NurseGuyBri

NurseGuyBri

LTC, Education, Management, QAPI

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All Content by NurseGuyBri

  1. Seeing this quite a bit

    I'm proud that I was an LPN. I became an RN so that I could move into positions reserved for RN's with a general purpose of teaching others that they are valuable. I am PROUD to have my LPN tatoo and...
  2. LPN salary questions

    Lets just use an example. Average in Southeastern VA is around 15/hr for LPN. The average is low because your range could be 13 to 21 to start depending on if it is a hospital, LTC, ALF, SNF, Office,...
  3. IS Lpn going to decrease next coming years?

    It depends on many factors where LPN's can and will work, especially in the future. I believe that the near future holds MORE possibilities for LPN's, mainly because of Medicare/ Medicaid payment and...
  4. new LPN night nurse

    YES YES YES to the person who brought up SBAR.. You can even elaborate with ISBAR-Q. It's so important! As a new nurse, it will get you in the habit of assessing appropriately. Being a new nurse on...
  5. Pre screen employment testing

    for our pre employment screening we do your Drug Test, Criminal Background check, Tax Paperwork, and copies of all your ID's and stuff. We do have a test of geriatrics, but it is not a determining...
  6. I Just Lost My First LPN Job

    I am sorry you went through that! Now, I will not lie- I have thrown a newer nurse out on the floor when someone called out- HOWEVER, I did not hold any mistakes against them, especially time...
  7. Replaced by Certified Medication Aide!

    It is scary, but if implemented appropriately, CMA's can be beneficial in ALF's. A for SNF/NF's, not sure I'd want to go that route. I do know in other states they have CNA II's and CNA IV's which can...
  8. Higher Learning is very hard to understand

    It shouldn't be different- In general, there are 4 ways to get RN- Diploma, AASN, ADN, and BSN. Tech schools can provide Diploma or AASN programs, usually. Comm Colleges ADN's, and Universitys BSN's....
  9. Does anyone know what the concerns/ issues are when going from BSN to MSN or NP/DNP? I am looking to eventually become a NP, but for now I'm enjoying my management position. I want to get my BSN, but...
  10. Dangerous patients

    WOW. This is not evidence of a patient dump. I have worked in hospitals as well, and they (maybe not yours) are more capable than a nursing home is to handle this type of patient. I find this...
  11. How do you do this, day in/day out?

    I was a DON that always reminds the LPN's and RN's to write up the staff when needed. I have changed that habit. It creates a negative atmosphere and is severely punitive. We are in the long process...
  12. Our nighttime nurses have 60 patients each, 10-15
  13. How do you do this, day in/day out?

    Above all remember that you are responsible for the aides. Tell them what you expect and what will happen if they do not deliver. Make sure your expectations are appropriate and attainable. It is your...
  14. I received a "write up" warning at my LTC

    Where I'm at, we have this thing called teamwork and trust... If something happens near the end of the shift, the supervisor steps in and helps finish it up so report can be completed. With the...
  15. RN in ltc

    Positions in my facility are like this: CNA's fill these spots: Patient Care Tech, Scheduler, Unit Secretary, Activity assistant, Restorative Nurse Aide. LPN's fill (or can fill) these spots:...
  16. I started as a Charge Nurse LPN with 30 patients, 15 skilled rehab. 4 years later, I'm an RN Director of Nursing and I am so glad that you wrote this post. I am proud to be an LTC Nurse. It does take...
  17. How to be faster/more efficient?

    I will say this and take from it what you want (I'm being a little silly). It is unfortunate that I tell my staff this: I have to ask 150% from you because that's what we have to do. I know you can...
  18. Not falling for that old trick

    You know, I'm sorry that some workplaces try to get you to come in sick. I'll tell you from being the "them", when someone calls out, it makes it difficult for everyone. Yes, I know you know that. I...
  19. I think it comes down to personal experience. For me, I like the nursing model over the medical model. Nurse Practitioners in my experience (both as a patient, colleague, and collaborated) have been...
  20. Integrity is #1 to me. Know your own limits, be able to admit your faults. Reveal your shortcomings and do something to compensate. Maintaining integrity is hard sometimes, but it is the base of the...
  21. How did you know nursing was for you?

    Honestly, I didn't want to be a nurse at first. I never thought I'd be a nurse, but I knew I had to do something. Started nursing school and absolutely loved it. After each step I've taken, I've...
  22. STUPID Pearsonvue trick!!

    Awesome! LOL .. Glad you made it, welcome to the
  23. nclex RN testing info

    I don't believe that is correct. Regardless, the computer will "hiccup" or sit for a few after question 75 as it calculates possible pass or fail. It's not going to pause and continue if you're not...
  24. I need help with delegation

    Delegation is tricky because it requires you, the charge nurse, to be able to safely and accurately assess the staff member that a patient is delegated to. When answering questions on a test, it's a...
  25. How I passed NCLEX-RN

    Reading your post makes me smile- you have hit the nail on the head. The essence of being a nurse is advocating, working hard, and standing up with putting forth an effort, all of which you did while...