jadelpn LPN, EMT-B

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All Content by jadelpn

  1. jadelpn

    Rant About the Administrator

    "I have people to whom you are a mentor and leader coming to me daily regarding your poor attitude towards them and your job. I would like to have a meeting with you on Friday. At that time, you are...
  2. jadelpn

    New-ish charge RN - advice please!

    "I am going to interrupt this at present, as we all need to get onto the floor and begin our day. However, I am of the thought process that I make assignments as clear as I can. I am asking that the...
  3. jadelpn

    Help with titration

    Is there a policy on critical drips in your ED? I would err on the side of caution and do blood pressures every 5 minutes while a patient is still considered critical. I would speak to the provider...
  4. jadelpn

    Nurses against Narcotic Abuse

    In my experience, ER's are not a long term solution to chronic issues. For instance, I went to my local ER. I had aching as opposed to pain. I was practically handed whatever narcotic pain...
  5. jadelpn

    Culture and sensitivity for UTI

    I agree with the pp. The patient must have had stomach upset or some other issue with the Cipro, hence she is sensitive to it. And I bet the next time you see this patient, she will tell you she is...
  6. jadelpn

    Wound Vac!

    No, you really should not use an op site directly against the wound, then sponge. The sponge is what is "soaking" up the fluid part of the wound. If you were to put an op site against the wound, it...
  7. jadelpn

    Job interview tomorrow--clothes

    Bright colors are happy colors! I say go for it. Good luck with your
  8. jadelpn

    This week, I have learned... (5/30/15)

    I have learned that ya'll are funny, sarcastically humor filled, and wise. And that hot flashes will make one soaking wet. And that your 30+ "mosquito bites" is a poor but interesting description...
  9. jadelpn

    Is there a light at the end of the road?

    There is loan forgiveness, check into it as a pp has indicated. Look at what tuition reimbursement may be available through your facility, your parent company, or your union. All of that information...
  10. jadelpn

    Threatened by patient

    I could understand the rationale of not escalating a patient once they have been talked down. With that being said, the thing I find most disturbing is that the patient was not spoken to about the...
  11. jadelpn

    This seems like Hipaa violation

    I would think that the only information you could receive is the name of patient, that they were admitted, and where. Otherwise, unless the MD is going to assume care for the patient at said...
  12. jadelpn

    LVN on probationary license

    We can not give legal advice per AN TOS. I would not make too much of a move without at least discussing this with your probation officer--they can give you some direction as to how to go about...
  13. jadelpn

    suspended for doing the right thing...

    I have learned so much from this
  14. jadelpn

    LVN on probationary license

    I am not sure I would get too involved in what happened, and take direction from your attorney as well as your probation officer on how to proceed. Best
  15. jadelpn

    IV Insertion Problem

    First and foremost, in any peds patient, get someone to help you hold the child's arm in position. Do NOT rely on a kid to "hold still" because most will not, even if the intent is there. So get your...
  16. jadelpn

    What next?

    "Basically" asking you to resign is not asking you to resign. It can open the door to specific re-education opportunities. Learn to advocate for yourself. "Can we discuss specifics, and perhaps a...
  17. jadelpn

    Changing/Eliminating 1:1's?

    In my experience, you are speaking about 2 different things. There are patients who perhaps need 1:1 sitters that fit a certain criteria. They are suicidal, and/or at risk to themselves or others....
  18. jadelpn

    PTSD after losing a patient?

    I would keep your eyes out for any debriefing that happens after an event in your facility. If there's none, you may want to start that process. It can only help going forward. There are many local...
  19. jadelpn

    Fired after 8 months.

    I am sorry to hear of your job loss. The best thing you can do is make an appointment with a professional job coach and have them look at your resume, make some changes to have you stand out, and...
  20. jadelpn

    suspended for doing the right thing...

    You may have the child's best interest at heart, however, you are crossing a professional boundary into getting too emotionally invested in this
  21. jadelpn

    suspended for doing the right thing...

    I am not sure I would be monitoring the food intake of the child. You can only educate the parents, and go by the FBS information that you are presented with. Unless you are 1:1 with the child, in...
  22. jadelpn

    No friends at work

    I am not sure I would get doctors involved and make this into a huge thing. If your timing is "average" then I am not sure what the issue is. You do your thing, and you leave. You do not need to get...
  23. (bolding my own) THIS. Right here. And also follow up incident reports with a report to corporate compliance. Do not be in the mindframe that you want this nurse to "do better". That is on her. What...
  24. With all this being said, OP, I would immediately (and especially if you have been keeping a log of incidents) go directly to your house supervisor as these incidents occur. If there's a policy of 2...
  25. jadelpn

    Nurses Diverting Narcotics.

    This. Be really careful about using gossip as a basis for reporting another nurse. I understand you "saw" something. But to base it on the premise that this nurse apparently has some "history"...