kels764

lol I just didn't know if I would have time to get my CEU'S between now and then?? My birthday is in september, so that must be it...I live in arkansas...their website tells me nothing (or at least I can't find it)

I just got my LPN license in January and it expires this September...is that right/normal?? and what do I need to do? I feel so ignorant but I seriously don't know what I'm supposed to do to about it....do I pay to get a new one? do I get CEU's? do I cry???!?!

I've been an LPN for 6 months now and I've cried probably 5 months out of those 6 LOL this job is just so frustrating!!!!

it's a M-F 8-4 school ....and I would be babysitting for free...I feel the child needs extra attention and since I do not have kids or anything tying me up on weekends...I would like to rise to the challenge of keeping her some weekends... so they're trying to talk me out of it incase the mom decides she doesn't like me and doesn't want me around her child at work....OR if the child says she got a bruise or injury from ME ...but the thing is, where I work...if a child says you hurt them, you get charged with it anyway....so off hours or not, I would be screwed if a child were to say I hurt them....but I have PLENTY of references before I became a nurse...that would definitely back me up that I would never hurt a child... see when I came into this job, I thought I would be able to help with the children, help them learn, etc....before I became a nurse, I was tied between nursing and teaching...so I thought this job would be perfect...I could teach, but also do nursing.....well my boss HATES the idea, and doesn't allow me to do ANYTHING but nursing...

I agree racing_mom .... I called my stateboard and they said there's no where in the rules that I cannot babysit a child outside of work that is a patient of mine... as well as...I talked to my supervisor's supervisor and she tried to talk me out of it...but said they could not stop me

okay...thanks I have a question though...if the parents decided to move the child into a different daycare...would I still not be able to babysit or anything?

conflict of interest? maybe?

I think what my boss has a problem with is the fact that the child I would be babysitting is a "patient" of ours....it's a daycare, basically....and I know I'm a nurse 24/7...I was a nurse before I became a nurse...a nurse is there to care and help people through crisis....this family is struggling and needs my help...and I can't help them because I'm a nurse? what?! to me the argument is ridiculous....I should be able to babysit for a family that needs me...whether she goes where I work or not....

Is it totally against rules of nursing to offer to babysit a patient? Mind you, "patient" means student in my case....because I'm a school nurse.

so here's another question.... since my direct supervisor, who's an RN, is the only head medical person at the school I work for.. (it's a state school, btw) everyone believes her opinion on any situation is the right one since she is the RN and I am the LPN...who should I go to or where do I go to get protocols?

thanks :nuke:

His blood sugar has dropped ONCE to 33. His blood sugar is usually okay, the lowest it has been since then is 55 which is still very low but I think I should only check it without dr's orders when he is symptomatic.. let me clarify somethings again: -he isn't diabetic -he isn't receiving any type of insulin -he isn't PO fed -he takes polycose -it dropped to 33 AFTER I fed him and my supervisor said it was because I fed him 15 minutes early -my supervisor wants me to check his BS with every feeding (bid) symptomatic or not -we have no doctor's orders or protocols regarding this my conclusion is this: nursing judgment will cover me as long as he is symptomatic, otherwise I need a doctor's order to check it regularly.

"Unless this child is receiving insulin, there would be no way his sugar would DROP AFTER a feeding; or, I guess, unless he's a VERY active child. Remember exercise and insulin are the only two things have the ability to lower glucose." evidently not...he does not take insulin...absolutely no insulin, and he has CP...so he can only be as active as his wheelchair allows. I'm with this child from 8-4, unless he's got a dose of insulin in his backpack that he magically administers to himself...he isn't on insulin.

lol I think everyone is confused...even I'm confused and I'm the one in the situation....my theory is..if it's this confusing, something isn't right about the situation haha...

that's EXACTLY how I feel about it all...THANK YOU!!!!! I needed to hear that...reassurance that I'm not insane for wanting doctor's orders is nice... and to answer another person's questions...I do live in south US 70-120 is "normal" according to my books and the hospital 70-170 is "normal" for a diagnosed diabetic child I really don't understand what's going on...my supervisor's excuse for it shooting so low was because I fed him 15 minutes early. But from what I understand...feeding him will raise his BS.... I feel extremely frustrated...I hear the words "nursing judgement" but when the child is acting completely normal..."nursing judgement" won't cover me for checking it when there's nothing wrong....where I live...you don't get to talk to doctors directly...all you do is talk to the nurse at the office who then relays the message to the doctor and back to you...I'd love to be able to contact his doctor and talk to him...there's a fishy reason why we don't have an order the whole situation is .....odd. and something isn't right about it.

