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I think I know the answer to this...
it's done all the time where i work, especially if a patient is being discharged. i do rounds with the doc and write out the discharge scripts as he says them and then he signs them. there has never been a problem. if it makes you uncomfortable perhaps you could call them to the pharmacy. we also do alot of that.
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Any tips for new nurses in LTC?
Congratulations GatorLPN...in my opinion you will be involved in one of the most satisfying areas of nursing. You will put in long, very challenging hours. You will be rewarded a hundred times over, everytime you go home at the end of your shift (or later) and know that someones life was made better today because you were there!
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External Version??
Oh definately! They will wait until regular hours to do the procedure and will have a colorectal surgeon present as well in case I need the section. I have a proven pelvis (4 lady partsl births with no complication) and would love for them to attempt a breech birth (while I know it's impossible to deliver a transverse baby lady partslly). I am also concerned about my water breaking spontaneously with the polyhydramnios and the baby not being head down. For some reason, I have worried incessantly this pregnancy about cord issues and prolapse is one concern of mine. I've had a spontaneous labor at 39 weeks and 3 induced labors at 38, 36 and 35 weeks. There is just so much complicating this pregnancy that I just want the little bugger OUT and safe at this point.
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External Version??
Yes I do! Very much so. I will be attempting the pelvic rocks and knee-to-chest postions to try and get the baby to turn before that. Thanks for your feedback. I really appreciate it.
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External Version??
What is your experience with these? I am going to need one as my baby is currently transverse (side to side, was diagonal). I'm a nurse (posting under my mom's screenname) as well and know *just* enough OB to make me dangerous. :rotfl: I have had extensive abdominal surgery and I have Crohn's Disease, so preserving the integrity of my abdominal wall by avoiding a c-section is optimum. I've read various articles about the effectiveness of the ECV and am wondering what the experts think. I've heard everything from "it's fine, no worries" to "our practice won't even perform them". I've read that it's around 65% effective, that it hurts like an MFer :uhoh21:, that there can be cord issues (my biggest concern) etc etc. My particular practice acts like a "vert" is no big deal. They will attempt it first without the epidural and then if it doesn't work will try it WITH the epidural. I also have polyhydramnios (likely the reason for the breech in the first place) so they will turn the baby, rupture membranes and administer pitocin to get me delivered. Sorry for the life story, but I figure the more history you have, the better you understand the conundrum. (sp) Thank you for you help.
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concealed medicines?
If the patient is alert and oriented they absolutely have the right to refuse. However, if the patient is confused, disoriented with a diagnosis of dementia he/she is probably in no condition to make the decision that he/she doesn't want them. These patients do not always know what is best for them. We hide meds in food all the time. Just be sure that you are the one to give them. Do not let anyone else do it.
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Lpn's
In the year I went to LPN school, I spent over 700 hours in clinicals. A good friend of my got her ADN with just a little over 300 clinical hours! Go Figure!
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Time Heals???????????(long)
I am so so sorry for your loss.This is a difficult time of year. I hope you can find peace with this.
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Disturbing Nursing Home Story
Oh please. Reading this kind of stuff really makes me sick!!! Having worked in a lot of nursing homes I KNOW that the majority of them are GOOD! The media loves to pick on the few that have problems!!!!!! Yes, nursing homes have problems, they are understaffed as are hospitals. But I would rather be in a nursing home than a hospital!! Yes pts. in nursing homes are dehydrated and ?malnourished. But it's not because we don't try to get them to eat or drink. Sometimes they just REFUSE and they refuse for long periods of time..and interventions are taken. Yes, pts. in nursing homes have bruises. They are not caused by mishandling. Elderly pts. have fragile skin and this is usually documented. The Media loves the hype!!! I could go on and on, but i'm sure you see my point. Yes, there are a few bad nursing homes but the majority are very good and I would not hesitate to place a loved one in them (or myself for that matter)! Oh and I need to add that the majority of bedsores that nursing homes see are the ones that come to us from home or the hospital!
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Need info please!!!
Sorry everybody...I hit the wrong button before I was finished! Oh how I hate that. Grrrr! Anyway, I guess that's about really it for the questions for now! I'm looking forward to your responses! Thanks in advance!! Sue
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Need info please!!!
Hi all travel nurses, This is an area of nursing that I am considering...I am an LPN with 20 yrs experience...mostly geriatrics and have been contacted by several travel companies recently! ( I filled out on-line applications.) I have a few questions I hope someone will answer.. !) Obviously nurses need to be licensed in the state they are working in. Having just recently moved and transferred my license, I know what a long drawn out process this can be...it can take 8-10 weeks! How do you get around this problem. Are some of you licensed in like every state and do you do this way in advance. If I were offered an assignment say in FL, are they going to wait the 8-10 weeks it takes me????? I don't think so! 2)Can I take my hubby with me???????? 3)Do they pay for your transportation to the area. What about an assignment like Hawaii(which I have been offered)??Will they pay for my flight over there and then rent me a car, or would I be on my own for transportation once I got there!
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Another Thread for Gas-Passers
This is about the funniest thread I've come across in a long time! :roll :rotfl: Thank you for making me laugh! Oh, and yes, I have all of the above as well! :rotfl:
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I Don't Think So!
I'm pretty certain NO CALL, NO SHOW is NOT grounds for losing your license. It may get you fired from your job, but it is not the same as abandonment!
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lpn-rn...same difference
healingtouchRN...I do agree with you that there is a huge difference between RN and LPN as far as studies go,but I know plenty of LPN's who work in critical care.
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LPN scope of practice a little too broad?(LONG)
All I can say is this... if your BON or nurse practice acts allow you to do things that you are not comfortable doing and your employer WANTS you to do them, then you better learn to do them comfortably or get another job.