jadelpn LPN, EMT-B

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All Content by jadelpn

  1. And I am sure that there is a policy that backs that up. So even if it is not ordered, it needs to be done per policy. However, if the score needs medication, then that could be an issue if the MD...
  2. jadelpn

    Post-conference Ideas

    What if you follow a few each time you are in clinicals, and then have them email you with a run down on their patient, their nursing diagnosis, after a bit of reflection what they could/should have...
  3. Look at the report you get from testing. See what it is that you are not getting correct--if there is a trend. Some people just don't test well. Don't "read into" the questions, and don't change...
  4. jadelpn

    An open letter to the #NursesUnite movement

    The same Corporation who in fact goes to various facilities and teaches us "customer service" their way?! Until we have nurse leaders that are invested in changes, who are held to the standards of a...
  5. jadelpn

    HIPAA and the Undocumented

    In your pp you mentioned that she could have been referred to the free clinic. Instead, she chose to use insurance that was obtained using a false identification. No one said anything about not...
  6. jadelpn

    NCLEX help!!!!

    I would take the first available date you can, and yes it may be 5-6 months. It is also reliant on your school to get the information together that you need for your ATT. This is a school...
  7. The PVT is just that--a trick. And has varying results. And I am not sure one wants to put erroneous credit card information out there. Not to mention when and if they ever decide to audit for...
  8. jadelpn

    HELP for NCLEX-PN please

    It is hard to say with any confidence if those scores are enough to pass or not. As each NCEX PN is different in its content. When you are getting your final scores, is there a specific trend you...
  9. jadelpn

    HIPAA and the Undocumented

    The clinic wouldn't deny her insurance, as it was her husband's insurance from his job. What they did was report the fact that she was using a fake driver's license (which I feel for the person...
  10. jadelpn

    Your BEST AN memory- in honor of Brian

    Just the support and encouragement I have received over the years. I live in a small somewhat repressed area. Some of my thought process is and can be direct, and other times a tad sarcastic. My...
  11. jadelpn

    Late on interview.

    There are many urgent cares that employ all MA's. So they have LPN's which supervise MA's in their scope. And interestingly, in reading the scope of practice for any number of LPN's in many states,...
  12. jadelpn

    Late on interview.

    Apologizing profusely is over the top. I would simply state that you were attempting to find parking and you called to state that you were doing so at the time the interview was scheduled. At which...
  13. jadelpn

    Nurses' handoff to EMTs

    The patient was discharged, and no longer your patient. 911 was called per the request of the wife who "wouldn't take him home". I would have excused myself from the get-go as far as being the nurse...
  14. jadelpn

    best sleep aid before I resort to a hammer?

    Black out curtains. A window fan or some other noise machine that will block out sound. Turn your phone off. As tempting as it is, the TV too. Soft sheets, even a pillow top for the mattress so...
  15. jadelpn

    Brian Short News

    Brian's vision became my nursing voice. And I am truly thankful. Love and Light to
  16. jadelpn

    Please, I need answers. I'm 55

    I would look and see what is available as far as jobs in your area, before you commit to a specific training or certification. If people are not hiring LPN's, then it wouldn't be of advantage to you....
  17. jadelpn

    Are hospitals hiring LVN/LPN's

    There are some rural hospitals that will hire LPNs. Some will hire LPN's who do the duties of a CNA as opposed to nursing duties. Where any number of small hospitals are being bought by large...
  18. jadelpn

    Blood, Sweat & Tears

    Nurses who get emotionally invested in their patients suffer burn out, and pretty quickly. Nurses who believe it is a personal failing when a patient codes and is unable to be revived suffer burn...
  19. jadelpn

    Afib: A question of nursing judgment

    You did the right thing. You can not venture to guess what is going on with this patient. Nor if the dig was at the therapeutic levels, nor what the INR was doing....all things that if presenting...
  20. jadelpn

    Resignation/Sick Leave

    I am assuming that you have gotten a signed offer letter, and have signed acceptance of the position? Then I would say that your last day will be when you leave for your sick leave. If you did not...
  21. jadelpn

    The Ship Is Sinking

    I agree with the above, in that you really need to be mindful about what you post and where. Bottom line, the people who run your facility don't care about how many nurses are staffing it, who is in...
  22. jadelpn

    Downsizing Pediatric Units

    I believe in this climate of "we are a business" that facilities are getting rid of just about anything that doesn't turn a profit. As well as downsizing nurses to be able to staff units...
  23. OP, what you describe is known as ERS or Enthusiastic Response Syndrome. Symptoms include diarrhea of the mouth--which transposes onto the reply screen, "you misunderstood my tone", and random letter...
  24. jadelpn

    Did I do the right thing?

    You did the right thing. My response would have been "if it is 'nothing' but anxiety, why is it that she is not being treated for it?" It COULD have been all sorts of things, from a heart attack to...
  25. jadelpn

    Lost my new grad job 3 months in

    The EMS system and nursing are so very different. And that becomes apparent in a great deal of units. Best wishes in your