MedicalLPN

MedicalLPN LPN

Onco, palliative care, PCU, HH, hospice

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All Content by MedicalLPN

  1. Pain management in LTC

    MedicalLPN replied to bluegeegoo2's topic in Geriatric, LTC

    Marachne is right, the PAIN-AD scale is a wonderful tool to use when assessing pain, it saddens me so much to see how pain is under treated in almost every setting. It seems many nurses and physicians...

  2. Gross Things You Wish You Didn't See (G-rated)

    MedicalLPN replied to FireStarterRN's topic in General Nursing

    Lordy, I'm a chunky monkey but the day I roll up in someone's hospital with food "stored" somewhere you have my permission to smack

  3. Humour in nursing

    MedicalLPN replied to Iam46yearsold's topic in General Nursing

    Hehe, this came to mind. Had a very ill and confused patient once who was screaming "Help oh God Help me!" I went in her room and said "Honey, what's wrong?" to which she replied "I'm being stabbed to...

  4. Reprimanded for NOT giving IV Push Medicine

    MedicalLPN replied to Spritenurse1210's topic in General Nursing

    I live in VA as well, a while back I was doing some searching to find out the SOP for LPN's after a few phone calls I found out that there is no definitive document for SOP that it is up to each...

  5. Heparin drips

    MedicalLPN replied to moffist's topic in General Nursing

    I agree, 12 hours is too long, especially if it's a newly initiated drip. Next time I might would call the lab and see if one of the other phleb. could try to stick her, if they couldn't as a previous...

  6. Selling puppies out of a pts room

    MedicalLPN replied to madwife2002's topic in General Nursing

    I swear the audacity some people have is astounding. If you're well enough to have sex, eat 2 buckets of KFC chicken, smoke 25 times during the night, or... sell puppies from your hospital bed, then...

  7. Heparin drips

    MedicalLPN replied to moffist's topic in General Nursing

    Heparin drips are a pain in the butt, IMO. Did you check your hospital's/pharmacy's protocol regarding Heparin? Most hospitals have a set protocol where a ptt has to be obtained at set intervals. I...

  8. new paramedic... another question for the nurses.

    MedicalLPN replied to paramedic_t's topic in General Nursing

    This is very true. I've noticed that there seems to be a rivalry between some medics and nurses. A medic gets treated bad by a nurse or a nurse gets treated bad by a medic and boom suddenly all nurses...

  9. new paramedic... another question for the nurses.

    MedicalLPN replied to paramedic_t's topic in General Nursing

    This is me, but if I were on the cart, being dead would be my primary concern :) To the OP, just remember to throw a sheet over the patient before you take them off the ambulance. You're new at this,...

  10. Your patient fell? You need to be disciplined!

    MedicalLPN replied to casperx875x's topic in General Nursing

    Seeing this where I work as well. Thanks to Joint Commision adopting this zero tolerance of falls, pressure ulcers, and nosocomial infections our administration has turned up the heat on the nurse...

  11. IV start on obese pt

    MedicalLPN replied to bisacat's topic in Emergency

    Does your unit have a Venoscope you can use to aide in hard IV starts? Our unit has one and oh god it is the best device that was ever made, I'm on an oncology unit and our patients of course...

  12. Giving Vitamin K IV

    MedicalLPN replied to SweetTeaRN's topic in Emergency

    I've given it IVPB several times, it is okay and effective just monitor the patient closely for adverse effects. I still prefer to give it SQ though as I still get nervous administering it

  13. LPNs in the ED

    MedicalLPN replied to HikingNinja's topic in Emergency

    I don't think the OP intended this as an LPN vs RN thread. Yeah, if the LPN's there can't push IV meds it maybe best for everybody to utilize them as a float nurse and do the tasks you described. That...

  14. worried about choosing nursing as a career...

    MedicalLPN replied to jordan517's topic in Men in Nursing

    Ugh this has happened to me a couple times because they thought I was actually female:banghead: To the OP, go for it, you may face prejudice from time to time but most of my experiences have been...

  15. tales from the "charts" side

    MedicalLPN replied to achot chavi's topic in Geriatric, LTC

    These are great. I've stumbled across some wonderful nurses notes where I currently work, "Blood hanging, pt fine." "Pt looks like he's in pain, I will medicate soon." "Pt assessed, meds given,...

  16. every LPN in my hosp was laid off today

    MedicalLPN replied to FlowerbuddRN2B's topic in LPN, LVN Corner

    It disgusts me when things like this happen... We all gripe and complain about how short staffed we are well gee no wonder. Now that they've fired such a large portion of their nursing staff when the...

  17. Did you ever scare yourself as a student?

    MedicalLPN replied to rcclover00's topic in General Nursing

    I've always been a big believer in you get out of your education what you put in it. By reading ahead and doing your own research in addition to what you're doing in your courses you really just...

  18. What's your patient load?

    MedicalLPN replied to guest64485's topic in General Nursing

    I work med/surg oncology, For dayshift it's typically 4-6 pts charge with no patients, 2-3 aides and a secretary For night shift it's 5-8, sometimes 1 aide, no secretary, sometimes charge will take...

  19. How to handle something with a certain CNA

    MedicalLPN replied to mondkmondk's topic in General Nursing

    Maybe I'm in the minority here but if she isn't being malicious, and if she's friendly and competent, I would just chill out. There's bigger fish to fry, don't waste your time or management's time...

  20. What Would You Like to Chart if You Can Get Away With It?

    MedicalLPN replied to pagandeva2000's topic in General Nursing

    Pt admitted from ED with diagnosis of AMS secondary to ETOH withdraw, pt has bizarre affect and resembles Linda Blair from 'The Excorcist'. ER nurse states in report that pt's DT's have rendered him...

  21. Staff Carrying Pyjamas On Night Shift!!

    MedicalLPN replied to adoyo's topic in General Nursing

    Lord I'd be happy to have a meal break much less a nap break! The drowsiness hits me when I'm charting particularly after a long shift, ugh speaking of which I have to work

  22. Manic Nurses.

    MedicalLPN replied to Jo Dirt's topic in General Nursing

    I was diagnosed with Bipolar several years ago, in that time I've been through so many medication changes it's not even funny. The only way I've made it through is by seeing a therapist in addition to...

  23. Does anyone working night shift take modafinil?

    MedicalLPN replied to Sandwitch883RN's topic in General Nursing

    I take Provigil and work night shift, though that's not why I take it. It helps a lot as far as promoting alertness and energy, however it is very expensive and most insurance companies make you jump...

  24. Killed myself in school to become this????

    MedicalLPN replied to ILoveNursing82's topic in General Nursing

    I think being a nurse is much harder than being a nursing student, there is so much to learn once you graduate. As far as clinicals go typically you have 2-3 patients when you get out of school if you...

  25. Bizarre Admitting Diagnosises

    MedicalLPN posted a topic in Medical-Surgical

    I don't know about you guys, but some of our patients come in with admitting diagnosises that literally just leave you scratching your head. Here's a few that I've seen: 1. An 82 y/o admitted with...