traumaqueen36467

Thanks for the replies!

I was wondering what my fellow night shifters have as far as patient load in a SNF. Some nights I have as many as 63 while the other wards average 40 residents. This ward has a variety of TNC, up ad lib, comfort measures only, bolus tube feedings, continuous feedings, treatments and 4 CNA's. I have done it off an on for a few years now but the case load has changed and there are more acute residents. I have considered refusing to accept the case load especially with increasing demands and inability to supervise my UAP. I have been nursing for 3 years now but this is still just about too much for me. We have talked with the administration with very little efforts to improve patient safety. What are your opinions? Too much or suck it up?

I am a new grad Lpn and started ltc as well. I had people tell me not to go to where I currently work because it was bad so I thought for awhile it wasnjust a preconceived opinion that I had in my head. I had less than10 days orientation which was 2 days a week over 5 weeks (the reason behind that is a long story)i made good grades in school and had 5 years experience as an industrial emt. I handled that job great but iwanted to do more so I became a nurse. I did have a lot of obstacles in nursing school and I had to drop and restart so I have put a LOT of time and money into it and missed out on the majority of my now4 year olds life. I really feel incompetent right now. The knowledge I once had about pathophysiology and anatomy and physiology jas escaped me becaise I am so overwhelmed with just the med pass and whem you throw orders and admossions and critical labs in the mix its even worse. I have made mu conxerna known and did get some classroom tome where i read through the lpn book for our facility and asked questions. Im just not catchinflg on at all. I leave 3 hours after my shift because Im trying to get everything done and to double check myself. I cant sleep and have lost weight because I jist fwel tp anxious to eat. Several of my classmates work with me and seem to be catching on fine. I really feel like Im not organized enough or have the critical thinking skills to be a nurse but then healthcare is the only thing I have done for the last 6 years and if i throw it away then theres all this time wasted and money. I rely heavily on my faith to get me through this but its just killing me. I forget things, not asbfamilar with procedures asi i should be and am much slower than others. I know how you feel. I pray we make it through this.hope your experience has gotten better really.

I am a new nurse and I recently started working in a long term health care facility. Some medications on the MAR have directions to hold if B/P is

Thanks so much guys. I feel stupid for even asking that. This is my last semester but it has been the hardest yet. I took a two semester break in between medsurg and my final semester and I'm a bit out of my element at this facility. On top of that we only get one day on the floor and do not even get to touch the charts until 20 minutes before we leave. So I have to base my nursing diagnosis on the assessment before charts. My nursing diagnosis never includes lab data because well, I can't plan for that implement it and get an outcome in 20 minutes. I've always been on it with my care plans I don't know why I'm so confused and lost this semester. But honestly thank you both!

I had a similar experience with a hep c patient while getting a capillary blood sample . When I put the lid on some how a drop of blood splattered extremely close to my eye. Did a lot of flushing and praying. That was 3-4 years ago and I'm definitely Hep C negative. I will keep you in my thoughts and prayers. Keep us up to date!

Pt suffered a CVA with hemiplegia. The patient is in the 50-59 yoa range weighs 104lbs and is female. Required to have 5 nursing diagnosis with three interventions and one goal for each problem. I am concerned about this patient who stated that she has been forced to retire due to back problems and has limited income. She is supporting her mother and brother and has a stated recreational drug problem. I have read on the Ackley's resource page but still I'm not very sure and I wondered if a BMI of 17.8% would be enough to support a nursing diagnosis of failure to thrive. She's so cachexic you can see a pulse in her abdomen ( Yes this observation was reported to my instructor), she has multiple skin folds not from fat but just excess skin, sunken eyeballs ....dull hair heart breaking individual. I'm striving for an A on this concept map and just seeking advice from others.

88 days....88 days an I am DONE with LPN school. I have been going long enough to have finished my BSN by now GRRRRRRRR!!!!!!!!!!!