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LauraF, RN

LauraF, RN ASN, CNA, LPN, RN

Pediatrics, Geriatrics, Call Center RN
Member Member Nurse
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LauraF, RN has 30 years experience as a ASN, CNA, LPN, RN and specializes in Pediatrics, Geriatrics, Call Center RN.

I got my LPN a long time ago. I have worked in Peds, Asthma and Allergy, geriatrics. I have worked my way up from starting out as a CNA, Pharmacy Tech, LPN and now RN. I love my job. I love my kids, 2 boys and 1 girl. I have two grandkids a boy and girl.

LauraF, RN's Latest Activity

  1. LauraF, RN

    Roles of DON/Nurse Manager

    I am a new DON for a LTC facility. I am expected to be at the QI meeting, dept Head Meeting, Medicare A meeting those are the weekly ones. I am also responsible to have a written presentation for QA with the doctor once a month. I have someone else do the schedule but I am responsible for maintaining, and am responsible for making assignments. I am responsible for dealing with family members, and staff problems. I sign off on the MDS's, I try to make time to go to Care Plan meetings, I have to do physical assessments on all new residents, I do the screening when necessary for potential residents. I keep track of the falls and handle the investigation of them and when necessary call them in. I do the paperwork that needs to be handled after it has been called in and mail it in. I have yet to have an orientation but am learning by trial and error. I like to go to the Care Plan meetings so that I can address nursing issues and know where and what my residents are doing or not doing.
  2. LauraF, RN

    Falls

    We have a guy at our LTC facility that fall often too. The nurses have to drag the guy around with them where ever they go, and God forbid if they have to go to the restroom. Per the state the alarm could be considered a restraint because the resident may be intimidated by the sound when they get up. Geri chairs? Please another restraint. He has BPD and feels like he needs to pee all the time. We take him pee and sometimes he can go other times he can't. Urine is clear. Depakote is WNL, he is in a wheelchair he is just not strong enough to walk, but he still tries to stand up and ends up falling.
  3. LauraF, RN

    Lost one of my 'favorites' yesterday

    I'm so sorry for your loss. It's funny how all through nursing school the instructors or saying how you should not get "too close" to your patients. But you just can't not get too close. They become like family, and you become their family. If you don't get too close to your patients, it is more difficult to pic up those times when there is the slightest change that gives you the head up that something major is around the bend. I was a CNA many moons ago. My first favorite who passed gave me warning that he was about to pass. But being a teenager I just didn't know it. He used to always say he was going to take me to the moon. One evening he was being very quiet. I asked him about our travel to the moon, and he replied "Well if you wanna go, we better hurry, I won't be here much longer." I laughed with him, gave him a hug and put him down for bed. I came back the next evening to find he had died in his sleep. I keep this story with me, so that I remember now as a nurse, those little clues. That way I can mention it to family in case they want to be there. It was sad that "Grandpa" was not able to be with family when he passed, but knowing the last person to put him to bed, was someone who loved him, helped me feel better.
  4. LauraF, RN

    Question about what you can bring in room with you

    I was sicker then a dog when I took my NCLEX. They would not let me bring my cough drops or even a kleenex. She said if you need a kleenex raise your hand and I will provide one for you. You can bring NOTHING.
  5. LauraF, RN

    New Grad Reality Shock!!!!!!

    I graduated in December. I just started a job where I am "the" RN. I have one other LPN and we have a total of 75 or so patients. What has helped me is that I was an LPN for 17 years. So I have the knowledge base that I was just expanding on. Also when the LPN has questions, we brainstorm. If you do this, what could happen? If you did that, what could happen? But I don't think I would have the confidence or the ability to do something like that had I not already had the experience.
  6. LauraF, RN

    The Secret behind Passing California NCLEX-RN at 75

    Yeah, I'm with Augig. Massive studying is what helps. You have to know your stuff. You can't rely on someone else to put the information in your head.
  7. LauraF, RN

    THIS Is Why I Love Geriatrics

    That is a beautiful story. How wonderful for you all to do that for that couple. I'm so glad that they were both able to enjoy it. Good for you too! That's what nursing is all about.
  8. LauraF, RN

    DMLH cream

    Now use the generics of that. Diphenhydramine, generic reglan which I won't even entertain the correct spelling but it starts with an M, ativan generic is lorazepam and haldol is haloperidol. Thanks guys!!!!!
  9. LauraF, RN

    DMLH cream

    So the M could stand for morphine, possibly.
  10. LauraF, RN

    DMLH cream

    What is it? I work in LTC. The nurse on the other side came to me and asked me what it was. He is giving it to a Hospice patient. It says channel blocker but that it is. But it is on the narcotic count sheet. I can not find it anywhere. I'm wondering if it is something that is a special formula. Thanks in advance for your help.
  11. You might ask the recruiter if there are other positions available. Keep in mind though that managers talk. So I would keep things to yourself until you have a foot in the door. Once you get a job there, and you so how much you are NOT a burden, and how this manager, sure missed the boat on hiring you then you can be the one with the one up. I understand your feelings. But if you complain, when you really want to work at that facility that would not look good. You know what I mean? Don't go making a bunch of waves before you even have a job there. Good luck!
  12. LauraF, RN

    Brainless People!

    The state would not allow this. You CANNOT refuse to let them leave the facility unless they are a ward of the state, and the proper paperwork is done for them to be committed. Then if committed, more so would be psych not LTC. You cannot keep someone against their will, unless they have been declared by the courts as incompitent.
  13. LauraF, RN

    Falsely Accussed, Manager a Witch

    What about a different unit? Doctor's office? LTC?
  14. LauraF, RN

    Brainless People!

    This is a very difficult situation. If he is his own guardian, and he is signing himself out when he leaves, read what he is signing. Ours are waivers. That the resident/guardian is assuming responsibility for what happens to this resident. Technically it is his legal right to smoke. Technically if he is his own POA or guardian he has the right to sign himself out. One option, but it would involve social services, and the admin, he could be deamed incompitent and be appointed a guardian. Otherwise in the state's eyes he can continue to do what he is doing.
  15. LauraF, RN

    Paired with horrible nurse today

    I had a few bad nurses in clinicals. I took notes of all the things that they did that I didn't think was proper and used that as a List of things I don't want to do when I am a nurse on my own." Learn from her errors. I hope that your next nurse is a 180 switch. Good luck, and keep your chin up. You will get through this and maybe some day have nurses with you.
  16. LauraF, RN

    Crocs!

    My facility did as well. But not until after someone actually did fall. She tripped over her own two feet. Now we all must pay. Some people wear them anyway, I just chose not to make waves. I have been sticking to birks while at work. Unfortuanely I somehow got my crocs into the wash. Now they are too small. :uhoh21: So at some point I need to go buy some more.