bernadettes

skrainbow is right. If the patient askes for water, give her a sip, but parenteral fluids will prevent the comfortable dehydration that helps dying patients achieve a peaceful comfort from endorphin release.

Here in New York, LPNs are not allowed to assess. According to the scope of practice, LPNs take and record data - it is the RN who assesses the data.

At our facility, the LPNs do a quarterly summary that addresses all goals and how the res is doing related to the goals on the careplan. They are scheduled to be done right before the quarterly MDS assessment. The RNs do monthly assessments - a check-off sheet (done q3m) that highlights all areas and a small narrative on the back for the second and third month that just addresses any changes from the quarterly assessment. These are also done prior to the quaterly MDS.

Let's see...Just completing a bioethics course: the rules are do not cheat. You both participated in cheating. The consequences for revealing the cheat will probably get her kicked out of school and you will have no real consequences except maybe a lost friendship. Is that worth it to you? Is revenge something you are looking for? What is your motivation for now complaining about what you did for her willingly?