litlamp

litlamp

Medical/Surgical, Cardiac/Telemetry

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All Content by litlamp

  1. Scope of practice in your hospital as an LPN

    litlamp replied to tokmom's topic in General Nursing

    Where I work LPN's can do alot. The scope of practice in TN for LPN's is very minimal and mainly covers medication administration (push meds). We do everything but hang blood and there is a short list...

  2. what do you do with empty narcotic vials?

    litlamp replied to brownbook's topic in Patient Medications

    I forgot to add.. always check the policy where you work

  3. what do you do with empty narcotic vials?

    litlamp replied to brownbook's topic in Patient Medications

    Where I work they go into the sharps boxes. Never into the

  4. Dressing changes

    litlamp posted a topic in General Nursing

    When would you change the dressing on a *new* PEG tube if there were no written or standing orders besides "remove sutures 7 days postop"? Would you change the dressing with or without an order or...

  5. Dressing changes

    litlamp replied to litlamp's topic in General Nursing

    Thank you all very much for the replies. I'm still learning that all cases may be different for post op dressings, initially I thought how I learned... that you initially just observe the dressing...

  6. Low census input help

    litlamp posted a topic in General Nursing

    Our facility has been faced with unusually low census the past few months. This has lead to staffing changes and many nurses getting "called off" or put "on call" for the shift. The problem with this...

  7. Push meds and Scope of Practice Interpretation

    litlamp posted a topic in First Year After Licensure

    I'm having an issue with my states scope of practice, how to interpret it compared to how our facility operates. First off, I'm practicing in Tennessee, I am not IV certified, and I do not have more...

  8. Push meds and Scope of Practice Interpretation

    litlamp replied to litlamp's topic in First Year After Licensure

    I just wanted to post an update in case anyone was looking for the same information: I called the TN BON today and asked for clarification of the scope of practice with administering push medications....

  9. Did I handle this correctly?

    litlamp posted a topic in First Year After Licensure

    Let me know if you would have done this differently please... I had a patient whose IV was not infiltrated but at the point of access was showing irritation. I reported to my charge nurse and she...

  10. Did I handle this correctly?

    litlamp replied to litlamp's topic in First Year After Licensure

    Nope, but it is similar in set up. It's unlike excel in that there are check boxes with pop up choices and small areas for type in

  11. Did I handle this correctly?

    litlamp replied to litlamp's topic in First Year After Licensure

    The IV was KVO 30ml/h only for a q 24h antibiotic that the charge nurse changed to PO, and only required the doctor to sign off on it in the

  12. Did I handle this correctly?

    litlamp replied to litlamp's topic in First Year After Licensure

    I think I'm a bit perplexed being that we don't use meditech, however, when the information is entered the previous three entries are already visible to me at that time in the electronic charting...

  13. Did I handle this correctly?

    litlamp replied to litlamp's topic in First Year After Licensure

    We use a different application. Entries are made with your personal login. After your digital signature upon completion, the entry is locked and uneditable. I couldn't change another nurses electronic...

  14. Did I handle this correctly?

    litlamp replied to litlamp's topic in First Year After Licensure

    Yes it is sad and disheartening to see this happen. I've learned mostly through this forum and on my own that no matter what others may do, my actions as a nurse must stand alone. I know I am my...

  15. Did I handle this correctly?

    litlamp replied to litlamp's topic in First Year After Licensure

    Thank you!! (((sigh of relief)))

  16. new grad struggles

    litlamp replied to nursing6207's topic in First Year After Licensure

    I completely understand and I am a new nurse myself. Working on time management, as I have found out personally can have a huge effect on how your shift may go. For instance, when you receive your...

  17. Push meds and Scope of Practice Interpretation

    litlamp replied to litlamp's topic in First Year After Licensure

    The Lasix is screwed onto the pump and infused by the pump as a secondary infusion and at a slower rate, so is this considered "pushed" by me? Just making sure you understood it was on the pump and...

  18. Please help me...

    litlamp posted a topic in First Year After Licensure

    A little backstory: I recently began orientation to our local hospitals med/surg floor. It's my first position since graduation and passing boards two months ago. I love nursing, I love providing care...

  19. Please help me...

    litlamp replied to litlamp's topic in First Year After Licensure

    No, I'm very sorry, I didn't mean for that to sound like an accusation. I meant it as how I'm being preceptored.. which has included all the short cuts but not anything as you just mentioned.... that...

  20. Please help me...

    litlamp replied to litlamp's topic in First Year After Licensure

    That is a valid point, thank you for making me look at it a bit differently. I don't want to jump to conclusions or misinterpret anything and I know being a new nurse I may be over critical which will...

  21. Anyone ever heard of this regarding NCLEX?

    litlamp posted a topic in NCLEX Exam, Programs

    I've been talking with classmates who are currently taking their NCLEX-PN this week. I know before taking mine last week I read as much as I could about the test itself. A question came up about some...

  22. Anyone ever heard of this regarding NCLEX?

    litlamp replied to litlamp's topic in NCLEX Exam, Programs

    Thank you for clearing that up. I was certain if that was the case it would have been in the

  23. Nutrition

    litlamp posted a topic in Nursing Student Assistance

    Can anyone recommend a good nutrition book or reference? I'm looking for a basic level reference that covers vitamins and minerals.

  24. need an advise about braden scale

    litlamp replied to yemel's topic in General Nursing

    I read this awhile back, hope it helps. Link will direct you to the full article. It's directed more towards staging but the article is very informative....

  25. Need to interview 2 nursing students ASAP

    litlamp replied to kellyp374's topic in General Nursing

    Well put and one of the best pieces of advice