurses put together a "cheat sheet" that lists what they need us to write about. It helps quite a
  18. Pain management in LTC

    We had a lady on skilled who rec'd a 12.5 mcg patch cut in half for the first 3 doses, then full strength after that. I called the pharmacist and MD to check and recheck about using them that way,...
  19. Help! Problems At Work Re: Diabetic Pt, Rights

    We had a similar situation with a man who was ESRD, out to dialysis 3x wk, A/O, who INSISTED on as much fluid as he wanted. As his nurse, I would yet again reiterate why he was on fluid restriction...
  20. DNS undermined my authority with CNA

    I am a floor nurse, but I know what you mean. We don't have a union, but the pickin's must be pretty slim around here judging by who my facility will hire. The worst blow to morale is that they will...
  21. dnr in geriatrics

    We had a guy who had a dx of CVA, ESRD, COPD, was bedridden and could barely communicate. Naturally, he was a code. His POA was his son who lived a thousand miles away, and NEVER came to see him....
  22. the nclex-pn exam im so nervous

    good luck!!!!! i'm sure you did
  23. the nclex-pn exam im so nervous

    First, RELAX!!! Being stressed to death won't do you a bit of good, so take a nice, hot bath, read a good (not nursing related) book, and give your poor battered brain a break! Then, take a deep...
  24. LPN's and PICC's

    I'm pretty sure it's the same way in Indiana. And frankly, that's fine by me. I occasionally read the litigation procedings on nurses on our state's website, and came across a sad but confusing...
  25. Why are RNs underappreciated, underpaid in LTC?

    OK. THAT I understand. I don't know what area you are from, but in LTC in S. Indiana we can do a lot. In a hospital, however, we are used as techs at most. We can do little of nothing nursing wise...