jadelpn LPN, EMT-B

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All Content by jadelpn

  1. Why is the employee health nurse discussing co-workers Hep-C situations at all? Alarmist and a bit over the top. Patients are ill. Nurses are exposed to many, many things. You can always use the...
  2. jadelpn

    Cry baby CNAs

    I think part of the issue is the "that is CNA work" statements. Everyone works hard at their own scope. All for the good of the patient. Yes, I am sure it is annoying for some that patient has to...
  3. jadelpn

    Dating former patient

    Never a good idea. But again, that is just
  4. jadelpn

    If You Can't Handle the Heat, Get Out of the Kitchen!

    You have been a nurse for 6 months. You have but scratched the surface of nursing. You have but just started working "for real"--unless this is your second occupation and you have been full time...
  5. jadelpn

    If You Can't Handle the Heat, Get Out of the Kitchen!

    But you are not at work to make friends. You are there to work. I dare say that if you "forgot" to document in the ICU, or in the OR as a CRNA, that could have grave patient consequences, and you...
  6. There are some nd that can be appropriate for most all patients. Ineffective healthcare maitenence/management, discharge care plans, and ineffective pain managrment. Also, because he has voided so...
  7. jadelpn

    If You Can't Handle the Heat, Get Out of the Kitchen!

    You can't be of the opinion that you can make it to the ICU and then as a CRNA on a wing and a prayer and nothing else. To rage against the machine is not a good thing when you have goals, to stand...
  8. jadelpn

    If You Can't Handle the Heat, Get Out of the Kitchen!

    Stop playing scenarios in your head. The written warning you recveived was 2 months ago, THEN you got through your probationary period with "flying colors" after that. They would have had a reason...
  9. jadelpn

    If You Can't Handle the Heat, Get Out of the Kitchen!

    The first year as a nurse are the hardest. There's lots of information coming at you at once, and you need to find your own groove and what works. Very different than your clinicals in school, it...
  10. Go to the meeting with confidence. State that you were hired for the position with them knowing full well your past experience. That you would prefer goal oriented benchmarks that you should be...
  11. jadelpn

    Question about 10cc syringes and picc/ports

    My error. I was told it was a volume situation as opposed to a pressure situation, as the lumen is longer. Interesting. Learned something new. Thank
  12. Another "hot" topic is HCAP. I would also find out how to set up a performance improvement presentation. Also, "hard stop time out"--which if you read about it, can be applicable to many situations...
  13. jadelpn

    On Call

    Yes, we can choose to take on call if the census is low. We are not mandated to do so. We can be asked if we want an on call also if the census is low, or discharges make the census low. If people...
  14. jadelpn

    Question about 10cc syringes and picc/ports

    Edited out due to incorrect content. See 2 replies below this one--excellent explaining-- If there ever comes a day I become an RN, I will remember these answers. Thank
  15. If you are startinng to get your certification as a CNA, the training itself should teach you how to be able to do your job effectively. Sometimes it is a matter of one thinking that it is all basic...
  16. jadelpn

    New L.P.N. Very disappointed!

    An MD's office. A urgent care clinic. School nursing. Home Health. Teach a CNA class, a Medical Assistant class. Those are just a few off the top of my head that have hours that are usually M-F,...
  17. jadelpn

    career-changer & adjustment to the acute care floor

    Make sure you always use a paper "brain" that you can set up however is easiest for you to understand. It helps when you multi task. Be good about writing reminders to yourself on your brain. I...
  18. jadelpn

    Question about triage

    Oh, and another thought. Always use your critical thinking skills. Do not try to manage both alone. Get your charge RN involved in this double whammy. Know what resources you have. Be prepared...
  19. jadelpn

    Question about triage

    I would also say more information is needed. You have to look at the whole picture as opposed to just the CC. What are the vitals? Is the bleeding controlled on the GSW? If the GSW is actively...
  20. jadelpn

    They're running our techs away

    First off, I would see about widening your pool of per diem techs. If the facility were to put the word out there, then that could be to your advantage, as well as the facilities, to have one general...
  21. I agree, it does seem unfair that the charge nurse doesn't take patients, but that is the norm most everywhere. However, if the poop hits the fan, and she still sits and watches, that is when I would...
  22. There are lots of medications for pain. Methadone comes to mind. It is generally thought of to be a alternate to heroin use. However, it is a legit medication for pain. I have seen it work wonders...
  23. jadelpn

    Nurses notes

    Perhaps you could make general notes, NOT in the record, but general notes on why or why not you support, give to the person who reviews and adds their 2 cents, then make a final note in the record....
  24. jadelpn

    ICU ERRORS

    I would discuss this with risk management. I would discuss this with risk management at the corporate level if no response. Make sure you have policies in hand that back up what you are observing....
  25. If patients complain or question her capabilities, then you need to get the house supervisor involved. Like one would with any complaint that a patient has about a nurse. If you work short staffed,...