systoly

systoly

LTC, Memory loss, PDN

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All Content by systoly

  1. New Graduate LVN Offered Home Health Position but, Scared

    systoly replied to live&love&heal's topic in LPN, LVN Corner

    I don't want to scare anybody, but nobody is going to pay for a licensed person to deliver home care unless the pt. is very fragile and needs constant monitoring and intervention that could not be...

  2. Quality/ Performance Improvement

    systoly replied to caeRn's topic in General Nursing

    How many times does quality management approach floor nurses with a positive, a non-complaint, a praise, etc? I'm not talking about your hospital (I obviously don't know your situation), but in...

  3. liability??

    systoly replied to jennrn01's topic in General Nursing

    Of course every situation is different, but in general I wouldn't worry about 24 hr oximetry so much, but rather concentrate on managing secretions, as long as you have a known baseline of sats. Is...

  4. How to get the cna's to follow instructions

    systoly replied to sasha2lady's topic in LPN, LVN Corner

    Nobody (in their right mind) likes to fire CNAs, just as nobody likes slackers. Sometimes showing respect and goodwill isn't enough. I like to use quotes a lot on those occasions, so I'll ask...

  5. Ever hear of this?

    systoly replied to Peds_Nurse's topic in LPN, LVN Corner

    It is normal for the tubing to have some urine in it, especially when it is properly coiled. The urine drains per gravity and can back up only when the collection bag and tubing are handled improperly...

  6. slow code?

    systoly replied to pbmnms2's topic in General Nursing

    Many moons ago, while still in school, the issue of "slow code" came up. It was wrong then and it still is wrong now. We wouldn't contemplate giving meds late or slowing IV's. Forget about legal...

  7. Holding Coumadin for lab draw

    systoly replied to luvidaho's topic in Patient Medications

    PM Coumadin here also. What is the concern for holding Rx, such as Coumadin, until after the

  8. charting resting with eyes closed vs "asleep"

    systoly replied to smartnurse1982's topic in General Nursing

    As others have said, state of sleep is difficult to determine by visual assessment, however, quality of respirations, facial expression, posture or positioning, etc. can be and are actually much more...

  9. Should I have helped?

    systoly replied to ChocoholicRN's topic in General Nursing

    Don't "should" yourself. If you want to contemplate different action in a future situation, that's ok, albeit, I really don't see

  10. Is this a cultural thing?

    systoly replied to Lorrie34's topic in LPN, LVN Corner

    If you can't ask the resident, perhaps a family member knows. If you can't find the answer - what sue

  11. Nurse concern for patient, but doctor unconcerned and declines to see patient

    systoly replied to DMRubes's topic in General Nursing

    Why not call the doctor again and explain you're really concerned and if he still is not, ask him to explain his position. I've called doctors back a second and third time, have been yelled at and...

  12. "Nursing Staff"

    systoly replied to Lisa, MA's topic in General Nursing

    Anybody who is required to hold a license or certificate issued by the

  13. Brand new LTC LPN

    systoly replied to NamasteNurse's topic in Geriatric, LTC

    HIPAA, Pt. rights, signs of infection (UTI, pneumonia) / dehydration in the older adult. You already mentioned wound care. Remember, the first question is not how to treat the wound, but what caused...

  14. Need some advice...

    systoly replied to LnDrn3's topic in Ob/Gyn

    This is just an observation so please don't take offense. Read your post again and look at how most of your sentences start with " I

  15. ptca/pci

    systoly replied to oztizz184's topic in General Nursing

    Hm, I searched your heading with google and ...

  16. New grad upgrading her skills by working on scenarios--need your help

    systoly replied to rinks2010's topic in General Nursing

    Forget about being a nurse for a minute. If you were the family member, what would You like the nurse to do? See how easy this

  17. Blood pressures

    systoly replied to Schmoo1022's topic in Geriatric, LTC

    Weekly, unless ordered otherwise or one of the weeklies is not WNL. I see a lot of CNAs take VS in LTC and for the most part I don't have a problem with it. What really urks me is when nurses have...

  18. sticky instructor situation

    systoly replied to weezergrl456's topic in General Nursing

    If you're doing fine in class, you have nothing to gain but headaches. Besides, you'd most likely get an answer such as, " Life isn't fair", and while trite, it is a fact that's ever present....

  19. LPN verses MLPN?????

    systoly replied to jen405's topic in LPN, LVN Corner

    Ok, now my title just changed to SMLPN (s = slow) subtle enough? - I don't get

  20. LPN verses MLPN?????

    systoly replied to jen405's topic in LPN, LVN Corner

    MLPN = Male LPN just kidding, I have no clue what it stands

  21. Is this comon practice where you work?

    systoly replied to Amysuenu's topic in General Nursing

    I've worked in facilities where this is common practice and I've worked in facilities where it is considered theft. Some of the problems I've seen with borrowing are: forgetting to pay back, the meds...

  22. SeCond guessing this one

    systoly replied to sasha2lady's topic in LPN, LVN Corner

    Hydrogel drsgs are not suited for draining wounds due to their limited absorbency, as you found out. Furthermore, the patient is a diabetic and the wound needs to be looked at more often than q 72...

  23. Interview

    systoly replied to Medsport's topic in LPN, LVN Corner

    I just now read your thread, but I think you made the right

  24. CNA to LPN/LVN?

    systoly replied to Jessfulce's topic in LPN, LVN Corner

    Can you get into PN school right away? Have you checked out different CNA programs? The cost varies greatly, from about $ 300 to $ 700 in my state, as does the lenght of the course. My suggestion is...

  25. LPNs need co-signer for verbal orders

    systoly replied to KatieNoelLPN's topic in LPN, LVN Corner

    I currently work in home health and have done so in three different states without ever needing a co-signer. Having said that, I don't see what the big deal is. I'd be much more concerned if I was the...