jadelpn LPN, EMT-B

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All Content by jadelpn

  1. A group of LPN's who are still licensed as LPN's, whose jobs have been reconstructed as techs--in every "Yeah you are awesome" thing not one mention of any of them, and excluded from any "nurse...
  2. jadelpn

    Always Rumors

    "Just so we are all abundantly clear, and because I really hate gossip, I overlooked changing out blood TUBING with a new bag of blood. Lesson learned. Thankfully, it caused no harm to the patient....
  3. I would do that myself as part of the initial assessment. If the ED nurse takes the glucose and it is low, then THEY would have to follow through with that. If your concern was a low BS, then when...
  4. This resident is far beyond "anxious". She is upping the ante any way feasible. So don't make it feasible. First I would ask for a case conference. A full team approach would help with...
  5. Don't ever lie. It is not in your best interest to do so. If you are still in your clinical rotation, you pay for a malpractice insurance. If that is still in effect, I would call them and just...
  6. jadelpn

    Pseudo Seizures

    In my earlier years, I can recall Depakote being used as a mood stabilizer. It was when I got into acute care that I realized it was a seizure medication as well. Pseudo is just that--false or...
  7. jadelpn

    Pseudo Seizures

    As I have learned it to be, pseudo seizures are a behavioral acting out-- and can be directly related to trauma based mental illness (ie: personality disorders) To CYA I would always call 911. And I...
  8. As an EMT, you would have had to have a take charge attitude and make decisions on the fly. You have to assess quickly and efficiently, as it is life or death. The job trains you to be quick on your...
  9. Additionally, when one has conversation at the nurses station, that can be overheard by others, you can more than likely expect a lot of input from said others. A reasonable expectation is to not have...
  10. jadelpn

    Encouraging Staff vs Discouraging Staff

    It is never a good idea to be having chit-chat like conversation in a patient's room to begin with in any language. You are all there for the patient, not to chat in any form that doesn't include the...
  11. jadelpn

    In serious need of advice

    Outpatient or dialysis, urgent care. School nursing. If you stay where you are, you need to think about changing your system. Chart as you go!! You should not be staying hours to chart after the...
  12. Seems to me that patient B was circling the drain long beforehand. And that is what happens in ICU a lot of the time, no? Especially with a patient who is intubated only, with no other active...
  13. Eh, not sure it is the hill upon which I would want to croak on. His rep with the staff is less than stellar, and apparently everyone is well aware of that. OP, you have not seen nor heard this...
  14. jadelpn

    Violation?

    Going forward, make sure that the primary nurse caring for the patient is aware of when the patient is in pain. If there is a 1:1 that is to be happening, and it is not, ensure the immediate safety...
  15. jadelpn

    Hipaa violation

    I can hear that conversation now "Betty52 tells me that she is working with all SORTS of kids!! Even babies with trachs!! No WONDER she is tired!! Wouldn't it be so much better if she just took care...
  16. jadelpn

    Hipaa violation

    Your insurance is the best bet. And if your agency is union, also a conversation with them. Not legal advice here, but I would use caution if asked to sign anything. Listen to what they have to...
  17. jadelpn

    LGBTQA health

    Good for you OP, and what wonderful goals!! There are many groups of LGBTQA people who promote the health and welfare of the culture. I am sure your schooling is intense, but to even volunteer a few...
  18. jadelpn

    Is using illegal drugs on the uptick?

    Addiction is a disease process that relapsing is part of the process for some. Nurse or
  19. jadelpn

    Experience nurses! I need advice. Please!

    Not giving any legal advice here, but as long as there's policies in place to send someone out if your assessment deems them unstable to be in the facility, not sure you are risking your license. If...
  20. jadelpn

    Two Narc Discrepancies, One Night

    I have never heard of phenobarbital being used in a GI cocktail, either. Sure it is not phenegran? In any event, the machine can ask for a witness. And usually GI cocktails are unit dosed. And the...
  21. jadelpn

    Want to quit my job

    1 nurse to 10 patients some of which are unstable is not safe. 1 nurse to 20 patients is dangerous. Even sub-acute patients, this is stretching it. CNA's with attitude is nothing new. And yes, you...
  22. jadelpn

    OPINIONS PLEASE!!!

    If it is a union facility, every job needs to be posted for a set amount of time, and most anyone who is qualified then needs to be interviewed. However, seniority is often the basis of internal...
  23. First off, thank you for your service. There are so many strange service situations, that end up with for instance, PTSD and other issues relevant to time served. Many people realize this, including...
  24. jadelpn

    Day 7: 2016 Nurses Week Caption Contest

    Viagra DOES
  25. jadelpn

    Day 6: 2016 Nurses Week Meme Contest

    Lesson of the day: temperature probe in mouth insures 1 minute of