calmone

I haven't read all replys so hope I'm not :deadhorse. I graduated and got my LPN almost a year ago to date. I got hired at my current job, LTC, right after I got my license. I LOVE it. I've volunteered at LTC places for years. I love the interaction with older people. I love their stories and the way they truly enjoy visiting with you. Anyway, having said that, I will be going back to school in January to get my RN. Why?! Because I will make more money. No way am I leaving my place of work, but once I get my RN I will make more $$$ per hour for pretty much the same job. I love my job, the residents, the facility and my co-workers, I just want more $$$$!!

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I've had this happen as I'm sure every other nurse has. I just tell them I'll check back when they are finished and leave. Usually that's enough to get them off the phone in hurry.

Sorry, I worked 2nd shift and just got home. I asked the dialysis nurse about this and she said "good question, I'll get back to you on that". So I'm thinking you are correct and it was an oversight. But when she does "get back to me" i'll let you know how it goes. Thanks again.

Thanks for your replys everyone. She has dialysis tomorrow. I will definately be speaking the her dialysis nurse about the lasix. I'll update you when/if I find out anything.

Yes, my renal pt is on Lasix 30mg BID. She isn't wheel chair bound so doesn't hide it in her sacral area. She's very trim, 5'8 and weighs 149 pounds. She only sleeps 2-4 hours at a time. She's "pleasantly confused" and wonders the facility most of the day/night (wears a wander guard). I haven't asked her dialysis nurse this question since I just started wondering about it myself the past few days. She has only been with us a short time and it just doesn't seem right. I will be in contact with her dialysis nurse first thing though. Thanks for your help Edited to add, she has been on dialysis for about two months now and has 15% kidney function.

I just have to ask this question. I think (hope) I know the answer but after asking around at work am not sure. Here goes. I work LTC. I have an 85 year old female resident that has hemodialysis 3x week. She does not urinate. She is on Lasix, 30mg BID R/T CHF. In a person with normally functioning kidneys the fluid is excreted through urination, weeping etc. Well, this resident does not urinate and there is no weeping or any excess loss of fluid that I can see. So, my question is- Does the fluid come off in dialysis just like the other toxins that come off that accumulate from not urinating? She does not have any edema or other signs of fluid accumulation/loss. What happens to the fluid pulled off from the lasix in a dialysis patient? Thank you for any help. Linda

Thank you everyone! I used ideas from each of your posts. I'm so glad this site is here. I went through my care plan books, wracked my brain and still couldn't get it. I knew I could count on you! Thanks again, I appreciate your help.:1luvu: Linda

I work LTC and am working on a care plan. I have it almost completed but am stumped on one problem. The resident is on Psychotropic meds and it must be included on the plan of care. I am having problems coming up with a goal and at least 3 approaches (or actions) for this problem. I have this for the diagnosis: Psychotropic drug us R/t insomnia, S/P CVA depression Now I need the goal and approaches. Any ideas PLEASE???!!!! (the resident receives Trazodone Q HS)

In my facility (LTC) we have to check the insulin syringe with another nurse but only the one giving it has to sign. The second nurse just has to verify the amount and type of insulin drawn up.

I'm not particularly fond of Allheart either. It took forever to get my order and when I inquired about it they said it would take time, just be patient. Now I order from Uniformadvantage.com Good prices & selection and pretty quick shipping. I'm very happy with them.:)

I might be able to get used to the other things but not this. :angryfire Why would she earn more? What schooling does a Medication Nurse Assistant have anyway? I'm not familiar with them.

Good luck, I'm sure you did great! :balloons:

Thanks! It still seems unreal! :chuckle

Good luck. I'm sure you did great!