ksangel

i just recently signed up with tcn for the modules and rn classes through excelsior. part of me is sorry i did,..... and other part says no i can do it. currently an lpn. i like the convience of the classes... as far as cost: show me a college that is less than 10,000 to go from lpn to rn............. i think it will be ok. will be taking my first test in few weeks. hate sitting in classrooms. best part is not repeating the a &p, psych, nutrition, human growth.... all those since its been 10 years since i took them

i would rather have the paper mar. we just went to the computerized emar and etar. the red and yellow boxes come up at wrong times. yet the order will read the correct time. so its an error in computer cause it is not done when its suppose to be. not sure which program we are using for sure.

i was in ltc setting for over 7 years. got frustrated and burned out at the situation and decided i was never going back. over 2 years later i finally figured out .... i really do want to be a nurse. my liscense had expired. had to go through a few hoops to get it back. liscensure by endorsement and then quite a few ceu's. i didnt mind the ceu requirement so much. looked at it as a learning expierence that i really should have kept up with better. i am liscensed again and just began working in a ltc facility. so far everything has come flying back. including dealing with the demanding patients and family and time management. have a lot to learn about my new facility. each day is new and exciting at this point. im so glad i listened to my heart and went back. btw.... family member said you are good at this you seem to understand what mom wants and needs.... that made me feel good as the daughter can be a major pain at times......... kill them with kindness..... its a revenge of sorts..... its hard to be mean to you if you can be overly nice and sympathic.

i recently interviewed for 2 jobs. one i thought when really well. i was asked several questions related to the job i would be assigned. along with job description and code of conduct. toward the end of interview i was asked about questions i may have. nurse/patient ratio. how many nurses assisgned to the units, educational benefits down the road( going to acls, rn, wound healing class, ceu's). all appeared to sit very well with the nurse doing the interview. both times i was offered a tour of the facility. the first tour was great she showed me all over the facility and its importance. the second barely showed anything other than lobby, and a few clinical type rooms. i really hope that the first calls back. she stated she was checking references and such and would get back to me. she called today and touched base with me and asked to resubmit part of application, which i done immediatly. she stated she was looking forward to working with me soon pending the reference checks. just keeping my fingers crossed. only the first one would give me a starting wage. was not asking about expierence or diffrential pay etc. just wanted a ball park figure. which she did give me. more than i had hope which is nice. it is alsso a large facility so potential to move into a better postion over time is possible.

wooohooo all my hard work has paid off. i just checked the mn board of nursing website and my lpn liscense was issued today !!!!!!! now i just need to find a job in the st cloud area. and get the paper in the mail.

just a thought: has anyone else noted that when geriatrics start having behavior and demntia issues..... some simple lab like electrolytes and u/a can be the answer. its so suprising when dr says confusion is not sign of uti.... but with increased incontinence and strong urine.,..... it is. seen the uti and electrolyte imbalances can really mess up the thinking process in the elderly...... find the source before starting a new med..... nursing 101

ok someone please explain the wound vac..... i have never worked with one. i have been in long term care/assisted living as lpn for 10+ years and was cna before that. i have seen some pretty heavy duty skilled care in ltc. if ya need a nurse... call ltc... they probably can do anything with nothing. thier assessment skills are better than most hospital rn's. the assessment forms at our facility could be a nightmare. and all the care that they came from hospital with was unreal. always loved when dr. said oh your just a lpn in nursing home.... send them to hospital for eval..they cant be sick they way you decribe them...... then why do they admit them to icu? with exactly how you decribe the patient. and better yet.... why did i always have to send them on weekends and nights.?

oh my godness. what a story. i hope you and the little girl continue to do well. this is probably why i dont do peds....i like kids.... have bad attitude when it comes to parents abusing the children THANK YOU FOR EVERYTHING YOU HAVE DONE FOR THE CHILD.!!!!

