lashuna1028

lashuna1028

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All Content by lashuna1028

  1. Time spent in one home

    Honest answers pls. On average how long do you spend in each home? Im not talking about when there is a need like wound care or something serious going on that need your direct care. Im talking about the visits where it seems like all you do is check...
  2. Hospice patient on methadone

    The agency I work for delivers medications for a 2 week supply so pt will get exactly enough for 2 weeks. If he is running out early than I would inquire why. If he is saying he needs to take more to relieve pain then the pain medication regimen need...
  3. Hospice patient requests to smoke

    In LTC facilities you have to follow policies and procedure for that facility. If the facility requires an order for their residents to smoke than you have to follow their policy. Hospice or not. It is different with home hospice patients. If a patie...
  4. Question for current Hospice nurses

    No, its your choice to work on call as a case manager UNLESS you agreed to it when you were first hired. You can simply tell them you can't. They would have to hire a PRN nurse.
  5. Time spent in one home

    This is my first home health job. Well I was actually hired to be their Hospice case manager but they have me helping with home health patients since hospice census is low. And I really dont mind BUT I was not formally trained to do home health and w...
  6. Understanding verbalized/voiced

    What are some other ways I can write Pt or PCG understands teaching besides "understanding verbalized/voiced"?
  7. Getting frustrated now, Texas Board gave my license but with stipulations for 1 year due to criminal background. Not to get much into details of my charges but they both deal with domestic violence from being in an abusive relationship. 2009- Deferre...
  8. I found a job! Started working 2 weeks ago at a skilled nursing facility! I am leaving this comment because I remember feeling like I was the only RN in Texas with my issue and no one was able to guide me. If anyone is in a similar situation please f...
  9. ok, i know this may sound like a dumb question but i just want to make sure if the terms are the same. i have stipulations due to a criminal charge of assault to family member and the stipulations are to provide direct patient care in nursing home, h...
  10. Any type of Stipulations considered as "restricted" license??

    Yes it did help, so I will apply anyway even though it says "unrestricted license" and just explain if they ask. Thanks
  11. I know its quite odd to do such because I am trying to sell myself on a cover letter but I was advised to just be upfront and disclose it which also gives the opportunity to sell regardless of the blemish. My background and the stipulations placed is...
  12. Ok, thanks for the advice, now I just need to come up with a speech to present the information without being too detailed about it
  13. Whats the appropriate or professional way to refer to self while writing a nursing note? Do you say "this nurse" "writer" "me"...?? I see "this nurse" alot but it just seems weird to refer to self like that..
  14. Ok, for the nurses working in long term care and assisted living facilities you may have run across this issue. We have a respite client admitted from home that will be staying with us for a few days. I have orders from MD in the chart for his meds b...
  15. True and again with that being said does it also tell you if that medication is expired or contaminated? That pill could be 2 years old or even coated with cyanide or lead poison. Isnt the quality of the drug also important? If these are not legaliti...
  16. Well being able to identify the drug is not the only point here, even if I could identify the pill (which most of them I can) that still doesnt validate its expiration date or contamination, especially with capsules which can be opened. I like to be ...
  17. I have a concern regarding unpaid break times at my facility. I work at an assisted living facility where theres only one nurse on the floor per shift. During the day though the Director of Nursing and Assistant Director of Nursing is also here along...
  18. Can I legally request to be reimbursed the 30minutes each day that is being automatically deducted from my pay? Since I am the only nurse working at night I cannot legally by state board leave the facility since it would be considered patient abandon...
  19. I will not be intimadated by my employer and I don't work for free. My time is valuable and I expect to get paid for my time working here. So whatever consequences you are talking about ie maybe getting fired for requesting to be paid the full time I...
  20. You system at your job sounds very fair and that is how it should be where I work. But it is a very small facility only one other nurse works there at night and that is when Im off and she seems to not really care. But I do! During the day time the d...
  21. I work at an assisted living facility during the night from 6pm-6am (12 hours) where its only one nurse on duty (me). I would like to know if I left the building for less than 30 minutes to get something to eat and come back and I notified the caregi...
  22. OKay, where I work we have some nurses that write orders out, put them on the MAR and have the doctor sign them whenever they come, which to me is a no-no. Well this one nurse who was recently promoted to ADHS (assisted director of health services) w...
  23. Picking LPN over RN

    DONT QUIT! Keep going. I can imagine its hard but take some time off, get refreshed and continue. THat one more year would go by so fast. In my opinion I think you would regret it. I am an LVN and currently in progress on getting my RN and I totally ...
  24. Should I stay or should I go?

    As Systoly stated, the experience there is really good so though it is very busy I would still stay because of the challenges. But that really depends on what you ultimately want to do. Because that nursing home doesnt sound like a common nursing hom...
  25. Pre-Nursing for BSN....skating into LPN?

    First off I can tell you YES, employers do discriminate with online degrees and for some good points. Some online programs dont even require clinical rotations and to just do the CLEP exam (or whatever its called to pass on clinical skills exam). So...