jadelpn LPN, EMT-B

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All Content by jadelpn

  1. jadelpn

    I harmed my first patient today.

    jadelpn replied to starwarrior's topic in Patient Safety Issues

    First off, techs are unlicensed assistive personnel. I get that there are a fair number of them that are awesome at what they do, however, highly inappropriate comment to make (and even more so if in...
  2. jadelpn

    Over reaction or justified indignation?

    jadelpn replied to Jlwysong's topic in General Nursing

    In acute care, we had to show the package of the medication to the patient, tell them what it was, and other general education. If you are showing what you drew up against the order, then the patient...
  3. jadelpn

    Nursing is my passion but I feel like I am too dumb.

    jadelpn replied to Katlin1315's topic in General Nursing

    OP, don't ever say you are dumb. Secondly, A&P is by far the worst thing ever created in my own experience and opinion. It is a giant suckfest. I was so lost I had no clue. Then I got tutored....
  4. jadelpn

    I harmed my first patient today.

    jadelpn replied to starwarrior's topic in Patient Safety Issues

    Do not feel badly, do not fret. If the foley was a traumatic insertion, then there could be some residual blood on the tip of the catheter, a Fr that is so large that it is stunningly weird that it is...
  5. jadelpn

    Should I leave this racist town?

    jadelpn replied to ChutneyFries's topic in Patient, Colleague Relations

    None of this sounds very subtle to me. There are managers who will in fact tell everyone that they are hiring non-white nurses in the "name of diversity" which sets people up to believe this nonsense....
  6. jadelpn

    My patient committed suicide last night

    jadelpn replied to Penelope_Pitstop's topic in General Nursing

    Suicide is a difficult thing to process for everyone. There are some that no matter how much intervention they receive still will act on their desire to die. I have had a total of 5 people in my life...
  7. jadelpn

    Problem with a problem-co worker

    jadelpn replied to vbarger28's topic in Nursing Professionalism

    Work is work, personal is personal. OP, let the MA sink or swim on her own. You have really blurred boundaries here. "Throwing your credentials in her face"?!?!?! SERIOUSLY?! And an MA signing off...
  8. jadelpn

    Nurses Aides & Drug Testing

    jadelpn replied to Omxilyomx's topic in General Nursing

    Pot can stay in your system, depending on how much one uses, for some time. If you have a prescription for narcotics, you can disclose that. HOWEVER, I would be clear on your school and your work...
  9. jadelpn

    Confronted about charting at patient's school

    jadelpn replied to doodlebuttRN's topic in Private Duty

    As a parent, I get that control is an issue. AND that a communication device that I would spend a great deal of hours working with my child on is being used to the child's advantage. Communication...
  10. jadelpn

    Seeking employment before passing NCLEX

    jadelpn replied to Chrissygraduatenurse's topic in General Nursing

    Did you tell the facility that you were an RN already? Or did you tell them that you were taking the NCLEX? Once you take the NCLEX it takes some time to get your results. So we could be talking a...
  11. jadelpn

    When you're done. Just done.

    jadelpn replied to gemmi999's topic in General Nursing

    Your charge should not have reprimanded you in public. That is poor form. However, I don't understand that if one is having labs drawn (where, in triage?!) what you are to do with a critical. In...
  12. jadelpn

    Inappropriate Facebook postings by family and friends of the patient

    jadelpn replied to morman's topic in General Nursing

    Please be sure to report this, however, to risk management. There's lots of what-ifs. The most glaring one is did the parents consent to this, did the parents do this, etc. etc. This is a tough...
  13. jadelpn

    Nursing Diagnosis conflict help!

    jadelpn replied to Emantsch's topic in Nursing Student Assistance

    Yes, this is one possibility however, 100.1 is not considered hyperthermic in most facilities. And the one ibuprofen may or may not have altered this number. How was the temperature taken is another...
  14. jadelpn

    Nursing Diagnosis conflict help!

    jadelpn replied to Emantsch's topic in Nursing Student Assistance

    And you may not think this is first level priority, but it is. And with every pain scale assessment there is a portion that is "what is your acceptable" level of control question. As notably, we can...
  15. jadelpn

    Nursing Diagnosis conflict help!

    jadelpn replied to Emantsch's topic in Nursing Student Assistance

    Someone who has RUQ pain with shoulder pain can be liver related. So what were her liver enzymes? So perhaps she is drinking more than she is admitting with her husband in Iraq increased stress etc....
  16. jadelpn

    Another reason unions suck!

    jadelpn replied to Ruger8mm's topic in Collective Bargaining, Union

    Unions have some safeguards in place. However, no union can prevent lay offs and other tactics used to get rid of the most senior nurses. So don't despair, as soon as those senior nurses clinically...
  17. jadelpn

    Should I quit?

    jadelpn replied to whydoidothisrn's topic in General Nursing

    Been there, done that, bought the commemorative mug. I felt like garbage too. Although never an LPN in an ICU, I was able to work for many years in every part of a small community hospital. Until a...
  18. jadelpn

    It's just a ******* straight cath!!!

    jadelpn replied to %D#2's topic in General Nursing

    Hopefully, this resident got to a higher level of care. And the family is not fumed over the fact that it has been a considerable number of days. And if you send a referral and VNA declines, it is...
  19. jadelpn

    It's just a ******* straight cath!!!

    jadelpn replied to %D#2's topic in General Nursing

    But this resident is AL, and not sub acute, correct? So this is a resident and not a patient. In AL there are very specific guidelines that need to be followed, and straight cathing is not one of...
  20. jadelpn

    One Liner to Diffuse Escalating Situation With Patient

    jadelpn replied to Lev's topic in Patient, Colleague Relations

    You could always ask for longer acting (ie: toradol, for instance) and then morphine X 3 or 4 doses--that way you have a bit of a leeway in timing. The husband: "You are an amazing advocate for your...
  21. jadelpn

    African American patients - a cultural question

    jadelpn replied to 0.adamantite's topic in Patient, Colleague Relations

    Sometimes it is a matter of respect and/or privacy. Not an excuse for just not answering, however. Knock on the door, ask to come in. Call the patient by Mrs/Miss/Mr. Tell them that you are going to...
  22. jadelpn

    Confusion involving Transgender cultural needs.

    jadelpn replied to jaycam's topic in Patient, Colleague Relations

    There are parents who currently use a non-gender parenting technique. My kid, who is a teacher, has to have a non-gender classroom, with non-gender communication. With all that being said, because...
  23. jadelpn

    Being micromanaged by a CMA?

    jadelpn replied to %D#2's topic in General Nursing

    The MA reporting and carrying on is over the top. Do you "hand off" the cart to this MA on the day shift? If so, you have the opportunity to go over a couple of things that may have happened on your...
  24. jadelpn

    How do you deal with untherapeutic situations on the unit?

    jadelpn replied to RNdynamic's topic in Patient, Colleague Relations

    It is very unusual for a man to have a BPD diagnosis. In my knowledge and experience anyways. In any event, as most of us know, part of this process is attention seeking. You can't medicate a...
  25. jadelpn

    termination with racism and injustice

    jadelpn replied to Dance moon's topic in Job Search, Interview, Resume

    Budget cutting and cutting staff is everywhere. So this is not unusual for hiring people to hear. That is the part in the hiring letter that says that they can terminate or you can quit for any...