Succubus

Hello. I am looking for support or guidance on some issues I’ve run across lately in LTC and in other specialties. I have been an lpn since 2011 and just recently acquired my RN. I was offered and accepted a position as a night shift supervisor at a detox unit. Recently I’ve noticed nurses “interpreting” drs orders when the order is unclear. Ex: 100 mgs of doxy given twice a day but order written as give 40mg x 2.5 tablets by mouth twice a day. I was always taught that the medication label must ALWAYS match the MAR. In this instance the math is still accurate but it doesn’t match the order. Did I imagine this in nursing school? Every nurse that I’ve talked with reiterated that the order was correct. Now I’m feeling a bit unsure. I’ve scoured the internet looking for information on the matching the order with the mar. Am I overthinking this?

I was a new nurse, had no idea I could buy professional liability insurance. Needless to say it's still BS when you have to defend yourself against lies! I every time I think about it i get livid. Wrong is wrong and they had no right to turn me into the board...

This is the reason I've come to despise nursing. I refused an assignment on a unit that had just opened up in our facility. It was for new "psych" patients...I worked psych primarily level 2, these were level 4 equipped with a take down team. The other patients only needed to be de-escalated. I'd never been trained on the unit, never even visited the unit...I was told to work OR else. Needless to say I was afraid of providing adequate patient care, safety of my staff and my protection too(the day before a nurse had to lock herself in med room until 911 arrived - she refused to ever work it again. I turned in my resignation effective immediately and cited the reason why. A few months later I recvd a notice from board citing patient abandonment. I opted not to hire an attorney (idiot moment ) I explained to detective to retrieve video from facility since we had cameras. They had been recorded over. BON found me negligent, had to hire an attorney to fight the charge 5k, reduced charge to public censorship. I had to pay the attorney another 750 as a final attempt pleading to take a closer look at the case. Review statements from my witnesses and to also take into consideration that I had retained counsel against the facility for defamation etc. Thankfully the last letter I recvd stated that it was an employer vs employee issue and all charges were dropped. I suffered for 2 years. I'm afraid to even work. I was advised against filing complaints against administration and staffing coordinator/lpn. It's scary to think that anyone can file a charge that's a blatant lie with no accountability.

I have worked for a company that only did med set up and diabetic foot care. They were being paid by medicare? or medicaid? I dealt only with a certain demographic. The only order that we had was the medication order. We weren't allowed to change any medication unless we had a DRS ORDER.That was faxed to the case manager before. However, we were able to verify medication IF we were able to get an answer.

Hi Ms Walker, I am an LPN and looking to do the same coupled with medicaid pts to provide limited care. Ive also applied for my missouri medicaid number. Maybe we can do this journey together and then go our separate ways?

Gosh me too!! The bottom line is filling beds! I hate nursing ugh

Nights are good especially if you have a good team of CNAs. Its more peaceful. I started working nights but my supervisor convinced me that I was too "strong" to work nights. I go back and forth

I feel like Im in hell everytime I go to work. I feel like I need some hazardous pay for just showing up. Always under fire

Yeah I wrote a long letter to the administrator, DON, ADON....and I thought compassion was a qualifier in being a nurse. I now know its a license. NO OTHER requirements. I am now looking into home health or working in a Drs office

Ive been an LPN for 1.5 years and believe me when I say I was on cloud 9 after I graduated school. So fast forward to 2013 and what Ive noticed is that there isn't any "care" in this industry. I am tired of making enemies because I choose to do whats right. I am tired of feeling like an outcast at work when I report things that arent supposed to be. Sunday I damn near got assaulted by a CNA because I intervened when she felt the need to take a patients tray and hand it to another patient. I kid you not this is the 7th job that Ive had since Ive been a nurse!!! I dont know what to do! I am tired of feeling like doing the right thing is the "wrong" thing to do. I am tired of CNAs over stepping boundaries, I am tried off management turning blind eyes. I am JUST TIRED. I honestly dont know how much more of this I can take before I say screw it and find another field!!!Can someone please tell me where I can find employment where the staff actually cares? Pleaseeeee At wits end...

Awww my first LPN was psych but my second was nights as I didnt stay at psych unit but a month. I LOVE nights. Its easy as heck(in a sense) you have more time to spend getting to know patients etc, you can take time with your assessments. Dont have to rely so much on CNAs etc. I was fortunate enough to work with other nurses on other units who were very helpful in helping me. Especially when I notice something is wrong I then have them to see if its the patients baseline. Dont get me wrong I still need help with certain things...but i would definitely say that NOC are better than days any day

This post brought tears to my eyes. I too have broken rules! Its a beautiful thing to see that nurses do care. Ive only been a nurse for a year and Ive learned that many of us are in it for the wrong reasons. Here I am believing that there is no compassion any more. Not even with doctors or cnas...and definitely not with administration. Kudos to you guys for truly making a difference

I try to answer call lights to ensure that the patient has not fallen to the ground trying to go to bathroom/or get out of bathroom. If its a one assist, I dont have a problem but if it requires extensive assistance...yes I am coming to find you

Well I have taken the compass test for placement, passed that one, waiting on test date to open up for TEAS test. I think I am going with one of the well known nursing programs in my area :)

I was kicked out of nursing school(for reasons I prefer not to discuss -- school policy issue) I have a question. I currently have 57 credits towards and LPN certificate the schools that I have looked at so far only require about that much or a tad bit more. Should i just apply those credits to a regular nursing program? Would they even transfer in? IDK what I should do at this point. I want to finish LPN but this has been the most stressful time in my life and since I am nearly finished just wanna say screw it and apply to a public university as opposed to a for profit for the associates. ((shrugs))