MikeLPN

MikeLPN

MedSurg, LTC

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All Content by MikeLPN

  1. Saunder's Review and Saunders Q+A together (there was a deal on Amazon back when). I don't know how many questions there are between the two but I did not even get close to covering 50% of the...
  2. Taking Pictures of wounds

    This is the camera we have at work. It is made especially for this....
  3. Carpal Tunnel ???

    Thoracic outlet
  4. Need a good cancer reference book

    I need help from you oncology nurses. My dad is in recovery from colon ca w/mets and my mom just got diagnosed with uterine ca and today we decided to defer radiation d/t quality of life issues. And...
  5. Microbiology test for unknowns

    http://www.hpa.org.uk/
  6. book reccomendations for new psych nurse

    Psychotropic Drugs by Keltner/Folks published by Mosby. It is very comprehensive, detailed and small in
  7. Do you use Spanish on the job????

    Ayyy
  8. Skin tears

    I use our wound cleanser for an initial cleaning and then blot it dry while coaxing the remaining skin edges into approximation using swabs if need be - especially if the skin rolls under. Then I...
  9. what should I learn NOW-before Nursing school?

    Learn to smile and say "No problem" when everything is going wrong and all at
  10. I lack charting skills

    I bought Chart Smart and it helped a little and I try to read some of what the other nurses chart when I can which seems to help more. One time I charted "Bed hold policy not sent because the...
  11. A Nurse Made My Wife Cry

    My wife works as a day HHA and about once a month works at the LTC at the local hospital when they are really short days/eves. I work as a full-time eve LPN at a different LTC facility. This was my...
  12. A Nurse Made My Wife Cry

    My wife works as a day HHA and about once a month works at the LTC at the local hospital when they are really short days/eves. I work as a full-time eve LPN at a different LTC facility. This was my...
  13. how to change supra pubic cath

    Be quick and be very,very,very gentle. Put the new catheter in as far as you took the old one out (you don't need to be poking the opposite wall of the bladder). Don't push until you get urine, put it...
  14. New Charge Nurse in LTC Rant

    I'm new but seeing as how the last charge nurse quit and moved to Alaska because she was tired of all the BS (Her sage advice to me was "Michael, never, ever be charge") then came the day supers...
  15. New Charge Nurse in LTC Rant

    Sorry for the rant. I guess I'm just going to have to get serious about the LPN-RN program and quit screwing around. And that's MY attitude
  16. We dissected fetal pigs in APII (cats for those with religious preferences). I don't see what the point was of the whole excercise. And then we had to take a lab test to identify the parts of the...
  17. med aide

    Good Med Aides
  18. Insulin Sliding Scales

    NPH 15 units. R 11 units. But only after a recheck before. And a follow-up would be
  19. LOL in end stages COPD/CHF not taking oral well and was previously on 40mg oxycontin po bid. I spoke to NP who then gave order for buccal oxycodone (oxyfast) 10-20mg qh prn because of concerns with...
  20. Lovenox Questions

    The needles for lovenox seem dull. Is there a reason for
  21. You will get a better idea of when to yell at the CNAs and when to be nice to them and what they look like when they are actually working hard. You know what they know and you know how to do their job...
  22. tension between EMT and LTC nurses?

    Well, I've only had one "tense" epsiode. Resident was diagnosed with a UTI in AM. A new TMA called me down way late. He had crackles, mottling, an almost undiscernable BP way low, no intake, demented,...
  23. tension between EMT and LTC nurses?

    Well, I've only had one "tense" epsiode. Resident was diagnosed with a UTI in AM. A new TMA called me down way late. He had crackles, mottling, an almost undiscernable BP way low, no intake, demented,...
  24. Use of NTG w/ newly emergent SVT

    I've tanked a lot of BP's with nitro. Usually it's the beginning of the end and I call for orders for ASA NOW (depending) + MSO4 if there is time The nurse I was with (who's wing it actually was) is...
  25. Use of NTG w/ newly emergent SVT

    I've tanked a lot of BP's with nitro. Usually it's the beginning of the end and I call for orders for ASA NOW (depending) + MSO4 if there is time The nurse I was with (who's wing it actually was) is...