annlewis

I agree I do not chart at my visit...I don't have time anyway....Im fortunate that the hospice I work employs Lpns and HHA's ....I'm a Lpn....I'm assigned to two Rn case managers and we work as a team...I visit up to 8 patients a day...mostly in assisted living facilities so it's doable because I just walk down the hall to my next patient...I am the hands on nurse...and the eyes and ears for my Rn case manager...I do the personal care and or wounds tx as needed and order the supplies for each pt...my Rn case manager makes 4 visits a day and just 2 visits a day on idg team meeting days....we usually always have at least 13 to 15 patients....it only becomes difficult if more the one patient at a time begins transitioning to actively dying status...our hospice lets us Lpns manage our time and schedule our day...so I can make shorter visits to my other patients while I spend more time with my dying pt and their family. From what I read it sounds like the your hospice needs Lpns and Hha to assist you.

A friend of mine says the ANA does not really follow thru on helping nurses, she says the organization not focused on nurse issues, regardless of the petition

No insurance benefits! That's absurb! I would not take a career type job without insurance benefits. That is definetly a needed benefit unless you are on a spouse plan and can do without it.

What does this mean?

I work in a facility with the old style med cart too and the Medea, no computer, and sometimes I have all 44 residents on the floor to pass too. Try getting those residents who can on a pass Meds anytime schedule and use your charge nurse to see if any meds are unnecessary and can be dc'd as well as as any unnecessary treatments. That helps alittle, then get organized with a system of routine, as you learn your residents you get much faster, and make friends with the aides in order to get their help.

I had an experience that literally changed the way I think about our souls and afterlife. I saw my residents deceased husband standing beside her as she lay on the floor crying from her fall. No one else saw him, not my unit coordinator, my aides, nor my charge nurse. I heard him speak and I thought he was real, I watched him walk past me and leave the room. I was so concerned about his sadness that I tried to locate him after to comfort him and that is when I found out no one saw him but me. I never forgot what he looked like, later I identified him as the grandfather of a fellow nurse by the fact that the daughter of my resident looked just like him. I found out then that my resident was the grandmother to one of the nurses. The deceased husband looked as real as us, and spoke too. I will never forget this, and now to this day when I encounter a family group around a resident, I wonder which if them is a deceased spirit. I now believe our soul lives on.

Hi there, could you share your system, I would love to not make any more med errors, mine have been minor but scared someday could be major.

It seems harsh that they told you to leave after 2 med errors.....you worked there for 8 years...did they educate you for any med errors in those past 8 years? There must have been more than just 2 errors I am sorry to point out. Incomplete charting is not good ever, sometimes you just got to buck it up and stay late to get that done.

I work in LTC, 3 years now, I am not calloused, I see myself as enlightened, death comes to us all, when a person is sick or old, comfort and pain meds help relieve any suffering so one can die more peacefully. I think religion can help people come to terms with death, I for one believe our souls live on and the pain goes away. If children are raised with religion and nonjudgmental attitudes then it could help them later in life to see death as a passage to something better.

I live in upstate new York, small town, I recently got a small raise so now make $16.70 per,hour with vac, sick, and,personal days benefits and health cov, dental, vision, 401k, and i work 64 hrs per two week,period. I get time and half for any hrs worked over 40, usually work enough extra to get 85 hrs per two weeks.

Yes I believe it's true, sometimes god puts us where we are needed

Yes I believe it's true, sometimes god puts us where we are needed

Wow you sure are harsh, most nurses are trying their best to be safe, but remember, we are human, things happen.

Why did you get your LPN license if you are not working as one? You said you are staying in retail, why on earth? LPN's gain valuable job experience that you can use for your RN job....just wondering.....

One thing I have not heard anyone mention is this...because I witnessed this any times...watch your attitude when you are new, if you want the experienced nurses and experienced aides to show you the ropes then you must be willing to listen to them, give them help when they need it...I tried to tell several new grad LPN's to help out the aides and to assist us whenever they can and instead they talked down to the aides....consequently we stopped trying to show the new grads how to do their job because we did not want to waste our time on someone like that. So look carefully at your behavior and attitude, I have witnessed that those who are the ost willing to jump in to help and have a great loving attitude in LTC are the ones who succeed because all of us want nurses like that working with us and we do all we can to help them succeed.

I did! I met my Linda, for real! I was also very new 3 years ago, straight out of school into LTC and she was and is always patient with me, she taught me all the shortcuts, I still work with Linda today.

The way I will do it is to first pay all my debts and then save for the tuition for community college classes a few at a time..pay as I go, workfulltime and attend only 2 classes at a time, it will take longer but I have been in debt now for a while and I can tell you it feels awful so I refuse to get a loan out for school until I pay off what I owe...this will teach me to be more careful in the future.

Keep on trying looks like the angels are with you you must be doing something right

I wanna work where you work

Nope, if a patient needs pain med I address it, even if not mine, I would step in and find the nurse assigned to the pt to make the request or give it if the nurse if off the unit after checking....it's never an issue....always help out unless you are dealing with an emergency

I know what you mean, and most of the aides on my floor and in the building make more than I do as an LPN....they will always be ahead of me in pay...but they deserve the pay

I like the idea of a lead aide person, we have that now but it's not official..she helps immensely keep things organized..she is respected by all, but has to do this as you say under the table...I rely on her greatly and try to help whenever I can

Never give a prn med to a pt with behavior prob without donning a face shield first ESP if you don't know the pt has a mouthful of chocolate pudding

Quit complaining and just do it, earn their respect by helping them, we LPN's do that and pass meds, it's hard but you have to do it, everyone must do it. If you have emergencies with patients and can't do it then they will pitch in, their job is hard too not just yours.

Our pay is real low compared to all what I've read and raises are hard to get ans Small...I work with LPN nurses who have been there years and only make 1.70 to 3.00 more than me. I started at 14.46 3 years ago on day shift and today I make 15.90 day shift...raises to be given in aug but don't expect much of one..I get 1.00 more an hour if I work 2nd shift...used to be we would get OT pay if work over our shift now we have to work over 40 hrs to get any OT pay. Only get OT pay if you pick up on your weekend off.We have 44 res to a floor that we split with another nurse and lots with behaviors and frequently get stuck with all 44 on the floor by ourselves with 3 aides.