just a thought: as an aide or medication aide.... when a patient was calling out for a nurse? and you said yes? it was wrong she claimed to be a nurse when asked specifically for a nurse. the director of nursing is wrong by telling them to call themselves nurses

life song: journey: dont stop believing work song: uncle craker: follow me or aretha franklin: respect also like most billie joel ,,, especially honesty and innocent man

the joke at several facilities was find to find me and ask where i left my backpack..... 99.9 % of time.... the item they needed could be found in it...... always had alcohol wipes, 2 types tape, drug book, paper, pens, pens, pens, pencil, stethescope, scissors, hemostats..penlights.... other clamps too..... and if i knew you well..... always had small supply of tylenol and ibprofen and excederin...... of course bandaides of numerous sizes..... yes a catch all..... tried uysing a fanny pack.... just didnt hold all my junk..... so put the important stuff in pocket.... and stored the backpack...... i liked having it handy in case someone especially me needed it..... usually no one caused trouble. yes i made sure the otc meds were hid well.... just in case resident found my backpack..... one did and emptied it out for me.... of course he was confused.,....... i got to desk because i heard a recuss from way down hall..... he looked at me and said everything but the kitchen sink.... no beer, no chocolate, no drugs, no food.... what kind of nurse are you..lol

st cloud area here. looking for lpn job....prefere part time for now...just going back after a 2 1/2 year break. waiting on mn board of nursing to send me my liscense. hopefully soon. transplanted here 8 months ago..... by the way like it in mn..... getting use to the frigid winter.... but its not bad yet

in long term care shortcuts in med passes are almost impossible to do. most of which ya cant do when state surveyors are watching. but in order to complete the med passes on time.... you do what you have to. i dont like leaving meds at bedside....thats just me.... if they dont want it right then,...... its like ok im busy it may take me awhlile to get back to you. but it is thier choice. they have right to refuse. dr order will allow to leave meds at bedside. had to beg for that on one resident.... she just wanted one dose of tylenol to take during night.....in assisted living.... no nurse on the unit.... but emergency nurse available from connected snf. after i went through a lot of hoopla and a lot of teaching with the resident and pestering the dr..... i did get my way.,..... the resident was so happy she could take her tylenol when she wanted.... each am i would check with her.... ok what time did you take it.... she didnt always write it down.... but could tell me within an hour of time that she took.... like between 2-3am this also allowed follow up that regular tylenol was not controlling her pain so she could get a good nights sleep which they ended up changing her bedtime med routine so she could get better rest.

lets see..... what havent i done...... i have monitored the blood transfusion, started and maintained the iv. i have not mixed meds for iv's. i have been charge nurse for snf, assisted living, janitor,housekeeper, cook-dietician, floor nurse. have changed way to many different types of dressing. i have suctioned trach tubes and dressing. tube feedings....med passes.,... family intervention... called dr, pronounced the patient dead. along with all the nurse aide and medication aide duties. when i look back ...wow i have done a lot of different things. but that is how a nurse grows. love when the hospital finally calls back and says the pt was admitted with pnuemonia..... but lpn dont know how to distinguish breath sounds.....my nursing school was very strict on heart and lung sounds. not so good at the heart sounds as i wish i was. if i didnt i wouldnt have got out of nursing school. i have been lpn for 10 years now. i took few years off and am going bak soon. will probably end up in long term care. biggest bonus for me..... i called ems before dr...... told ems get here now suspect heart block and gave them the info.... and had aide dailing numbers as fast as she could hand me the phone so i could be with the patient....called dr...said oh you dont know...... ekg showed a very messed up rhythym.. didnt reconize strip.... ems called hospital with info.... dr still refused to believe......long story short.... nurse right dr.... to hesitant... patient had 3rd degree heart block ...95% occulded....20 minutes and she would have been gone... pacemaker and quick nurse that day... made my patient much better. this had been going on for long time and no one caught till a lpn did

im also working on the liscensure by endorsement. all the paperwork has been sent in just waiting for last facility to decide to fax the info to my board of nursing. they said once they get that paper they will notify me of continuing ed requirements. i have been out of nursing for 2 1/2 years. i stupidly let my liscense lapse. had bad expierence with last facility i worked as a lpn