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Hospice, ALF, Prison
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OldMareLPN's Latest Activity

  1. OldMareLPN

    Jobs, No Jobs, Career Options

    Perhaps it is the sections that I tend to look at (LPN, Private Duty, HomeCare), but I seem to be reading alot about there being no jobs for new nurses, that the new jobs you can get are pretty ucky and there is a general malaise in the professional. But don't worry, new nurses only last about 8 years. Huh? What nursing school did you go to? Mine told me that there was a nursing shortage, and that I was embarking upon a career that would make me feel like Florence Nightingale. And I would be forced to hire a financial manager because I was going to make fantastic money. Well I am still waiting for my lemons to taste like lemonade but I don't get what all the belly aching is about. I suspect I am a bit older than some but I have a hint. Your country needs you, and it is probably the best nursing experience out there you will ever build your career on. I am NOT talking about the VA system, although that is getting better, but I am talking about doing a few years in uniform. I wasn't a nurse when I was in boots (105 mm gun bunny) but I wish I was. My instructor was a army nurse and her command presence reflected it. If you have talked to someone about what military nursing offers new grads, please share it. I suspect you do not need to be a GI Jane to enlist but what are they looking for? Oh, and why isn't there some PSA's on this website that point visitors to a site offering more information about this career option?
  2. OldMareLPN

    Old New Grad Offered Corrections Position

    If you are considering corrections, please take a moment to go to youtube and look at all the videos you can find on corrections/nursing. I think this will give you a good overview. Also, look at sites that support the prisoner population and what they say about correctional nursing. You can also go to google and subscribe to get sent every news article about correctional nursing the day they appear. Finally a wise old nurse told me to remember that every prisoner already has a lawyer ready to sue you. Also, remember nurses in correctional nursing can not get individual insurance for a reason. Finally turn on cable and watch all the programs such as lockup and hard time, and see if the environment is for you. Good luck.
  3. OldMareLPN

    Nurses Notes(What do I write??)

    I suggest a book like MOSBY'S Surefire Documentation, How, What and When Nurses Need to Document. I have edition two and still reread it. You will develop your own style, until then make yourself some outline to follow, or keep notes while you work so you don't forget three hours later. If you read others notes, you will probably see a pattern (good or bad) that people use. You are correct to be concerned, as 'not documentated = not done'. I know of a case where lack of documentation caused a nurse to lose their license, very sad. Of course, remember there is a way to document, after the fact. You need to determine how your facility want it formatted and submitted. Also remember to develop a understanding of what not to document, which is also important. Good luck and keep plugging...
  4. OldMareLPN

    Im proud to be an LPN !

    Thoughts on the subject...... One of the free magazines you can subscribe free to (FloridaRN or something like it) had a cover last month proclaiming how some RN nurses are now getting in touch with their patients to improve their health. H-E-L-L-O isn't that called nursing? All those RN's who get called off due to low census in their hospital must have money trees in their back yards. The only calls I get is to work more hours. RN's might get more per hour, but I get the hours. As hospitals look to save money, watch the pendulum swing to staffing preference to LPN's for skilled patient care. The ANA is short sighted excluding LPNS's, but then again what does the ANA do. Give me the SEIU (sorry Glen). The two LPN organizations are ineffective in their efforts to communicate their message (which is what?), capture the enthusiasm of LPN's in the profession as displayed on this thread. Have you looked at their websites lately? Promoting the 2009 conventions and 1985 web sites. LPN's have a major role to play in the near future, whether it just be with the growing elderly population or in the new healthcare for all. Whether LPN leadership be in the hands of something like SEIU or ANA or some new entity is up in the air. Anyone who thinks LPN's are being phased out is probably a RN who bought the story.
  5. OldMareLPN

    Smelly Body Wipes

    A bit to the side of the topic but I had a interesting experience after a bed bath (not my bath but my patients). The complaint was made that I had done a poor job, that the patient continued to smell. Yes I was told the patient smelled. Well after a bit of research, I was interested to find that alot of medicine and health conditions make a individual have an odor. Like Diabetes, vanilla, etc. No wonder dogs can smell cancer.
  6. OldMareLPN

    What are the chances of being fired as a nurse?

    You will be fired as a nurse. But if it is because your patient care standards are higher than your bosses, or you refuse to take medical orders from a administrator, or you wont look the other way when favorite nurses are sleeping on the job, than consider your firing a badge of honor...and never let yourself become the nurse that will cut corners to do it their way. BEFORE your first job, go out and buy the little Mosely book about how to properly document. I think it is about 21 dollars. You will read it about 15 times and know why to document the way they suggest. Not only do they provide legal situations in which the documentation was important, but you will also fee better when you have documented something to represent your critical thinking and actions taken. Also, buy a little notebook to carry in which you can add hints you find in journals, here online or from your school books. I especially used my little notebook to accumulate hints and techniques to properly document patient assessments. (and use the proper terminology). Unfortunately in this business you can provide the best care during your shift, perhaps prevent a crisis, but if it is not documented it did not happen.....and you get fired. You do not have to document your satisfaction when knowing how your compassion and skills impacted someones life.
  7. OldMareLPN

    Walking away from nursing after 8 months

    Take a deep breath. Read alot of the historical postings on this website, and you will find many people who will NEVER again work in a nursing home again. Join the crowd, don't take it personal and remember you know how compassionate and skilled you are! You should look into homecare nursing. The pay and benefits are lousy but you truly get to use your nursing skills and should enjoy the 121 contact. There are sooooo many options outside of nursing homes so give yourself a break and find the right fit. Be safe, happy and compassionate.
  8. OldMareLPN

    First complaint against me...

