obillyboy

Shandy Thank you for your permission I have sent it off to my entire list and my local, state and federal politicians. I hope this helps, and if you are ever in PA looking for a like minded LPN to work with just let me know. Much Peace Billy

What if we were to E - Mial this letter to everyone we have on our lists and ask ed them to do the same. I know it might not get all that far, but it is worth a try. Anyone have any thoughts on doing this? Much Peace Billy

I am responsible for Meds, Tx's, Admits, Doc calls, orders, Everything from A- Z. There is an RN In the building but she has an assignment of her own, usually she has 20 pt's of her own, This is skilled and non skilled bed mix I have. The split is about half and half. I have 3 - 4 CNA's that work on my hall with me. They are a big help. Thank you for the thread link. Much Peace Billy

Does anyone know what the nurse to pt. Ratio limit is in PA. I work the 3-11 shift and have 43 residents in my care. I wondered if this is normal or not this is my first venture into LTC. Any insight would be great. Thank you. Much Peace Billy

Wish that I could say so. I think I was born a little late. LOL............. Would love to hear the stories. And also I would ask...........Did you "sell out" or have you been able to hold your beliefs over time? I try so hard, some days it is tough. I hope I can stay idealistic. Any way sorry for that............... I would love to hear your stories . If you might share. Thanks and Much Peace. Billy

I am not one, but I work with an RN who is he does hemodialysis clinics and home health. He works LTC on the side. He is a good source of information and a good Nurse. Much Peace Billy

I work 4 - 12, and I have 3 bins of meds on the 8 p med pass and only one on the 5 p med pass. What I am looking into is that a lot of the meds are once a day on the 8 p pass. So why can't I get the order changed and Pass them at 5 p as long as they are not time sensitive or interactive with any of the other meds. Things like Docusate, Paxil, Iron supplement, and a number of other once a day meds. I wil be contacting the Dr in a few days once I have completed my list and checked it over well. Hope this idea might help you. Billy

I am an LPN. in the facility I used to work at there were no LPN's on the OB/GYN unit. I worked on a unit that got all Ortho and back and a few general surgical pt. We also got all the Peds and "dirty" OB/GYN pt's and a few medicals to a lot of them based on empty beds. The RN signed off orders. LPN's can, by BON sign of any orders within our scope of practice. RN's also signed of on care plans and clinical paths. I can't say always but the majority of the LPN's and my self knew what we needed an RN to sign off on and would queue the RN as needed. It was clear in our facility policy manual it was outlined the RN duties and the LPN's. We all got to know about the other's jobs after a time and it worked rather well. I might ask your unit manager for a list or facility policy. Any whooooo......... I thank you all for not letting this become one of those LPN vs. RN posts I hate that. A Nurse Is A Nurse Is A Nurse. Much Peace Billy

It is all that and more. Pro's and Con's. I figure like this............. I'm here let's have fun. I will do whatever it takes for the pt. and document my *** off, and along the way I get to smile and laugh and cry with some great people. When it is all said and done Here I am. Now lets do it like there is no tomorrow.Burned out yea but that just means it is time to switch jobs. Laugh and have fun. Toss a pre filled NSS syringe at a younger person then squirt them with one and tell them to try and get you ......Not in any other pt. rooms. Older folks. tell them a dumb joke. A simple joke. you'll get at least a snort out of them. Just have fun and be loose. :rotfl: :rotfl: :rotfl: Much Peace..................... Billy

I share this just for laughs............................. Please accept with no obligation, implied or implicit, our best wishes for an environmentally conscious, socially responsible, low stress, non-addictive, gender neutral, celebration of the winter solstice holiday, practiced within the most enjoyable traditions of the religious persuasion of your choice, or secular practices of your choice, with respect for the religious/secular persuasions and/or traditions of others, or their choice not to practice religious or secular traditions at all . . . . . . and a fiscally successful, personally fulfilling, and medically uncomplicated recognition of the onset of the generally accepted calendar year 2005, but not without due respect for the calendars of choice of other cultures whose contributions to society have helped make America great, (not to imply that America is necessarily greater than any other country or is the only "AMERICA" in the western hemisphere), and without regard to the race, creed, color, age, physical ability, religious faith, choice of computer platform, or sexual preference of the wishee. (By accepting this greeting, you are accepting these terms. This greeting is subject to clarification or withdrawal. It is freely transferable with no alteration to the original greeting. It implies no promise by the wisher to actually implement any of the wishes for her/himself or others, and is void where prohibited by law, and is revocable at the sole discretion of the wisher. This wish is warranted to perform as expected within the usual application of good tidings for a period of one year, or until the issuance of a subsequent holiday greeting, whichever comes first, and warranty is limited to replacement of this wish or issuance of a new wish at the sole discretion of the wisher.) Please have a Merry Christmas and a Happy New Year. Much Peace Billy

