jadelpn LPN, EMT-B

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All Content by jadelpn

  1. jadelpn

    Help me with compassion fatigue

    And OP, always use your resources. If you are having patients who are chronic painers, then to get them involved in a pain management consult would be in their best interests. Chronic pain is a...
  2. jadelpn

    Question about disclosure

    This is a question you can ask the BON. I would think it depends on the nature of the termination. If it is something that can be reported by the facility (ie: diversion, patient abuse) then it would...
  3. jadelpn

    Tuition Reimbursement in limbo

    AND they go through all of this with a fine tooth comb. AND there are some things they will reimburse for, others that they will not. AND there is, I am sure some "fine language" that has some sort...
  4. jadelpn

    Dilute Urine Question

    OP, here a just a couple of things concerning me. First off, that you don't seem to be eating a whole lot, while drinking copious amounts of water. Secondly, that your concern is in how dilute your...
  5. jadelpn

    Taking care of DNR patients. The point?

    Ok, so OP, you have read, and learned and will incorporate whatever you took from the previous posts and incorporate it into your practice. But along with that, what you need to be doing is educating...
  6. jadelpn

    Emergency (NPs)

    I would also look at what credentials are being hired in area hospitals. Some hire NP's (and be careful on specialties, as some rules regarding for instance Adult NP's means that you can not treat...
  7. I would then pop a quick email to this person just stating that you are looking for a job, that you are sending unit specific cover letters to said openings along with your resume. If there is a...
  8. jadelpn

    Unsafe Practice by Coworker

    The nurse in question is really setting herself up for quite the diversion scam. Ya'll know she leaves med cups in the cart. And she has set herself up to be a nurse that everyone just adores "That...
  9. jadelpn

    Protocol for blood pressure?

    If you are taking a blood pressure as part of the MD visit, and it is critically high, then you need to do something with that information. Often, if it is part of a yearly, then discussion needs to...
  10. jadelpn

    Correcting low sodium too quickly

    Not knowing the entire picture, here's just a few random thoughts. Very interesting information regarding sodium by pp--I learned a lot from the information!! Just to add to the above, I would...
  11. jadelpn

    Protocol for blood pressure?

    I get it, if you get a high blood pressure reading, then you are curious as to what to do with that information. You need to inform the MD, and document that you did so. If there's a licensed nurse...
  12. I would keep on applying. That way, your resume goes to each manager of each unit. It is being proactive, and not "annoying". If you again get rejections, it wouldn't hurt to see a job coach to talk...
  13. Your union delegate locally can get your area union rep involved in the process. There are 2 things that you really need to have at the ready when you discuss this issue with them. First, the...
  14. jadelpn

    Unsafe Practice by Coworker

    When you take over a med cart, it then becomes your responsibility. Because you now know that there may or may not be random meds left in the cart, I would look in each drawer and have off-going...
  15. jadelpn

    Nasty Colleague

    The only thing you can do is to say that going forward you will be more mindful. If the more senior nurse (who I am assuming is your charge nurse) communicates with you in a way you do not...
  16. jadelpn

    Childhood Obesity: Breaking the Cycle

    No child left behind puts such emphasis on testing.....and most schools that "ban" bringing lunches from home have to hit some markers for government funding of meals--such as a certain percentage of...
  17. jadelpn

    Childhood Obesity: Breaking the Cycle

    You know what, we are talking about kids. And there are some who grow out, grow up, grow out, grow up..... Schools do weigh children. Then send notices home regarding the child being "obese". There...
  18. Unless someone offers you a job in writing, outlining your salary, hours, and the like, then it is not a guarantee that you got the position that you were seeking. And once you have the offer letter...
  19. jadelpn

    PHRN/EMT-P

    It is actually a Medic to RN bridge, not the other way around. But with that being said, it is an apples/oranges thing. There are many ambulance companies who will give tuition reimbursement monies...
  20. jadelpn

    violating HIPAA?

    The medical record number is perhaps what is needed to set up the tele--and to be sure it is the right patient, right record, right whatever. I also would think there's some sort of billing issue...
  21. jadelpn

    Job suggestions while I wait...

    You could take an EMT course over the summer, and get some experience that way. Then if time allows, go on to paramedic, which would give you ACLS. There are many ambulance companies that give...
  22. jadelpn

    RN and EMT recertification

    In my state, EMT's need to take a recertification course, as well as classroom and independent study hours. Which MAY or may not count toward your RN license renewal, but not the other way around....
  23. jadelpn

    Blue Pigtail on Nasogastric Tube

    Sounds like x-ray made a small error. Going forward, good lesson learned. Make sure you connect your patient back up to the bells, wires, whistles. When you assess, you need to be sure that you are...
  24. Good point of the pp---I would be oh, so very curious that out of the "bad reviews" you are getting on patient satisfaction scores.....exactly how many surveys were sent back? New parents have...
  25. jadelpn

    School Nurse Abandonment over Pledge?

    She ordered the child out of her office. Declined to treat the child. That is not such a far stretch for abandonment. And refusing to treat because you are offended is not part of a nurse's ethical...