jadelpn LPN, EMT-B

Member

All Content by jadelpn

  1. jadelpn

    Wound vac question/vent

    jadelpn replied to Nursetastic's topic in General Nursing

    Seems like there's a couple of things going on. IF one has a closed surgical wound, and no infection present, then I could see how a wound vac could promote healing over sutures. Brings the edges...
  2. jadelpn

    I need help. =(

    jadelpn replied to MissyERnurse's topic in General Nursing

    I may be old and jaded, but seems to me that Med surg is stuck and wanting a temporary nurse. If this is a freestanding ED and not affiliated with any hospital, then this is just an odd situation....
  3. jadelpn

    Rough day

    jadelpn replied to BSNRN2014's topic in General Nursing

    That stinks, and I am sorry it happened to you. I would say breathe and focus. The code director will give you a job to do. If you need clarification, a simulated code debriefing is where to ask...
  4. jadelpn

    Advice on Challenging a Write-Up?

    jadelpn replied to faithkindness's topic in Patient Safety Issues

    A process for home meds needs to be clarified. If the family brings in a home med, then the MAR needs to reflect same, and the MD needs to look at the home meds and choose to order them or not....
  5. jadelpn

    a friend's pt satisfaction survey

    jadelpn replied to Here.I.Stand's topic in Patient, Colleague Relations

    And if someone said "I want you to be DELIGHTED" one more time......I am ill, not delighted....what would delight me is getting outta the place and being well!! And "nice to my visitors?" I am not...
  6. jadelpn

    Please help. Any advice is greatly appreciated.

    jadelpn replied to Mojo77's topic in General Nursing

    First off, be sure that your facility will hire a diploma nurse. If it is a 2 year program, it would more than likely be a better investment to get an associates. Which there are many hospitals who...
  7. jadelpn

    What is it with nurses showing up late!

    jadelpn replied to hppygr8ful's topic in General Nursing

    This happens a lot when there are no time clocks to prove otherwise. If there are time clocks, this is something that your manager can track. And I am sure none too thrilled at having to pay you...
  8. jadelpn

    The Fat One

    jadelpn replied to Pink86's topic in Nursing Professionalism

    If the student nurse was within earshot, perhaps a "excuse me, could you come here a moment? I have forgotten your name--" and then go on to discuss whatever from there. Because if said student...
  9. jadelpn

    Pixus waste never witnessed

    jadelpn replied to bella14k's topic in General Nursing

    And be mindful of the fact that there are some nurses who may or may not be diverting who will in fact use the new nurse to get narcs for them, believing them to not question it. And most experienced...
  10. jadelpn

    Where's the infection?

    jadelpn replied to LMH2687's topic in General Nursing

    I would check out the skin--what did her feet look like/in between toes, that type of thing. Also dental stuff--even if she has dentures, what does her mouth underneath look like? I think the glucagon...
  11. jadelpn

    Pixus waste never witnessed

    jadelpn replied to bella14k's topic in General Nursing

    Yikes!! First off, most med areas have cameras. Therefore, you are being recorded. Secondly, do not ever, ever, EVER anticipate narcotics and grab them--you need to assess your patient before you...
  12. jadelpn

    How to best use Home Health CNAs

    jadelpn replied to Cinquefoil's topic in Home Health

    This is a huge issue everywhere, and not just in home health. ADL's, range of motion, even if some of your CNA's are trained in some physical therapy aide stuff--I believe that would all be billable....
  13. jadelpn

    Help!!! Boces Lpn entrance exam

    jadelpn replied to g.ayala89's topic in Pre-Nursing Students

    I would get a guide book if there is one available to you. It can give you a sense of what to study. You should be able to edit a paragraph, there is some science, math was somewhat basic if I...
  14. jadelpn

    Tricks For Putting in Foleys in Males Whose Member Have Disappeared

    jadelpn replied to dudette10's topic in General Nursing

    Urology consult-- Extra set of hands. Sometimes placing a urinal under the opening to the member will encourage just enough for you to be able to advance a cath. I wouldn't use a coude cath, as the...
  15. jadelpn

    Lost...

    jadelpn replied to kaygbean's topic in First Year After Licensure

    Go to a professional and have them give you pointers on your resume and cover letter. Actively search the websites of local facilities for their job openings. Meanwhile, if you have the opportunity...
  16. jadelpn

    My big mouth

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

    Don't put so much personal emotion into your job. It is not personal. It is frustrating, but frustration doesn't change the fact that you have 7 patients to take care of at present. Focused and...
  17. jadelpn

    Students who get As are bad bedside nurses

    jadelpn replied to konstantine's topic in General Students

    You do need to learn in order to have a sense of WHY you are doing something, and what it means as far as the big picture (ie:patient goal). As a pp pointed out, part of what you are learning will...
  18. jadelpn

    Admissions Essay - NYU

    jadelpn replied to kta428's topic in Pre-Nursing Students

    Well written and thorough. Make sure in your final draft you take out the comma in your first quote, as well as the second "and teachers" in your NYU blurb. And the "butterflies in stomach/grades"...
  19. jadelpn

    4th time taking nclex this Thursday !!!

    jadelpn replied to MNnurse30's topic in NCLEX Exam, Programs

    And do NOT go back and start changing answers. Unless you are sure that you accidently checked the wrong box. Otherwise, go with your gut. And as you do look at your candidate report, take any and...
  20. jadelpn

    To tell or not to tell!

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

    And when all is said and done, you will more than likely find that your manager is very, very invested in the bottom line, even if you are invested in patient
  21. jadelpn

    To tell or not to tell!

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

    And the nurses in question I would think KNOW what they are to do, they just do not. For whatever reason. What the training modules will do, however, is to hold liable each nurse who takes and signs...
  22. jadelpn

    verbal job offer, orientation set, no paper work

    jadelpn replied to grammy57's topic in General Nursing

    Contact HR at the facility that offered you the position. Ask that they send you an offer letter, so that you may plan accordingly. (You do not have to get into
  23. jadelpn

    To tell or not to tell!

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

    And you may find that it is not the lack of knowledge, it is the lack of time. However, it is gross to think that a nurse takes care of someone with precautions without precautions and then goes...
  24. jadelpn

    To tell or not to tell!

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

    Basic infection control? Let's mix up a bunch of people's blood on a nurses sometimes cracked and chapped hands, and hope for the best that we all don't spread bacteria? Hepatitis, any other blood...
  25. jadelpn

    To tell or not to tell!

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

    You can only control your own practice. Be sure YOU always handwash, wear gloves, use precautions...all those things that you know you are to do. If you are feeling as if you would like to advocate,...