Thornbird

Thornbird

A little of this & a little of that

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All Content by Thornbird

  1. New Rn Fired For Bgl Issues

    Thornbird replied to shouldhavebeenanunRN's topic in Geriatric, LTC

    One more thing - it is generally not recommended to give regular or rapid acting insulins at bedtime anymore. The facility may still have problems with the state in regards to the order that was in...

  2. New Rn Fired For Bgl Issues

    Thornbird replied to shouldhavebeenanunRN's topic in Geriatric, LTC

    Do NOT "hand over" your license because you are being investigated. Get an attorney if you can afford it. Either way, find anyone who can vouch for your character and competence. BON's know people,...

  3. # of residents in LTC

    Thornbird replied to pielęgniarka's topic in Geriatric, LTC

    The minimum I ever had was 20 and the max was 42 on day shift. Nights, I've had as many as 80. Plaes where I had upwards of 30 there would usually be a second nurse, one to do "desk" and treatments,...

  4. Ever feel pressured to go out of your scope?

    Thornbird replied to Lovely_RN's topic in LPN, LVN Corner

    It's sad but true that we are often asked to do things that are wrong/illegal like working out of our scope of practice. Stick to your guns. You're right. They are wrong. Remind them if they get too...

  5. Is this reasonable or am I being a newbie?

    Thornbird replied to dander625's topic in Geriatric, LTC

    Most but all facilities I have worked in had CNA's get routine vitals. The exception is always if the med administration depends on it, like antihypertensives with parameters and pulses with dig. Also...

  6. Hired Paramedics in your ED???

    Thornbird replied to DSplendid's topic in Emergency

    Depends upon the state what they are allowed to do as well as hospital policy. In CT, paramedics can't work in the hospital. I guess, in theory, they could work as PCT's but don't as that is far below...

  7. Rotating shifts and a dog?

    Thornbird replied to Suesabelle's topic in General Nursing

    I work different shifts and so does my husband. Our dogs, who are well trained adults adapt fine to this. They are happy as long as they are getting their needs met. I like having more than one...

  8. Iffy practices at my new job...

    Thornbird replied to catlvr's topic in Geriatric, LTC

    p+p = policy and

  9. RN with LPN license

    Thornbird replied to Rhonda V's topic in General Nursing

    My state also allows RN's to maintain LPN licensing. I am an LPN and worked in a clinic which I loved. This was the problem, both LPN's and Medical Assistants were expected to work out of their legal...

  10. Where to live and how much to spend . . .PLEASE HELP !

    Thornbird replied to aphi~gn's topic in General Nursing

    Also, some hospitals will provide help paying off student loans for new grads. Look for that when job-hunting as your payments for that are quite high. Wherever you live, try to find the cheapest safe...

  11. domestic partner benefits? cost of living in CT?

    Thornbird replied to MagnesiuM's topic in Connecticut Nursing

    I agree that the southeast of CT is the best area of the state to live. You are also close to RI which has much nicer beaches. Remember that CT is not really on the ocean. It is on Long Island Sound...

  12. Oxygen Therapy: Lung CA

    Thornbird posted a topic in General Nursing

    I am hoping to find an article or some other condensed information that may help with my patient care problem before someone irreparably harms this patient. My patient is a 70 yo Female admitted...

  13. domestic partner benefits? cost of living in CT?

    Thornbird replied to MagnesiuM's topic in Connecticut Nursing

    Although CT is quite expensive, my family lives in the Naples, FL area and the cost of living is much better here than there. I find the major difference is in the price of commodities like food and...

  14. LPN or RT?

    Thornbird replied to packrat's topic in Pre-Nursing Students

    Personally, I hate sputum. Could never be an RT. But, if that's OK with you, definitely go for RT. It's a very demanding course, just getting in is a good sign. RT pays better, has more job...

  15. Is the salary of an LPN even Worth the trouble of going to school??

    Thornbird replied to Tony1790's topic in LPN, LVN Students

    Funny you should mention this. I was in my 3rd year as a Human Services major, back in another decade, working as a CNA in a nursingh home to pay my way. Then, I started externships. Discovered that...

  16. Is the salary of an LPN even Worth the trouble of going to school??

    Thornbird replied to Tony1790's topic in LPN, LVN Students

    Where I live, hospitals pay the least for LPN's ($14-16 hr),Nursing homes better ($22-26 hr w/benefits and more without), agencies pay the most ($28-34 hr). Even though cost of living is high, it's a...

  17. Does nights or first shift give your insulin?

    Thornbird replied to TooterIA's topic in General Nursing

    Night shifts used to always do the insulins back in the days when most patients were getting NPH some with a small amount of Reg. No blood sugar checks back then. I think old habits are hard to break...

  18. When to NOT give insulin?

    Thornbird replied to natrgrrl's topic in Diabetes, Endocrine Nursing

    Most patients with insulin orders will have parameters specified, especially for sliding scale. More and more orders I see say not to give any sliding scale insulins after suppertime because of the...

  19. Part time (per diem) at LTC new nurse

    Thornbird replied to love-d-OR's topic in Geriatric, LTC

    I know a few nurses that do what you are thinking of. My advice to you would be to get your feet under you in your full-time job before taking on a part-time one as well. That said, working...

  20. Charting Issues that Really Bug Me!!!

    Thornbird replied to al7139's topic in General Nursing

    What bugs me: everyone's LS are "clear but diminished"......the "scab" is a necrosis.....the advanced Alzheimer's pt is "A&O"......."3+ pitting edema, good CSM".........made-up abbreviations...

  21. Possibility of EMT after nursing??

    Thornbird replied to sissiesmama's topic in General Nursing

    There are also dual paramedic/RN programs at the AD level. The main focus of such programs, AD or BS, is to prepare flight nurses. Most air ambulance services require both licenses for flight nurses....

  22. Possibility of EMT after nursing??

    Thornbird replied to sissiesmama's topic in General Nursing

    Nurses can never just "take" the paramedic test as there is a great deal of difference in training and knowledge base. In most states the RN can challenge the EMT Basic exam, usually after having...

  23. Medical School --> Nursing School?

    Thornbird replied to cherrysky's topic in General Nursing

    I think that overall nurses are in nursing because that's what they want. I have only known one person ever who went from nursing to med school. There is an entire different philosophy between nurses...

  24. Please explain the difference

    Thornbird replied to msjam54's topic in General Nursing

    It's not so much about difference in nursing tasks per se. It is in responsibility. LVN/LPN training is geared to preparing "bedside" nurses who can meet the needs of relatively stable patients...

  25. Possibility of EMT after nursing??

    Thornbird replied to sissiesmama's topic in General Nursing

    I have volunteered as an EMT & it is rewarding. However most RN's do go for paramedic licensure. The big frustration with being an RN and a Basic EMT is scope of practice. Althought the EMT can do...