lvnlrn

lvnlrn

LTC, MDS, ER

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All Content by lvnlrn

  1. Is AANAC certification worth it?

    lvnlrn posted a topic in MDS Coordinator Information

    I've been working with an MDS Coordinator on a skilled 32 bed transitional care unit with a high turnover for the last 4 months. We did over a 100 MDS's last month alone. I love this position and can...

  2. resus room chart

    lvnlrn replied to girlxh16's topic in Emergency

    Examples of trauma flow sheets: (You could probably google any state & "Trauma flow sheet" and see examples)...

  3. From small ICU to big ER...feeling like I may have made a mistake!

    lvnlrn replied to pookiechew's topic in Emergency

    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...

  4. Residents with shingles...

    lvnlrn replied to NurseQT's topic in Geriatric, LTC

    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...

  5. Frequent Fliers...seeking ENEMAS!

    lvnlrn replied to 1fastRN's topic in Emergency

    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...

  6. Starting an ER job with no orientation?

    lvnlrn replied to LostnNakedNursing's topic in Emergency

    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...

  7. Shouldn't that patient go the ICU??

    lvnlrn replied to psu_213's topic in Emergency

    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...

  8. Medication tidbits an ER nurse should always know

    lvnlrn replied to RNstdntSVSU's topic in Emergency

    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...

  9. Medication tidbits an ER nurse should always know

    lvnlrn replied to RNstdntSVSU's topic in Emergency

    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...

  10. Care plan question

    lvnlrn replied to sarahmac09's topic in Nursing Student Assistance

    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

  11. Care plan question

    lvnlrn replied to sarahmac09's topic in Nursing Student Assistance

    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...

  12. Is the cynicism inevitable?

    lvnlrn posted a topic in Emergency

    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...

  13. When did you realize that "newbie" wouldn't cut it in the ER?

    lvnlrn posted a topic in Emergency

    Just curious to hear some of your stories regarding orienting nurses (either new grads or transfers) to the ER and when/how you know if someone is cut out for the ER or

  14. For all the HOH nurses out there...

    lvnlrn posted a topic in Nurse Disabilities

    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...

  15. Advice & Tips for working with pediatric er patients

    lvnlrn posted a topic in Emergency

    I love kids, but this is my first time working with them. My preceptor is awesome and has been giving me tips to try (eg getting a rapid strep swab on a 5 yo and asking her if she has a dog, can you...

  16. New ER nurse...needs help :)

    lvnlrn posted a topic in Infusion, Intravenous

    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...

  17. Advice & Tips for working with pediatric er patients

    lvnlrn replied to lvnlrn's topic in Emergency

    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...

  18. Advice & Tips for working with pediatric er patients

    lvnlrn replied to lvnlrn's topic in Emergency

    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...

  19. Brain Sheet

    lvnlrn replied to porkey2's topic in Emergency

    I just started in er (minor care to begin, then hopefully advancing to the main er in a year or so) after working a rehab type setting. I loved my brain sheets but quickly learned the way I used to do...

  20. Practice Scenario Questions for ER Interview

    lvnlrn replied to Vines812's topic in Emergency

    I just interviewed last month (got the job, start tomorrow, so nervous!) for an ER position. I was asked a question along the lines of what I would do if I had an order that I needed to start a Foley...

  21. career pathways out of MDS

    lvnlrn replied to senseiRN's topic in MDS Coordinator Information

    I am in the exact same boat as you! I love this position because it is so flexible (I have a 4 month old baby at home) so if I don't have daycare, I just come in when my husband gets off work. I...

  22. Yelled at for posting on AN

    lvnlrn replied to Bormio's topic in General Students

    My nursing instructors made it clear from the first day of class: They are there to make good nurses, not to coddle us. They had high expectations, because they did not want incompetent,...

  23. Yelled at for posting on AN

    lvnlrn replied to Bormio's topic in General Students

    I would be especially careful about who I vent to, regardless. Family members and close friends are the only ones I'd vent to...during clinical, I've had a patient's family member ask me what I...

  24. Yelled at for posting on AN

    lvnlrn replied to Bormio's topic in General Students

    I would look at your program/school handbook regarding this situation and whatever infraction you "committed" that they're upset about...if there's nothing in there your instructors can use to back...

  25. IM Injection Question

    lvnlrn replied to ese1212's topic in Nursing Student Assistance

    When I was in school we were taught to draw up the med with one needle, then change to a fresh needle to "be nicer to the patient". When I worked as an IV tech in my hospital's pharmacy, there wasn't...