jadelpn LPN, EMT-B

Member

All Content by jadelpn

  1. jadelpn

    Ethical question-WWYD?

    I did not read all of the responses, however, my very first thought was that a pedi epi pen and an adult epi pen are 2 different doses. There are any number of emt's that carry and can give epi pens...
  2. Prayer with patients in a hospital setting has been discussed at length right here on AN as well. If you are going to look at shorter hospital stays, you could include some data on readmissions as...
  3. jadelpn

    Terminated after 2 months

    Sounds to me as if you come from a nursing theory backround, your co-workers a mental health backround. Sometimes the two can meet, other times not so much. As a nurse, you are more in tune to the...
  4. "Report given to oncoming nurse XYZ. Patient is on cardiac monitor, EKG complete, #18 in RAC. Labs drawn and sent. MD aware, RN aware. Pain assessment completed a bedside, rating 6/10 at this time,...
  5. For future reference, the tech should come in with you to help undress/gown the patient, get on the monitor and do EKG immediately. Once you get a CC of chest pain on arrival to the ED, and you take...
  6. jadelpn

    Increase in Autism Diagnosis

    I too, have a child just like this--and it took 13 years to get a working diagnosis so that his learning could be tailored for his needs. Our goal going forward and in the future is function....
  7. jadelpn

    Cost of happiness? Changing jobs?

    You need to think about what is in the best interest of your family at present. If you are 5 minutes from your house, that is a plus. Especially when the kids are small. Take the extra money, and...
  8. There is a certain behavior that we all need in the workplace--professionalism. As a pp pointed out, that also extends to clinicals--by a couple of students calling another "annoying"--this is...
  9. jadelpn

    No Good Very Bad Nursing Instructor

    And that very well may be. However, when one is paying tuition for an education, I think that every effort needs to be made to accommodate a style of learning that may not be the "norm". And whether...
  10. jadelpn

    Anti-vax nurses? Are you serious?

    Interestingly, it is the 18 year olds that come in eyes a rolling and realize that THEY need a large number of shots in order to be able to go to college. They are not pleased, have not a clue why...
  11. jadelpn

    No Good Very Bad Nursing Instructor

    Ok, so here is my 2 or 3 cents worth.... It doesn't really matter at this point what the reasoning was/is because as you went up to the top of the ladder, comments were made, and a decision to keep...
  12. I would not necessarily call it anything. I would, however, describe it in the charting "Pt has a distention of the lower L quad of abdomen. ____CM in length, __________CM in width. Not painful to...
  13. Let's look at the whole patient approach. If this patient is all of sudden is refusing to eat (and dependent--did this patient have a good appetite to begin with?) there are many reasons that could...
  14. jadelpn

    Paracenthesis at the bedside

    There are a couple of different scenarios. But always check with your facility policy. A therapeutic (acute--or sub acute if done regularly and PRN) paracentesis is done by an MD. That is where a...
  15. jadelpn

    Students asking for free money

    I would like a sugar daddy to go fund me. However, if that doesn't work out, now at least I know that I have options-- In all seriousness, very inventive and creative to sell your story and situation...
  16. jadelpn

    Students asking for free money

    To think of this a different way--these are different times. Students can not and do not receive the federal loans of old. They do receive federal aid, but it is much, much smaller than back in the...
  17. jadelpn

    Drug calculation HELP!

    You can look at calculations as what you want and what you need. If you HAVE 25000/1000 and you need 1250/X and cross divide. I am a math idiot at best--so I have to justify it this way. But, in...
  18. jadelpn

    Prayer in the Workforce

    There are resources that are available in your facility an/or community that can assist in the spiritual/religious needs of a patient. Nurses need to be mindful and careful that they do not cross...
  19. jadelpn

    Nursing Student Ethical Dilemna

    Your clinical instructor is out of her ever lovin mind. Period. Here, OP, is what you could learn from this situation--Parents who have stillborn infants need a great deal of support, sometimes not,...
  20. jadelpn

    A Few Words to the Wise

    Just as an aside, my story about the LPN was NOT me, but a dear co-worker who just was given the ultimate shaft. Which stinks. So I have been mindful about what choices I have, as I do not endevour...
  21. jadelpn

    What's working for you?

    "I like that you are asking, and that you are committed to a safe unit. I would like to ask what you do with the information obtained by the answers, and if you use it to expand existing culture...
  22. You can only go in, learn what you can, do what you can and stay organized. It may be overwhelming. You will have questions (and you can look to your nursing books/search engines and look stuff up...
  23. I find the opposite to be true. One needs to be on their deathbed in order to call out sick, and come back with note in hand, and STILL get "spoken to" about calling out. Meanwhile, co-workers are...
  24. jadelpn

    Ratios in acute psych

    If patient acuity is up, and your staff down, it is something I would discuss with your manager. Is this a matter of needing more techs and some 1:1 sitters? Could you ask for a larger pool of per...
  25. jadelpn

    Advice Needed

    We can not give legal advice per AN TOS, however, I would look into legal aid in your state. This is not something I would approach without an attorney. There's also a recovery discussion thread on...