catlynLPN

Always at least one in every place of employment. Hope things get worked out. Personally, I'd be working them out for him..... I'd let him speak to my attorney...............NOW.

Well, I'm not in NYC, but in my state if they're working under the supervision of the doctor he can train them to do whatever he wants them to do. As long as it's in his office under his supervision, is what I've been told. I don't like it either, but they do it here. There's even a drugstore in my little town that is giving out flu shots right now. I won't be getting mine there. I'll get mine at work and it will be given by one of my co-worker/LPNs. My state has recently started allowing med techs to give medications in nursing homes and I think they were already doing it like in assisted care places. The RN director of the state board of nursing in MY state said, and I quote, "It doesn't take a rocket scientist to pour pills out of a bottle and give them to a patient". That comment makes me feel really good, NOT. Something else I saw, once when I'd went in to get some lab work in my doctor's office. I saw a lab tech there trying to draw blood on this lady. She obviously wasn't getting any blood and she dug that needle way down in her arm. That little lady was complaining it was hurting but she just kept digging. I've never seen anyone dig like that before to draw blood. Another tech took over and got it immediately.

Don't feel bad. I make a mess somewhere everyday, at work. It just works that way for me. I'm a klutz. I clean up after myself, tho, alot of nurses don't even do that.

I don't work in a doctor's office, but on my job we are required to document all phone calls with family, concerning our residents, whether they call us or we call them.

I gave one injection for a neighbor once, but I'm not comfortable with it either. On my job, staff people there expect the nurses to check their B/P's all the time. It's just like clinic day for blood pressure checks, all for staff, everyday. Then they ask you, is this normal, what should my blood pressure be and on and on. I don't understand why they don't stop by their doctor's office and have THEM check it, or just go buy one of those self check cuffs and do it themselves. There's alot of variation with different nurses and different cuffs. Sorry, didn't mean to derail...back to original question. This is just a pet peeve of mine.

It's legal in my state. That's what LTC's are mostly staffed with. We also work on my state job without an RN in the building. But we have RNs on call.....we can reach them at any time for any reason, also have a doctor on call, and my facility is very good about accepting the LPNs judgement on sending someone to the ED and if it is really urgent we don't even have to call the doctor or RN first before sending someone out.

I hear what you're saying. And some people think night shift nurses don't do anything.

I work in a state facility. I had rather be there than in a private nursing home. The benefits are better and the pay is better. Plus I get bonuses, and they have a plan to get raises....you show that you do your job and do other things above what is required and you get raises judged on your performance and the yearly bonus is not connected to the raises. Bonuses are given for years of services. I've never seen that happen in a nursing home, private or run by a corporation. There are also better policies and they hold the employees to the policies better. Of course it's graduated discipline for everything, but it is there. Nursing homes don't do anything.....they are so chronically short of help, that a person can get away with just about anything, just short of murder and keep working. They need staff that bad, so they just ignore what they do. At the facility I work in, I see people get investigated and fired all the time. So these differences are just what I have observed, comparisons made between the state job and the job I had, part time, in a nursing home. I would NEVER give up my state job to go to a private place.........not until I retire. Of course you need to investigate the job you're looking at and see if you like their policies and benefits.

I was just now searching online for patterns to make crocheted bereavement gowns or wraps, that I intend to make for our children's hospital in my state and in my search, your posting came up. There are always women in every community who love to do things like this for charity and I'd bet you could find some to help in your area. Put an ad in the paper or go to your local shops that sell sewing, knitting and crocheting supplies....I bet they could get a group started to help you. If you do a search online for gowns for bereavement you can find sites that actually offer patterns for the little gowns, in sewing, crochet or knitting. Another idea, is if your hospital has a web site, you might could get them to do a page on your program, showing what you need and offering links to sites where the ladies who do the work can get patterns for free. But most women who sew, crochet or knit can come up with some great ideas. I can just almost guarantee you, if you get the word out there, there will be women come forward to help and their donations of gowns they have made will practically fund the project you have in mind, as the gowns and burial wraps would be a major portion of the program. I found a beautiful pattern for a crocheted burial wrap, that I want to make, and I was thinking of making a set...the wrap for the baby to actually be buried in and a coordinating blanket that the baby could be wrapped in for the mother to be with the child for awhile then she could keep the coordinating blanket for her memory box. It would take more time to make the set, but I bet it would be well received and appreciated by the mother. And if I'm willing to do this where I live...there are ladies where you live who will help you, also. All it would take is just getting the word out......Maybe you know someone in your family or friends mothers who do needlework....ask them if they could help you get a group started to make and donate the items needed. Bless you for wanting to do this for your community. If you get your program started, I will donate a bereavement set for you, like I have in mind to make. It might take me a couple of months to get one made, but I'd love to do it for you. PM me if you get it started.

Wow! that's going to double your 8pm med pass. Also, some meds can't be given together. You can give them separately when you have two med passes but with one med pass you'll have only one chance to give both meds. I guess you could schedule two meds that shouldn't be together, like one for the patient at the beginning of the med pass and then stop back by to that patient at the end of the med pass. If you have several patients on meds that shouldn't be together you're going to be making 2 stops for all those patients requiring separation of some meds. What a can of worms. I wouldn't go for this at all.

Well, I was only offering info about my own routines with my own dog. I wasn't insinuating that the OP should use a doggy door. Every pet owner has to know their own dog and be aware of what their particular type of dog needs. As I said, my dog and I have worked out our own system and routines, and I know that it might not be appropriate for everyone or every pet. Thoughts given here have to be taken and considered before someone implements a particular suggestion..........that's being a responsible pet owner. A person has to know their pet. Take a suggestion if it is usable and discard the rest. I'm sure the OP poster would do that.

This is what I do. My dog stays by himself, I make sure he has food out, plenty of water, he has a fenced in back yard, a doggie door to get inside if he wants in. He has blankets on the floor. He's comfortable. And when I get home we're just snuggling up and he sleeps on top of my bed. But my dog is also a small dog and he sleeps alot. I think greyhounds are much more active and need more exercise. But my dog and I seem to have adjusted well and worked out a system and routine together.

I work for a GLC but our facility is being sold to a private party. I would think the pay rate is determined by the area you live in. I make 17.50, and that's with 35 yrs experience. I make more on my other job which is a state job. And I don't know what to tell you to expect for questions. I don't remember being asked anything in particular. Just filled out an app and that was it.

Well, at my facility they have progressive discipline. First offense could be a counseling, second a written warning, third, could be a suspension, fourth dismissal. They also receive points, like for certain offenses could receive 3 or 6 points depending on the severity and type of incident and receiving 12 points is the limit....another offense that could cause that person to have over 12 would then be an automatic dismissal. So if you have several different types of offenses but they total 12 points they would then be terminated at the next offense if it gave that person another 3 points. But just another counseling or a written warning, depending on what it was might not put the total over 12...just depends on what it is. Then stand by their word and follow the policy.

Here's what I'm thinking....maybe the family just didn't "see" the dying process. I went in to work one day and checked on a patient.....I could see that death was close. I told the nurse I was relieving, "He's dying now." She said, "No, he's not. He's been like that all day. His family has been here and they've visited all day." I said, "No, he's dying now." I called the family and they got there as quickly as they could but he was gone by the time they got back. Even that nurse could not see that he was dying. So I would think that people who are NOT nurses may not realize either......you said in your post that one daughter said "Mom is sleeping" and she left. Some people just don't see it, especially lay people. I am still amazed at that nurse I relieved who did not see that that man was dying right before our very eyes. Maybe she had never seen someone die before and could not see the look of death that comes over the person.