Micki72

Sorry, don't know why it posted twice

Residents with a Peg tube get all their A.M. meds. In addition to Synthroid & Omeprazole, some residents have orders for 6am Reglan, Hydralazine, Ativan, Keppra, ABH gel, Lyrica, Norco, breathing treatments.

Residents with a Peg tube get all their A.M. meds. In addition to Synthroid & Omeprazole, some residents have orders for 6am Reglan, Hydralazine, Ativan, Keppra, ABH gel, Lyrica, Norco, breathing treatments.

Mn nurse...With UR med pass times, you could give all UR meds with the 0600 meds & wouldn't be waking someone for just a synthroid or an omeprazole.

nurse4lyfe37...why would you have to write the order to admit to ICU? If you sent the resident to the hospital, you would write an order to be transferred to the hospital. Once seen by the ED, they determine the next course of treatment. If they think resident needs to be admitted to ICU, they would be responsible to write that order.

Our facility has been doing this for a while. Our med pass times are: Upon Rising (UR) 6am-10am Prior to Bed (PB) 6pm-10pm QD: UR HS/PM: PB BID: UR PB TID: UR 2P PB QID: UR 12P 4P PB Q12 hours: 6A 6P Q8 hours: 6A 2P 10P Q6 hours: 6A 12P 6P 12A AC: 7A 11A 4P PC: 9A 1P 6P SYNTHROID: 6A FOSAMAX: UR ACTONEL: UR COUMADIN: PB This works well for us and everyone knows when to give meds. There is consistency and nobody is blindly giving out meds.

Does anyone work an 11a-7p shift? Do you like these hours? I was offered this shift at my facility on the rehab unit. It would be a desk nurse position. Duties would include orders & admits. I am going to talk with DON tomorrow to find out specifics of position. I currently work midnights. I've worked nights for almost 6 years & am tired of being tired all the time. Plus my kids tell me I'm crabby & always sleeping...not the image I want them to have of me. My goal is to move into a position in the education/management area. Wondering if this type of move, more visible to administration, would help me achieve that goal. Any insight/thoughts would be appreciated.

I, too, am interested in wound care and an an LPN. I worked med-surg at a hospital for a year & am currently working LTC now on midnights. I am trying to find the best way to become a wound care nurse. I eventually will go back for my RN but am not able to at this time

I worked at a teaching hospital as an LPN on midnights, & dealt primarily with residents. Many of the residents would not order Ativan for geriatric patients stating that it often increases confusion & agitation.

I'm in Michigan, too. I got my LPN and plan to get my RN. Getting my LPN first worked for my family. I have worked in both the hospital & LTC setting. Yes, RNs make more than LPNs. As an LPN in the hospital, I stated out making a little more than $17/hr. In LTC, I started at $22 an hour. I know a couple LPNs who started at $27/hr. So it depends on the facility. LPNs are hired by many LTCs here in Michigan & will make more than in a hospital. However, it is more difficult to find hospital jobs add an LPN here. Many do not hire LPNs anymore. And if you get hired by a hospital, you are limited to what you can do compared to what you can do in LTC. Good luck in whatever you decide

At my facility, the 7-3 does the 7 am pass. You do have that hour window before & after, so if you can do it I'm sure the next shift would appreciate it. I don't usually do the 7 am pass because inevitably something comes up that needs my attention & I don't always have time to do more than the meds & treatments that are a must do on my shift. If in doubt, you can ask one of the other nurses that work your shift what they do & why. Maybe the nurse you worked with just does it but isn't required to. How many residents do you have meds to pass to in the morning. How many are 6 am & how many are 7 am? Are you the only nurse on the midnight shift on your unit?

It depends on the facility. At my facility, the 11-7 nurse does the 6 am meds, all the morning blood sugars & coverage if needed. Most of our morning meds are written as UR (upon rising), midnights do some of the UR meds, it just depends on the resident & the unit.

Sorry to hear this. I don't think I would put that job on a resume or application since you never completed orientation. As for applying to the dame system...I know that in the system I work for, if the hiring manager is interested in you, a manager-manager call is made. If you don't put the job on your resume, that call can't be made. However, if it is found out you were employed there & didn't tell them, you could be let go...so that's a tricky situation. These are just my thoughts. Best of luck to you.

Good luck at your interview. Let us know how it goes. I just applied to a posting for a health & wellness nurse, and was also wondering what to expect in this position. I am eager to see the responses.

Sorry...I missed the part where the OP was from Canada. I'm in Michigan

Look at the school that you are wanting to get into's requirements. Many in my area require a lab with the science courses, a&p included.

Look at the school that you are wanting to get into's requirements. Many in my area require a lab with the science courses, a&p included.

I started a midnight position at an LTC about 3 weeks ago. I am still having a hard time getting all the medications and treatments done by shifts end. Is there a trick to getting to all the treatments? Do those of you who are experienced do your treatments before you begin your need pass? If so, how do you do this & what time do you start you're treatments & meds? Any insure or info would be helpful & greatly appreciated. Thank you

Mappers...where do you teach at?

Hello, I am wondering if anyone knows if an LPN can hold a Staff Development position in an LTC facility. Fyi, I'm from Michigan. Thank you for any input you can give.

January 10...SC4, Port Huron, MI. Congratulations to all!

I am starting at St. Clair Community College in January. I, too, am very excited and looking forward to beginning the program. Good luck to everyone!

Hi. I'm not sure where to post this or if it has been asked before. I am trying to decide whether to pursue my LPN then transition to RN or become a paramedic then an RN (both of which programs are available in my area). I currently work at a hospital as a pct but if I become an LPN, will not be able to be hired at my current place because they are no longer hiring LPNs. Does anyone have an opinion on the best route to take. (I am not going directly to RN primarily due to economic factors.) Thank you for your input.

Thanks, Caliotter! I don't know why I am stressed about this! I don't like to feel like I am being blackmailed, that's for sure. At this point I am not going to miss my job, just my residents. However, this move is better for my family and my career goals. It is what is best for us. Thanks for the support, encouragement, and reinforcement.

Thanks everyone! The part time job called on Friday to officially offer me the job. They said the offer was good for 24 hours so I could call on Monday. I talked to my husband and decided to call them Monday morning after I took my children to school to accept the position. As I was walking out the door to drive the children to school, the full time job called and offered me the position. Of course I was excited and accepted the position! However, the start date is Monday (this gives me only a week to give notice). I went to work today (Tuesday) to give notice to my employer, who said that since I am not giving 2 weeks notice, this will go in my file and I will not be able to work for any part of the system that our facility belongs to (it is a large system). I offered to go contingent, but they said I needed 2 weeks to do this too. My DON said that when I find out my training schedule, maybe we can work something out. One of the girls that works here, told me that not only will I not be able to be hired by our system, but may not be able to be hired anywhere else. In essence, I believe I am being told I will be blacklisted. I am a bit frustrated and don't know what to do. Our state is an at-will employer. My understanding is that they can let you go at any time, and you can leave at any time. So much for making things better for my family!