    "ALWAYS have what I call a "Plan B"-- a PRN or perdiem position in another hospital or with an agency." This should be engraved on the back of each nursing pin. What a great piece of advice, and one that works so well.
  9. Other than needing immediate withdrawal assistance from no longer being able to use my FAVORITE Pilot fine point gel ink pen on nursing notes, what do I do now? I bought a Zebra 301 ball point pen, but the ink stopped flowing in the middle of a word in a nursing note. It feels like writing with a thin copper water pipe. I need a pen that has the sweet feel of a Sarasa 7.0, the warmth of a Pilot G-2 or G-3. I threw the four dollars worth of Pilot Better Retractables out of the window on route 53. My PENS have been banned due to their bleeding when a spot of moisture casts the pain of blotching on their legal documents. Forget XANAX etc, what I need is a pen that won't bleed when hit with water. Help?!!
  10. OldMareLPN

    Can't take the hospital drama anymore...hospice for me?

    Perhaps the factor you are looking for is autonomy. It might be a thought to include it when you rate employment offers. Homecare provides it, hospice may although there are a lot of players on each case.
  11. OldMareLPN

    Very overwhelmed and discouraged LPN student

    Take your discouragement and remember it when you have the experience RN's you are working with don't have, and they come to you for the answer. Sure hospitals may not hire LPN's, but make a list of 20 different types of nursing and mark them as whether or not a LPN can be employed there. My PN teacher used to tell us that RN is easy if we make it through PN school. I believe it because the basic role is so different (PN more patient centric). The biggest difference I find is in certifications limited to RN's. That has not prevented me from learning and continuing my nursing career. Nursing homes are a great training ground for the new LPN, but I have it at the bottom of my list for employment options. Doctor offices also. There is just so much other opportunities. Be proud of your accomplishments and remember the patient you comfort, care for or keep alive will never base their gratitude on the number of letters after your name.
  12. OldMareLPN

    Sex offenders

    In states that have civil commitments for sexual offenders, a person may hit the street free again up to seven years after their offense. At that time their age or disability status may qualify them for nursing home care. The medical facility (or housing for that matter) that is not doing due diligence in preventing these individuals from taking residence are subjecting their clients and employees to a credible risk. In most cases, court records and registers can be searched at no cost. Efforts that are free, versus litigation; its costs and publicity, make this a simple decision.
  13. OldMareLPN

    Your most valuable book

    I think I need a medsurg book. No such thing was required in LPN school. A text to research patient illnesses etc. in the field. I see that would probably run 200-300 bucks online. What book from your college RN nursing program do you consider one you can't live without?
  14. OldMareLPN

    Resume Question - Include previous career employment?

    " I worked in IT prior to going to school for nursing. " I worked in IT also (when DOS was king (:). You can play on your documentation skill, attention to detail and ability to learn, and being a great team player. Also if you did any user training is a great skill used in nursing. On the negative side IT may be considered a face in the screen experience (as in a programmer) where creativity and problem solving is a meaningful skill. Not great for nursing. Informatics is great, although your success is probably depends upon gaining some thorough hands on clinical experience. There maybe alot of years in the trenches before you get the opportunity to again sit in a cube. The great thing about nursing though is there are so many types of experiences available to you. Look around to see what is really respected regardless the type of nursing you work in i.e. advanced degrees, certifications, professional affiliations etc. Sorta like getting a Microsoft Certification in advance network engineering. Good luck and have fun!
  15. OldMareLPN

    miserable at job

    May I suggest that your problem is not unlike others who have ventured into LTC (me, too.). Your enthusiasm may make reality harder to see, i.e. that you are letting the employer put your license in jeopardy every shift you work. Make no mistake, if there is a sentinel incident they will toss you under the bus faster than you can say "money, money, money". While still there, it is important that you take the time to complete your documentation in a manner that is both professional and acts to explain your care. At the end of the shift, take the time (even if unpaid) to perform the most important nursing function of Covering Your ****. Mosby puts out a great little book about documentation that far exceeds what I was taught in school, it is well worth the few bucks. Read it! You drive defensive, and unfortunately you need to document defensive. Geriatrics is a great field, except in private-for-profit LTC, where I will never work again as a nurse. Good luck.