thank you! :nuke: I'm going to get something in writing from the parent...as for what we do when the blood glucose is too high/low ...911...last time, my supervisor shot his blood sugar up to 145 in a matter of seconds...and since he didn't go to the doctor that day, the doctor had no idea....when the doc checked it at his appt. a few weeks later it was 88...normal...anyway..the hospital is a few feet away, so that's why we feel calling 911 for it is okay...

we don't have any nursing protocols regarding things like that...we have protocols about medications and amounts...but nothing for o2 or accu checks ...thanks for your help!

I'm going to try and explain a little bit..it's very confusing! so like I've said, I work at a school for developmentally delayed children..most of the children up there also have parents who do not take part in the care of their child (medically) before I came to the job, my workplace didn't own a glucometer (i donated one) ...this patient has had previous lethargic episodes and my supervisor suspected hypoglycemia but never motioned for a glucometer ...her reasoning for his blood sugar dropping changes...at first, she blamed it on me feeding him 15 minutes earlier than scheduled...I mean she's had several different reasons.. The child is not a diagnosed diabetic. His blood sugar dropped to 33 and we called his mother (I do not make the decision on taking a child to the ER or we would have been up there as soon as it happened) We have a hard time getting his mother to take him to the doctor for his other medical problems (VP shunt, so on..) and she didn't take him to the doctor that day either. When the doctor finally saw the child, the blood sugar was normal..so he doesn't think there's a problem and suspects that it's something the nurses are doing wrong..so, according to the supervisor, the doctor refuses to sign a doctor's order...I have something in writing from a different doctor that comes to the school that says it's okay to check it when he has s/s of hypoglycemia.. I called my State board..and they said it falls on the DON..

I feel confidence has nothing to do with it. I'm confident that I rightfully question whether or not I need a doctor's order. If the child was pale, sweaty, and disoriented..I would check it without a thought...because that's an emergency and I would be covered. I just was taught that you need a doctor's order for anything invasive. I've called my state board and they said there were no parameters for ME as an LPN, but it would fall on my supervisor. Thanks for everyone's help :nuke:

I work in a school for developmentally delayed children...Im going to try and get in contact with his doctor..I just graduated nursing school in december (if you couldn't tell..lol) and my supervisor is making me a nervous wreck...I wish there was a hotline that I could call and they could answer my question haha..but I don't guess there is..thanks!!

Im a school nurse...I work at a school for developmentally delayed kids...we don't have protocols for that sort of thing...when I asked for doctor's orders, my supervisor started getting upset with me and showed me a dictation from the doctor (not the child's pcp) that states we could check it that one time...his pcp doesn't believe there's a problem and won't write an order for bs checks...I just don't feel comfortable doing it at all.

My supervisor wants me to check my patient's blood sugar bid before his tube feedings. He is a child and I have no permission slip from parent stating it's okay, we have something from the doctor that comes around the school once a week that says we were allowed to check it once...my supervisor insists that I could lose my license for NOT checking it (her explaination: common nursing sense) ...I still do not feel comfortable checking his blood sugar without doctor orders (it has dropped to 33 before after I fed him)...but everytime I ask about it, she starts raising her voice at me and tries to tear me down...I don't know what to do...please help (links to something that says I shouldn't do it...or something that says it's okay to do it would be great...) thanks!

My supervisor wants me to check my patient's blood sugar bid before his tube feedings. He is a child and I have no permission slip from parent stating it's okay, we have something from the doctor that comes around the school once a week that says we were allowed to check it once...my supervisor insists that I could lose my license for NOT checking it (her explaination: common nursing sense) ...I still do not feel comfortable checking his blood sugar without doctor orders (it has dropped to 33 before after I fed him)...but everytime I ask about it, she starts raising her voice at me and tries to tear me down...I don't know what to do...please help (links to something that says I shouldn't do it...or something that says it's okay to do it would be great...) thanks!