Thornbird

Thornbird

A little of this & a little of that

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All Content by Thornbird

  1. LPN Home visit

    Thornbird replied to dana0509's topic in LPN, LVN Corner

    If you mean doing skilled nursing visits in the community, it's vastly different of course. I personally found it more stressful. You spend a lot of time driving from client to client. Maybe they...

  2. Is this an acceptable practice???

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

    It does get better. But, it's just not easy, especially when you are new. I always try to help the newer nurses so they don't get so far behind, get frustrated and give up. Teamwork counts for so much...

  3. You will lose your skills in LTC

    Thornbird replied to egglady's topic in Geriatric, LTC

    That crap is so out of date. Back in the day when LTC's really were convalescent/rest homes and patients stayed in the hospital til they were "all better", it was true. Not so anymore. Patients in the...

  4. Lincoln tech New Britain

    Thornbird replied to blue2008's topic in Connecticut Nursing

    I do not have "statistics", I am an actual working nurse in this state who has seen the job situation for LPN's decline drastically just in the last couple of years. I didn't say there are NO jobs....

  5. Lincoln tech New Britain

    Thornbird replied to blue2008's topic in Connecticut Nursing

    I think people get what they put into any nursing program, state or private. I attended a state program and was treated very badly. Drop out rates are high. Overall, I would not recommend anyone take...

  6. Is this an acceptable practice???

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

    While your points are entirely valid as far as what people do at home, this is NOT what is expected in long term care as far as regulations go. BP's that are parameters for meds must be done by the...

  7. Is this an acceptable practice???

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

    The methods you and others mention, though common practice, are not acceptable practice. You will get faster as you know the patients and tehri meds, where things are on the cart, etc so that you are...

  8. Ohhhh JOBS.. where are you????

    Thornbird replied to NocturneNrse's topic in Connecticut Nursing

    The job situation is tough in CT rigt now. As a new grad you may have to start in LTC. Look on CareerBuilder.com and Monster for postings. Hartford Hospital and CCNC are hiring as well as Backuc...

  9. Can a patient refuse code services?

    Thornbird replied to wonderbee's topic in Psychiatric

    If the patient is alert and has adequate mentation to understand the consequences, he may refuse any treatment including those which are lifesaving. Psych patients have to be evaluated on a case by...

  10. rehab in LTC vs rehab hospital

    Thornbird replied to phoebebrat's topic in Rehabilitation

    I definitely prefer rehab hospital to LTC rehab units. I agree with what other posters have said. I especially liked that there is far more variety of patients. It seems to me that most of the...

  11. Question about insulins

    Thornbird replied to mondkmondk's topic in Geriatric, LTC

    Also, while looking up insulins, check out Novolog. It is not the same as regular insulin. Novolin is regular insulin. Novolog is rapid-acting insulin. It's onset is 5 to 15 minutes, peak one hour and...

  12. Question about insulins

    Thornbird replied to mondkmondk's topic in Geriatric, LTC

    You also should really listen to the patient. As long as they are totally oriented, they are most familiar with their meds. If a patient tells me something isn't right, I always go back and...

  13. Baby in a bag!

    Thornbird replied to elizabells's topic in Ob/Gyn

    My firstborn was with fully intact membranes @ 42 weeks. I went from 6cm to fully delivered in less than ten minutes. All natural and hurt like heck. My other two, membranes were ruptured during...

  14. Challenging LPN test as a military medic.

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

    I know of others who have tried this and failed. Not sure what level of medic you were, but there are big differences in medic and nursing. You would especially have a difficult time with the parts...

  15. Mistakes we have made

    Thornbird replied to LilpoRN's topic in Patient Safety Issues

    I was working in a LTC and had a note saying Flu vaccine was in and to try to get as many as possible done. I gave 20 and completed all the documentation. Then discovered that the vaccine I gave was...

  16. PEG Tubes: when is a "bolus" not a bolus?

    Thornbird replied to Jo Dirt's topic in General Nursing

    I've seen boluses run on a pump over 30 minutes in adults and peds. I wouldn't think you would need a separate order for that. I've also seen it done by gravity from a bag with the bag close to the...

  17. Baby won't attempt to latch on

    Thornbird replied to nkochrn's topic in Ob/Gyn

    She can aslo wet the nipple with a little of the sugar water. The main thing is that baby is getting a taste of something so that he has incentive to latch

  18. Baby won't attempt to latch on

    Thornbird replied to nkochrn's topic in Ob/Gyn

    Expressing a bit of the milk/colostrum first

  19. My 9 year old patient was raped and required surgery

    Thornbird replied to ssouthernyankee's topic in Patient Safety Issues

    I think maybe in a case of an adult or teen with a less physically brutal assault, there may be something that could be found in a journal that an attorney might twist. But, in this case, the physical...

  20. My 9 year old patient was raped and required surgery

    Thornbird replied to ssouthernyankee's topic in Patient Safety Issues

    Perhaps you might contact the DHS worker and advocate for her being transferred to a children's hospital or specialty facility (if she's medically clear)where she can get the team approach she needs?...

  21. Question: What's so bad about the night shift?

    Thornbird replied to LadyEJ BSN, RN's topic in General Nursing

    I am a night owl and prefer night shift. I never have a problem sleeping during the day, but always have trouble sleeping at night. My "clock" is backward :) I like that the atmosphere is more casual,...

  22. My 9 year old patient was raped and required surgery

    Thornbird replied to ssouthernyankee's topic in Patient Safety Issues

    The approach premrs describes is what I have seen. Hopefully she is getting all that multi-disciplinary suport she needs. I would go ahead and give a couple of things, maybe the bear or something to...

  23. Needlestick with CLEAN needle

    Thornbird replied to ndy_SF's topic in General Nursing

    I agree, since the wound was already covered, you should have no worries. I don't know if there is any data on this. You could try the CDC and OSHA websites. If there's data, that's where you find it....

  24. G tubes, placement check, ect

    Thornbird replied to wishiwereanurse's topic in General Nursing

    You are supposed to check placement and residual as you mentioned before instilling anything into the tube. It's a far from fool-proof verification. Mostly good for determining residual. But we have...

  25. Should Continuing Education for Nurses be mandatory in all states?

    Thornbird replied to Brian's topic in General Nursing

    I thought it was a dumb requirement until working in CT where it is not required. I thought that it was redundant since there are so many "mandatory" inservices along with the optional ones. Now I...