nurse62

nurse62

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All Content by nurse62

  1. resigning

    I am wishing to resign from my current facility. I have been there for two years now and have come to find I am getting a bit burned out. I drive a great distance and my hours are very long. Giving a two weeks notice is appropriate, however I h...
  2. concerned

    I work in a long term facility as well and note the same type of conditions you describe. I think you did the correct thing, for this environment is very toxic. Years ago when I first became a CNA (now I am an LPN) my assignment would always cons...
  3. Effexor Withdrawl

    We have a patient the doctor is tapering the effexor. The poor lady is a complete basket case. She was on 225 mg daily, and reduced to 150 mg. She has increased trembling so as it is difficult for her to even feed herself, she has had several par...
  4. LPN really screamed at patient.

    The nurse should of been able to attend her own son's memorial service. The facility, knowing her son had just passed, should of never placed her on the schedule. And as far as her yelling at the patient, well she said she was sorry to the patient ...
  5. MAR unsigned

    I work in a LTC facility. The other day, during my 5 PM med pass I noted 4 consecutive unmarked days a med had not been signed off. It was not marked as held, resident refused, JUST SIMPLY BLANK. The med was in the cart, so I then went to the res...
  6. MAR unsigned

    Update on benadryl: So I go to work yesterday.......guess what the res benadryl still is not in. I investigate.....fact is.........the pharmacy did send the med the day after I ordered..........however......the nurse on the unit when the pharm tote...
  7. When little old ladies attack.....

    Complete the behavior log and quote her in the nurses notes. Social Services should get involved with her abuse to staff members and family needs to be informed of her behavior as well. And remember to smile :kiss
  8. MAR unsigned

    Yes, the main reason for holes on the MAR is due to being interrupted, which many times can't be helped, at the time. However, before turning over the med cart to another nurse, nurses should always look back thru their days work to make sure they ...
  9. QMA directed to write orders

    A few months ago, the DON came out to the unit and addressed the QMA to write several orders. Never addressed the nurses on the floor, only the QMA. Of corse, the QMA had to address the nurses to sign the orders, which by the way, the nurses ended ...
  10. EMT-B in Doctors offices

    Prior to becoming an LPN, I had my EMT-B license. After several months on the back of an ambulance, I hired into a hospital in the ER. My stay at this hospital was short for they expected me to work well beyond my scope of practise. There were se...
  11. Hospice Oxygen Therapy

    Wait until the doctor says, "Well, why are you doing sats, the patient is hospice?" The last times I worked with this patient she was sitting along bedside feeding herself and doing well, so why wouldn't I do sats when I walked in and found her tot...
  12. 75 questions.....please help!!!!!!

    Mine did the same thing, I fretted for 48 hours. Pat yourself on the back, for YOU PASSED!
  13. They are laughing at the patients

    I as well have been put in the same position many times. I am known as a "strict, bosy" nurse. It doesn't bother me, for I know what I need to say and do to get the aides to preform. Lately, I only have to give them a disapproving look to get the...
  14. My almost venture into LTC! Verrrrrrrry long!

    I have always worked in LTC facilities. When I was nursing school, I new I would stay in geriactrics....for it was always my goal to be a nurse for the elderly. I have interviewed at several hospitals, and I would of took at least a $5.00 an hour c...
  15. How do you cope with death?

    The way I deal with death, depends very much on the situation, but always in the end, I pray.
  16. :( sad and in need of advice

    My neice has RSV, diagnosed 11/27/03. She is 11 months old. I pray for your Jacob as well.
  17. Stealing drugs!! what's your opinion?????

    We had a large amount of MS Contin stolen from our facility last year. The culprit was actually a CNA. How she managed it was very simple, the nurses on charge simply left the cart open. The culprit was busted while attempting to sell the drug. ...
  18. When did it become okay?

    We have an on going problem with one of our physicians at our LTC facility. such as this. One night, I had him paged within 15 minutes of the resident change of condition. Took him four hours in which to return the call, in which I had paged him tw...
  19. AED's

    Could placement of the AED pads been the issue. I do believe you can use an AED however the pads need to be 10 cm from the pacemaker.
  20. Shift to Shift Report

    We use the 24 hour report sheet as well, however many times it goes uncompleted or missplaced. We also have a follow up board.
  21. Medication question

    Since the question reads as follows "which of the following SIGNS would be crticial for the nurse to assess" I will have to go with C. Ability to void. What is the correct answer.
  22. IV & Pic lines

    Thanks you all for standing behind me. I have talked to my ADON about getting certified for two years now, and "the classes are coming soon" is all I have heard for two years now. I really want to become skilled concerning IV and PICC. How is it t...
  23. IV & Pic lines

    I was in an 11 months LPN Program. We went thru a 4 hour class pertaining to IV and PIC Lines. However, we were informed we were NOT CERTIFIED to admininster nothing thru an IV nor a PIC line, and would need to further our education prior to doing ...
  24. 14 Nurses Fired and 9 disciplined in Kentucky

    I don't think the nurses have a leg to stand on either. I would love to see their documentation, and copy of the patient itemized bill. However, I once had a patient coughing, all she requested was a bit of robitussin, however she did not have a or...
  25. My almost venture into LTC! Verrrrrrrry long!

    As an LPN in a LTC facility, I hear, understand, and deal daily with what you have experienced. As far as tx though, they are usually signed off. Never sure they are completed, unless a dressing is required and I can actually read the nurses date a...