bluegeegoo2 LPN

In my building, the scheduler has been known to deny your requested day off even if you found your own coverage. The kick in the teeth is that the scheduler will use the person you recruited to cover you to fill a hole on that shift, thereby having b...

Maybe have a drawing with the names of those who complete each month for a chance to win a $25 gift card. $50 card for every quarter, $100 every 6 mo and $250/year. We like money. (For the record, I do mine simply because it would be my luck to get ...

I generally respond with something along the lines of "I have accepted an offer that better fits with my professional and personal goals." I then thank them for the opportunities that they have provided me and that's about it. Like stated above, you ...

Is she A/O? If so, I would ask her her preference. A Foley would provide more dignity than having to be incontinent into a brief. However, an unnecessary Foley would increase the chance of infection. I would discuss options with her and educate on p...

Don't be surprised when you get lied to about ratios. Of course they're going to tell you that they're good. Things I look for in a potential employer: Does the building smell like urine/feces when you walk in? If so, turn around and walk out. How d...

I suggest that if your goal is to become a RN, go to school for RN. I went the PN route in order to get to work sooner with the intention of doing a bridge program...Ten years ago. I am still a LPN. Why? Life happens. No-see-ums came up and returni...

Dementia patients present with restlessness when they have pain, are cold/hot, hungry, need to toilet, or have an infection (UTI?). I have seen plain ol' Tylenol do amazing things for agitated dementia patients and after attempting to meet other need...

Agreed but if the nurse who took the order failed to clarify then the night nurse should have.

Pre-op orders usually cover what, if any, meds are to be given during NPO status. I've always seen the order written "With sips of water." If there was no pre-op order for meds, the nurse should call the MD and clarify.

If I may play the role of Devil's Adovcate...When faced with unexpected, shocking and traumatic news, I feel immediately stressed and uncomfortable and in that emotional state, say the first thing that makes "sense" in my confused and troubled mind. ...

I get $3 more an hr on eves, plus less family and management goes home at 5. Residents go to bed right after supper. I get to sleep late and lounge around before work. It's a win-win for me.

I would personally put the 2 days together so I'd have 5 days off, but that's just me.

I have yet to hear of or see a D.O.N. Keep their job when the IJ is in nursing. Not saying it doesn't happen, just that I have not seen it myself.

Given your current situation, I would probably go for it. As you stated, no form of nursing is stress-free, but in my experience, assisted living is fairly laid back. (Depending on staffing, of course. Always with the staffing.) It's been several ye...

I recently had a diabetic whose FBS was >400. He showed me why: 2 empty containers of single-serve pancake syrup and a regular Coca-Cola. Sooo, Mr. Alert-and-Oriented-Diabetic did 2 shots of syrup with a Coke chaser. His choice. When I started nu...

One of our nurses did everything by the book with a drsg change, washed her hands...then "dried" them on her uniform. (?!!) Tag. Bad habits earn tags. Pounding the basics into everyone's head drives us crazy, but enforces good practice. As said abov...

There are too many variables in human physiology to timeline bruises. A bruise may heal on one person in a week but may take a month on another. What are you needing the information for? If it's to monitor, I always wrote "Monitor bruise to "X" unti...

I agree with the likelihood of there being POC in place. I worked in a building that every single fall was an automatic Xray of the pelvis and bilat hips regardless of clinical findings. Was a pain but a POC is a POC so we complied.

I am thinking of a lady that I take care of that has dementia with behaviors. These behaviors consist of beating the hell out of anyone who comes near, scratching (some staff have scars) biting (no teeth, thank God) spitting directly in your face and...

Another thought, how is she able to access your notes? Do you make yourself a copy of your notes to make sure she isn't adding or deleting information?

The boss is not changing the CONTENT of the documentation, only abbreviating where she sees fit. Like I said, certainly annoying but so long as she's not adding or deleting content then the documentation is intact as OP entered it.

So long as she isn't changing the content of the notes, I don't see a problem other than it being annoying. Maybe ask her for a list of "approved" abbreviations that you can use. If she is or begins to add/delete content then that's a whole differen...

I love my Zebra pens. Won't bleed or smudge and have a fine tip for clear, small print. They can also easily make it through the biggest stacks of carbon copies.

Exactly. We will have to decide which meds are "most" important and attempt to give them in some sort of order. Good luck getting that calcium down.

I will carry on as usual until state is standing next to me, then I'll put on a show for them. I swear it's like "they" are sitting around trying to find ways to make med pass as difficult as possible. "Resident centered care." Pssh. How many peopl...