MedicalLPN

MedicalLPN LPN

Onco, palliative care, PCU, HH, hospice

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All Content by MedicalLPN

  1. s/s of sepsis?

    I've had quite a few patients even without fluids that were afebrile while septic. I agree with the other posters that said this sounds more like hemorrhagic or hypovolemic
  2. Sleep Deprivation

    so, here we go, started my dayshift position working hh and hospice about 2 months. having worked night shift for quite a while i figured it would take me a couple weeks or so to get adjusted, yet...
  3. Sleep Deprivation

    i did try melatonin, was on it for about 2 weeks with no effect and benadryl tends to make me hyper as opposed to drowsy. i've been practicing good sleep hygiene, not lying in bed for more than 30...
  4. LPN/ Outpatient Oncology clinic

    Go for it. The only way to get good at IV starts is to do them again and again and again and again and again and again and again (obviously not on the same patient). Oncology is an awesome area of...
  5. Affairs rampant among nurses?

    That just made me
  6. The posts here are excellent. I think with nursing it's so easy to lose yourself, or at least that's something that I've struggled with the past two years. And when you're going through a hard time...
  7. What do I do now?

    Start calling. The worst they can say is "Wait until you have your
  8. fired for refusing to practice out of my scope

    Good for you for standing up and not letting them taking advantage of you. I am so sorry they fired you, that's truly deplorable if I were you, I would contact the state BON and report the situation...
  9. Leaving the Hospital Behind

    Well, after quite awhile of being completely stressed out and unhappy with work I think that things are finally about to be different. While I have been in love with nursing since day 1, I've always...
  10. Leaving the Hospital Behind

    Thanks for the support and good thoughts! I am so excited and am looking forward to Monday, that being said I'm going to also enjoy this coming weekend before it's time to get back to the grindstone!...
  11. What rhythm would this be?

    Maybe the patient was throwing occasional PAC's which can be tricky to spot out sometimes. Plus I've noticed that the monitors don't always say that the patient is having PAC's it'll just say that...
  12. I Wonder How Long...

    No, I would not work for free. Like many people I'm barely a float now, any sort of decrease in income would severely impact my ability to financially survive and I have no interest in becoming a...
  13. A Patient Made Me Cry Today

    Experiences like you just had, are the reason we are nurses. We care and love those who are forgotten and abused by society. You did so much for that man, you gave so much compassion and caring to him...
  14. Got fired

    I am so sorry for what happened to you! I agree, try to look up the drugs when you're unsure, but whenever in doubt ASK QUESTIONS!! Even your wisest most experienced nurses will tell you that when in...
  15. How was Nurses Week celebrated at your Facility

    When was nurse's day? My hospital just sent out their weekly "You suck notes" to everybody like they always do. But we had some celebration for the Doctors a few weeks ago every unit had to make a...
  16. Mispronouncing medications

    For some reason, I had the hardest time learning to say metoprolol correctly. Why? I have no clue lol Sometimes I still have a hard time with it so I prefer to say either Lopressor or Troprol XL,...
  17. Knowledgeable vs. Caring Nurse

    Just because the nurse has a lot of knowledge and knows what's going on with her patient does not mean she'll do anything about it. Sure she may know you're bleeding out and why but if she doesn't...
  18. "LPNs should be done away with altogether"

    Actually depending on the facility, in Virginia they can. Virginia does not have a definitive document for the scope of practice for LPN's, it is instead left up to each FACILITY in the state to...
  19. psychiatric nursing resources

    http://www.psychologytoday.com/ excellent website go to the diagnosis dictionary and there's a slew of disorders you can read up on. It includes DSM criteria, s/s, causes, pharmacological...
  20. What departments have high amounts of men?

    From what I've seen there tends to be higher concentrations of male nurses in ER, ICU, and
  21. CHF: Often times seen along with acute or chronic renal failure, look for BNP level to be done a BNP >100 is strongly indicative of CHF, look for an echocardiogram to be done and make note of what...
  22. The end of C-diff testing??

    That's insane, it's sad that Joint Commission and administration would rather see patients die or suffer complications from untreated C-Diff than to pay for a stool sample and some
  23. Hi all! I'm very confused right now, and could really use some input from you wonderful gals and guys! I currently work on a Med-surg unit that specializes in Oncology, I started working there this...
  24. Considering changing from Acute Care to LTC

    Thank you all for your feedback, experiences, and opinions. I'm still not sure what I'm going to do, more than likely I will just try to "hang in" there since there are many positives with my current...
  25. ICU fighting admissions?

    IMO whether your a med-surg nurse or an ICU nurse, it's better to transfer a patient before they code than after they