lvnlrn

lvnlrn

LTC, MDS, ER

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About lvnlrn

lvnlrn specializes in LTC, MDS, ER.


Fourth generation Montanan, started as a CNA in high school, then Pharmacy Tech, LPN, and finally RN. Most of my experience is in LTC but I just started in the ER in the beginning of 2013 and am loving it so far...

Latest Activity

  1. resus room chart

    Examples of trauma flow sheets: (You could probably google any state & "Trauma flow sheet" and see examples)...
  2. ICU nursing is focused, constantly reassessing, 2-3 patients at a time (usually), detail-oriented. ED nursing is different. You have anywhere from 2-5 patients, and you don't know what's wrong with...
  3. Residents with shingles...

    I'm assuming one of those appointments was to see the doctor for her shingles? I hope so...shingles in the eyes can be nasty and lead to long term effects. The MD can write for an antiviral (probably...
  4. Frequent Fliers...seeking ENEMAS!

    Ugh...not a frequent flier but I had an elderly patient demanding that I give her an enema before discharging her for her chief complaint of neck pain for last six months. Never mind that she had no...
  5. Starting an ER job with no orientation?

    I think you made the right decision. Some of the ED nurses I work with (we're at a level II trauma center) came from tiny EDs in the middle of nowhere. They are able to be so independent because they...
  6. Shouldn't that patient go the ICU??

    In your shoes, I think I would have documented your report, as well as what you said in quotes. And then I would discuss it my manager to see what she feels, if anything, needs to be followed up with...
  7. Medication tidbits an ER nurse should always know

    Artemis Safe Dose Pro iPhone app is my go to app for double checking peds meds before giving them. I've caught overdosages with it. You just enter how many kgs they weigh, the med you're giving, and...
  8. Medication tidbits an ER nurse should always know

    I drew up Valium and put it in a 10 cc syringe of saline. Immediately it precipitated, turning into a nice cloudy mixture. I had to waste the syringe and put the second dose in a 3 cc syringe. I had...
  9. Care plan question

    And I'm curious...if this pt is on room air and is so sob he can't get out of bed and is on palliative care for copd why is he not on
  10. Care plan question

    Keep in mind that this resident will have anxiety related to the sob and not just the death process. Try breathing under your covers for two minutes and you might be able to empathize with this...
  11. Is the cynicism inevitable?

    I'm sure this topic has been hashed and beaten to death, but it's new to me, and definitely not something i can vent about to Facebook or even my family (non-medical)...I started working in the ER...
  12. My preceptor (she actually is fairly new as well) and I were starting an iv on this sweet high school girl. I had no problem getting flash, but her skin was so tough that I couldn't get the cannula to...
  13. I just wanted to share something with you. I've been HOH all my life (it was hereditary). I've always worn BTE and did a little lip reading. I really never had problems until it came to using the...
  14. XmasShopperRN and Rhi007, those were the exact kind of things I was looking for...tips and tricks that I wouldn't find in a typical pediatric nursing text. I completed PALS today, and picked up a few...
  15. Wow, thank you so much for your time and effort with your reply! I really appreciate it :) I've started in the "minor care" part of our ER (soft 3's, 4's, and 5's) and will take PALS Monday, and am...