makes needs known

makes needs known

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All Content by makes needs known

  1. LPN's and care plans

    Our RN's have been giving us a dx sheet with a list of diagnosis for a new pt. and having us write the care plan. Our care plans are specific, like frequent uti's, or copd, etc. We fill in the meds...
  2. LPN's and care plans

    I was really interested in hearing any input from other nurses about this. I don't think I misinterpreted the web site.
  3. "And it's all going to be your fault"

    Just smile real big and say "I'm
  4. Blurred Boundaries: Should we eliminate the distinction between RNs and LPNs?

    I see lots of times the RN delegates to the lpn things that used to be done by the RN. Walking rounds with the Dr. Working on care plans. Rn's get upset when a new wound is discovered and they to have...
  5. skilled charting

    We've been told that we will have to do this also, but I don't really know what is supposed to be charted for medicare
  6. Salsa anyone ? !

    tomatoes, onions, cilantro,
  7. HUGEEE PROBLEM with AGENCY

    Sometimes the pills pop out the back of the blister pack, and get lost. Maybe the count was off at the beginning of the shift. It happens. Don't let anyone tell you they have never made a mistake....
  8. Re-directing tips needed for Alzheimer's/behavior pts

    We are always told to to try interventions and redirecting to alleviate anxiety and dementia related problems, before we use medications. But it's very hard to come up with good ideas from pts who are...
  9. how much time for AM med pass?

    What is
  10. Bereavement policy

    Our policy book says you can have time off for the loss of an immediate family member. What is the definition of an immediate family member? A nurse where I work wasn't allowed time off for her...
  11. Bereavement policy

    It's so easy to get caught up in taking care of other people that we allow management to dictate our personal lives. Thanks for all your
  12. How long did it take you to feel comfortable in LTC?

    I know I do many things that in school, we were told, not to do. The only way to get it all done is to cut where you
  13. Leaving meds at bedside in LTC

    Last night I took some po meds and a neb tx to a lady, and she said "nope' I don't need them tonight. Two hours later when I was busier than heck she sent a message out to say that she wanted her neb...
  14. How long did it take you to feel comfortable in LTC?

    I work 3-11pm and there's the 4p med pass and the 5p meds and 5H bs's and the 6p meds and the hs meds and the 8p meds and the 9p meds and the 10 p meds and some people what their pain pill an 9p and...
  15. hobbies to keep dementia pts happy?

    I love all these ideas. Some of the best ones involve other people besides the nursing staff thats always there, and in this time of cutting back in the healthcare there isn't extra staff to help with...
  16. Truth or Myth: dairy increases mucus?

    When my children were babies I breast fed them. When they had a cold they were fussy and did not feed well. But they always wanted to nurse and if that was the way they were going to get fluids, milk...
  17. Curious about your job

    Our employee book says that our superviser arranges the time for our break, and we are also supposed to go to her if we need help getting our work done. But she is soo busy. Everyone works without a...
  18. Free water restriction

    Simply put, the more water she drinks the lower the na concentration will be in her blood. If you have a 1/2 glass of salt water, and you add water to it, you will have water that is less salty. Some...
  19. hobbies to keep dementia pts happy?

    I looked at these products. I thought they were expensive but wonderfully designed.
  20. need MD order for Triple Antibiotic Ointment?

    No I use it frequently for small areas. comes in little packets. sometimes i need some for myself. clean. protect. and
  21. Can an employer penalize you for calling-in due to illness?

    How are they going to penalize you? Suspend you, give you a paycut, fire you? They're just trying to intimidate the people who call in for no reason. If you are as good a nurse as you are a mother...
  22. Not a strong charge LPN...

    When is mangmnt going to realize that 1 lpn is not enough for 40 pts?? On the ltc/rehab floor I work we usually have 2 ch nurses. That makes it so I can help the cna's when they are short and really...
  23. How much pain medication is "too much pain medication"?

    Is everyone adding up the mg's of tylenol to make sure she is not getting more than 4gm's by the end of the day? If her pain is not under control and she only has tylenol for breakthrough pain I think...
  24. Descrimination: A full hot meal or soup and a sandwich

    I have eaten my supper while I passed meds, sometimes I have not been able to leave the floor to grab my lunch from staff fridge. Every nurse I work with has experienced the same. Enjoy your soup and...
  25. INR Question

    If a pt is not on coumadin, will their INR be low or naturally therapeutic?One of our pts who is not on coumadin had a PT/INR performed and it was