Although I have heard the comment a time or two myself, I laugh at it on the inside now and think..............It is what is in your heart that makes you a Nurse. Much Peace Billy

No new information but here is a site with some info from last year. PA did have some high numbers. http://www.pertussis.com/digest/index.html Hope this provides some insight. Much Peace Billy Go Go Google...............

I was wondering what others do to take the edge off after "One Of Those Days". I somtimes meet others in healthcare and we have a beverage or two and a gripe session. I know of a lady who power lifts after work to deal with things. Chime in. Let's all share. As for me I am going to go fly my kite and freeze my a** off doing it but it does relax me. Thanks in advance to anyone and everyone for their thoughts. So let's have fun. Much Peace Billy

TriageRN.................. Wow, You go . I agree with defending the caregivers and not passing the buck. Have you asked the CNA to go to the admin. and file a formal complait? The belief that this is all part of thedementia is a poor way to deal with a problem. Much Peace Billy

How about Depo and a trip to the local psych unit. Much Peace Billy

The most important thing I have learned is to sit back at the end of the day and be amazed at what you have been able to do. Do not focus on the what nots, but learn from them. Much Peace Billy

Well, I guess I will chime in. I keep my head razor shaved, and I have a five inch goat-t that I wear straight. It is bushy, but I do keep it neat. Much Peace Billy

Hello folks. I work as a PCT in Pennsylvania, I am an LPN. My clinic manager says I can't work as an LPN due to Federal regs on ESRD. There are other clinics in the state that allow this as well as other states. If anyone can help me out with info shooting this one out of the water please drop a lline on this thread.......... Thank you in advance.

Noney and Ageless i agree with both of you and I do thank you for your replies I think I might have had an extra rough day. i appoligize and thank you again. Billy

I watched a blood splatter on a wall, off to the side of a machine a week ago today, and it was still there today. Does it take all that great of an effort to get a bleach rag and be thorough? What of the folks who work in the field who are clueless outside the routine? Who can't think or think to ask when they get in a bind? For the love of Pete. Just ask instead of making things harder an then ask. Besides you could kill someone if you screw up. and my final rant is............. What of the folks who have no comprehesion or litttle that they could kill someone. I have been working in a per diem situation at a number of other clinics other than my own recently and to be honest. It scares the heck out of me what some folk don't know and what they choose to ignore. Pennsylvania does not require a certification program for PCT's and to be honest. I feel that it may be a few who rot the whole basket , but what do you do there is such a need. I appoligize folks I just needed to get that off my chest and there are not alot of folk who will listen objectivity. Thank you all. Much Peace Billy.

I work in a hospital as an LPN and in an out patient hemodialysis clinic as a PCT. It amazes me that I can not give the heparin push in dialysis and retain my LPN status but as a PCT I can my fellow coworkers at both places agree it is a crock...... But my question is this????????????????????? Does anyone know of LPN's that work in a hemodialysis clinics? If so what do they do? Thank you all for the read and any input. Billy:cool:

I wold like to thank you all for your help in this matter. I went to the clinical supervisor today and asked that the Hx be presented and was inormed that since it was psych that we were not in need of that to care for this pt. on a medical level. I understand that there may be nothing to this but I must say that it is difficult when you can not see the whole picture. I went up the chain of comand till I got an answer. The inal answer is, "You should forget this happened and it will not happen again." I must say that the answer was put out there with great force. My final response was that I gave two week notice.

I work in a small town hospital ,my unit is the designated pediatric unit. and we all have our PALS and our clearances and etc. Our unit also takes a variety of other patients. Last week I got a male medical pt. in his 30's with no significant medical history other than an undisclosed psych history. He was on multiple psych meds but also Depo Provera. Other than for cancer my co workers and I could not come up with any other reason for a man to be on this med with the exception to chemical sterilization. Point is we had 6 pediatric patients on the unit all post-op T & A's 4 of them young girls so we asked if there was A history of the Depo pt. being a sexual predator and we were told that it was not our concern that alarms me greatly. What are your thoughts? Peace .......... Billy:confused: