allele LPN

Is there anyone out there with CVN certification? I'm interested in obtaining it, but having a difficult time getting some questions answered. I wrote accn twice and they haven't answered me. Do you have to have your BSN to get your CVN? I looked...

That's great! I actually work in the same type of center....it provides care of anyone regardless of ability to pay, includes prenatal, primary care, pediatric care, dental services as well as a rapidly expanding homeless program that's already at s...

I guess it depends on your situation. Five 8s may be great for a parent, etc. I did 12s for 9 years before going into homecare, I started with five 8s (and every fourth weekend), I couldn't stand not having at least one weekday off so I asked to sw...

Our agency uses laptops, also with McKesson. I LOVE it!! I don't even carry scrap paper anymore, if I have to right a quick note I just type it quickly into the clinical note area so I don't forget it. I don't let the computer become a barrier bet...

I know the type of IV administration tool you're using and it really does hold very little air in the tubing (actually, the type we use comes pre-primed, don't even have to worry about air!), and it's really doubtful this amount of air would hurt any...

I have to agree with everyone, not your fault! I work homecare, by the way, people are sent home nowadays on lovenox until coumadin is therapeutic, both people with DVT and with PE. While I was at the hospital, it seemed to depend on the doctor. S...

We used to, but stopped a few years ago, it just didn't work that often. I usually kept a Lifepak hooked up so I could watch the rhythm myself in the room with the patient and stayed with the patient during infusion. Personally, I think amiodarone ...

We gave it a handful of times in the unit I used to work on, I'd say out of 5 times giving it two patient's had an anaphylactic reaction, the pharmacy always gave us a hard time about it because they said a lot of people do have reactions to it. I h...

Every facility has their own policy, but I usually take out every other staple, if the incision looks "iffy" at that point I'll apply the steris where I removed the staples and request the rest of the staples be taken out another day, the next day or...

Not sure how it works for private insurance, but if they're medicare we're required to supply them with everything they need, until they're discharged. Then we help set them up to have them delivered to their home.

I've never had anyone ask me to wear street clothes, but I have been asked why I prefer scrubs. I simply tell them they are more comfortable for the bending, stretching, etc. that I need to do in some homes. What I DON'T tell them is the state of s...

You're in a tough situation! I did work full time and go to RN school, but I was a CNA and my job at that time allowed me to work two back to back double shifts...so I worked from 3pm Friday afternoon to 7am Saturday morning, and did it again from 3...

When I worked cardiac surgical we used them to clamp chest tubes (when ordered, of course!), I had to use them once when a patient ripped his chest tube apart at the joint....I clamped until we got another clean chest tube set up. I've also used the...

First of all, I'm glad the testing came back negative!! I have stuck myself with a contaminated needle before. It was the end of my shift and I was in a hurry and broke one of my own rules. Safety needles are meant to be operated with one hand, ri...

I don't know a lot about these programs, but I do know someone who chose a 10 month sonography course over a 2 year (she already had a bachelors in another area)...sounded great, BUT she had to find HER OWN clinical area, and NO ONE in the area took ...

Our agency gives us whatever the IRS allows, we were getting the max of 50 1/2 cents per mile, and the IRS raised it to 58 1/2 cents per mile from July 1 to January 1, just got the notice. We don't get paid going to first visit or going home from la...

I just started HH nursing in March and this was my biggest fear!! I still give in to fast food, but luckily only once every 2-3 weeks or so. Otherwise, I'll make a healthy sandwich some days, otherwise "finger foods" are a must! I like almonds, ba...

The same has happened to mine, I tend not to take care of it well, but they last a few years. Do you have Littmann? If you do, you can send it back to the company, they'll refurbish it for you, clean it, put new tubing, the works. Depending on wh...

Hi folks! I was just wondering if any of the nurses out there can give me any ideas on a little gift I have planned. I've been precepting a wonderful student for her senior year internship and unfortunately it's cut short because I've decided to re...

Thanks Agnes Anne!! There are some great ideas in there!! How could I have NOT thought of lotion??!!! lol Thanks again!!! :)

I just want some machine that can create more hours in a day......I need 'em!! :)

:yeahthat: I don't have kids to get to school either or any bus to catch, but that person who is always late has absolutely no respect for you or your time, and that's what would irk me! I can't STAND it when people think I have nothing better to do...

Our policy states to put the HOB all the way down, unless the patient just can't tolerate it, then we put it down as far as possible. I usually keep it up around 5 degrees or so, just a touch, totally flat just seems to be a bit uncomfortable for ou...

Sorry I didn't answer sooner, I just got this. Yes, we can bolus astromorph in the state of NH. It was actually just reviewed by the BON because some nurses were doing it at certain hospitals while others weren't. Came down the pike that we weren'...

I used to work nights and living at my parents was a bit noisy. I could hear footsteps above me, traffic on the road, birds in the trees (OH, how I HATED those birds!), etc. My sister bought me a noise machine for Christmas that first year (this wa...