redfoxLPN

thank you for all the info. went to www.excelsior.edu. they are coming to my house to talk about the program and what i may have to do to get started. cant wait. will keep you updated.

Thinking of going from LPN to RN anyone done this online? What school did you use? I welcome any comments, and thank you for your help.

Thank you for all the advice. Will contunie to do my best.

at the hospital where i work we are to have o2 on all patiens that come in with chest pain. i agree this is a good idea, but how do you keep o2 on a 48 yo who doesn't comply. then you get yelled at by day nurses for patient not having o2 on and they say they are going to "wright you up". one nurse even told me the "tape it to there face". yea if they are confused not if they are 'with it'. people do have a right to refuse. i explain to patients th eimportences of keeping o2 on, and even give enough tubing to get to the bathroom eithout taking it off. i do my best and i don't like it when someone else thinks or says i don't do my job. mayby i'm just ranting, but would like to know what is done at other hospitals. thank you in advance. spell check not working sorry about any errors.

I had a patient the other day that prier shift pur on NRB. Then complained they are very confused, and climbing out of bed. My midinght assessment yes patient on NRB and very confused, Ox 100%. replacen with 5L O2 via NC. Pt calmbed down within minetes, and stayed in bed all night. Titrated down to 2.5L by 7AM, Ox at 94%. When MD asked about patient I explainded what I did he thanked me. Later found out he "chewed" evening for putting on NRB. Patient definetly CO2 retainer. MD wrote order to maintaine Ox at 91%. I learned somethine that night. Hope to never forget it.

Who else is going to convince the mother-in-law she should go to the hospital after not being able to walk for a week. (Did this last week) And the listeneing to her complain becouse her "bones are rubbing together." (her words) If you're going to complain use the right words. Then she wants to know what the Dr wrote on the paper. If you don't know ask the DR. OK I'll get off my soapbox now.

This is great I just took my IV certifacion class at the hospital where I work (that is how it is done in NY). This is so helpfull. The more I read the more confondent I get. I'm still a little nurvis, but that's OK. I just say to my self "I can do this" or "so-in-so does this I can to". :chuckle

I work nights and it's amazing how much landry and house cleaning I can get done when the kids are asleep. Of course I check out allnurses. Its the best part of staying up at night. Dont have to fight DH for computer time. :typing

In NY LPN's are not trainded in IV starts or fluid/med hang. Each Hospital has it own training class. Must work for them for 6 months first.

What happens when the bully is the charg nurse? I do my best to keep my space. She ususlly gives me the most diffucalt pt. and I ulually get the first admition of the night. I just :) and do my job to the best of my abillity. I usually have all my work done on time and she ends up staying overtime to finish up. (sometimes I think she does it on pourpes for the over time).

Great story. You either belive or you don't. I belive mainly becouse my father-in-law "lives" in our barn. When we had cows he would let them loose or open doors. we would even make a double check befor leaving the barn to make all the cowes were tied up and doors closed and snaped. Next time in the barn a cow loose or a door open. When these things happen my husband will say "OK dad stop it" sometimes it works most of the time not. One day saw him standing in the door way to barn. I was on the other side of the road. He turned around and went into the barn.

Sorry yes HB is heart beat. "did you do his admitting assessment prior to giving his meds?" Yes as per policey VS before and pain meds given and check pt about one hour after pain meds. And did full assessnent at start of shift. "what were his bowel sounds like?" Maybe I didn' tell enough for all. Due to surgerys no bowel on left side, much scare tissue. Bowell sounds on bight side diminished. Also asked RN about this after her assismet. "distention was local to colostomy site?" Yes. directley under and around area on right. "how did the left side of belly feel?" Hard, also asked RN about this she stated that was expected and she was not supperised. She didnot show any concern. "all his vs were wnl, despite the pain he was having?" I belive I stated VS stable. And the RN was in the room when the last set were taken, and showed no concern. I realize I have only worked in the hospital for 8 months I do no the sings of a pt failing. This pt showed of this type of distress. The nest day the NM took me aside and sayed the MD beleves pt asperated. Pt tryed to get OOB (out of bed) by self. And yes the call bell was within reach. NM belives pt set up at edge of bed, becouse of SOB (short of breath) fell back on to bed. Fluid filld up airway.....ect. I think every one can fill in the rest. I hope this will answer all questions.

I work in NY. I do a head to toe assessment with every pt I have and listen to lung, heart, and bowel sounds. The RN has to listen as well. some times they don't get to this untill well into the shift. They like to see there own pts first. I figure they are my pt and I should now what is going on, and if something changes I will now. Thanks for all the replys.

This is not my first, but this one was verry unexpected. I will give you some back ground. Male pt, 76yo, 215 lb, hx of colonresection with colostomy on right side, this admition he came in with constopation/abd pain, on a clear liquid diet, full code. I'm an lpn on the 11-7 on med-surg, in a smaller hospital (20 pt this night). At midnight I saw pt for first time, verry distended abd. on right side, c/o pain Dolodid given IV by RN covering me, with relife, VS stable. Pt asleep nest check. About 0345 c/o pain returned more Dolodid VS stable, 0430 pt resting in bed, no s/s of distress. 0510 found pt laying across bed, unresponsive, face and extremites "blue" in color, skin cool to touch. Called for help, superviser entered room and started yelling, I kinda blanked for a second. Code called, CPR and manual ventalion started, suctioned air way, black "coffe ground" liquid retunded, MD finally got tube down throt, CPR and manual ventalion contuned. Pacer started, IV meds given. About half hour after start RN found HB in right arm, MD confermed in left arm. Moved pt ot ICU. When family came in they decided to "unplug". This is not my first code or the first pt I have lost, but this one got to me. I use to work at nursing home so they were espected, and the ones I have lost at the hospital were also expected. I keep second gessing myself. Should I have done something different? Any advise is welcome. And sorry about any misspellin.