Ted1

I got my first LPN job in a LTC. Well, I was so excited, I did not know to check CMS website and view their violations. I started on 09/28/2017; however, I was sent home two weeks in a row because the state was in their building. I was told since the state was in the building, they did not want be there. Then, when I came back, I was told their trainer had resigned. This was the same trainer who warned me my license would be on the line at this facility and told me I was being set up because they needed my license. So, when I came back with the trainer quitting, I sat another week at their computer doing healthcare courses. So, finally, without any further training, I was sent on the floor. I did not have a log on ID and they wanted me to immediately start passing medications. My ID came the next day; I told the DON, I have not even finished computer training and that I did not know the system; the other nurses were nasty, disgruntled and all had nothing good to say about their facility. I was told I was only hired so another license would be on the line and my license might get taken away by being in this building. The nurses training me did everything wrong; patient's were not getting the correct dosages, there were missed meds and one midnight nurse, told the whole morning staff, she did not get a chance to pass any medications on any patients. On October 19th, another nurse said the state is back in the building. She immediately assigned me to all the fall risk patients, trach patients and peg tube feedings. I tried telling them, I was not ready and I was never trained on their system. The DON said get on the floor and be a nurse. The state made its way to the second floor and I was immediately assigned all the high risk patients. Everyone immediately hid and left me on the floor to pass meds on all the high risk patients. One of my patients fell and I did an assessment on her, called the doctor, notified her family and ordered stat x-rays. However, I went looking for management and other nurses to help me put everything in the system because I was not trained. They flat out told me they would not help and those were my patients and to finish my med pass. Everyone left me without any help and told me to deal with it. The state must have known what was up because the state asked me how many nurses were suppose to be on the floor. I said, I do not know, but I will find out. The state then replied three nurses are suppose to be on this floor. However, the DON, ADON, all the nurses all hid. The state knew exactly what they did to me and she did not ask me one question, nor did she ask to see my patients. I went along and passed the meds, did trach suctioning and care, and performed tube feeds. I was terrified being a brand new nurse and in orientation. After the state left, all the nurses and staff came out and told me how good I did and I would get the same patients tomorrow. Did i mention the state came back because an "EMPLOYEE" called them against them. I feared for my license. I went home and with only three weeks on orientation, I wrote the DON, ADON and human resources and thanked them for hiring me; however, at this time I another opportunity has presented itself and thanked them for being kind, gracious and helping me out. I sent that letter off because the trainer warned me I would lose my license and I nearly did. They wanted me to come back and do it again and I simply could not. I fear now I will not get another opportunity. Will I be black listed. I am so scared.

Guys, I have been out of school since 12/2016 when I graduated. I was so depleted after completing LPN school, I needed a mental break. So, I took time off to take care of my life, kids and complete another degree before the school catalog changed and I would be ineligible. So, in June of this year, I completed my other degree and started studying for LPN with Uworld and a priority and delegation book, the name escapes me right now. I did not write down rationales from uworld, I could not. My brain does not work that way. I just marked the ones I got wrong and kept doing the questions over and over until I got them right. I know some people write down rationales, et cetera, but I have OCD and could not bare to write anything down. I just plugged away and did the questions over and over. On August 26, 2017, this past Saturday, I took my LPN PN exam at 8 am and the test cut off at 10:45, and I took a break, at 86 questions. I was a wreck until I checked quick results on Pear Vue this morning and Passed first time out being out of school since 12/2016. I truly felt I failed because the test cut off and I feel like I guessed on the majority of the questions, but I passed. Thank you God for being on my shoulders picking those answers.

Hi everyone, I am having a difficult time finding the correct drugs for a diagnosis. for example: if the patient has alchol withdrawal, hypertension, diabetes; I want a book that can tell me the drugs that go with these diagnoses. Can I buy a book that will list the diagnosis and then the drugs that can be prescribed for it ? Also, where can I get a good physical examination handbook. I need to know exactly what area the doctor is talking about. thanks so much, Ted

Hey everyone, I was like an office assistant and I had to try and be a medical transcriptionist and my english was horrible. I am now an official RN. Just got hired in today. Thank you all for your support. Ted

Thanks again everyone

I am again transcribing an operative report for English second language doctor and I am having a difficult time with the grammar. Can someone give me feedback on the following. A moderate exudate of polymorphonuclear leukocytes ( is, are) seen. Which word in the parentheses should I use. Thanks everyone for your help. Ted.

I thought my grammar was one of my strong points; however, I must be wrong. Can anyone offer their opinion on the following sentence. The soft tissue and bowel lumen (measure, measures) 8 cm in length and (has,have) a 6 cm x 3.5 margin of colostomy deep to the subcutaneous tissue. which word in the parentheses should I use? Thanks alot.

I was stumped with this and you guys took the time to reply. Thanks again. Ted

Can anyone give me some help on how this should be transcribed. The endocervical canals are patent, and each ( connect, connects) with (its, their) respective ( uterus, uteruses) Which words in the parentheses should I use. Thanks everyone.