MelissaLPN

MelissaLPN ASN, LPN, RN

ICU

Member

About MelissaLPN

MelissaLPN has 5 years experience as a ASN, LPN, RN and specializes in ICU.


Latest Activity

  1. Its not the staff but the out of town/ never visit family who remember Granny from the late 1980's. They show up and insist something is terribly wrong and granny better be sent to the hospital before...
  2. Student Nurse w/ Erb's Palsy

    Some of those Luer locks can be hard and require a lot of pressure to attach the syringe. I have trouble sometimes myself. My advice would be to take home a syringe and iv tail and practice at home....
  3. Hard copy of icufaq.org

    I have the book and really like it. I don't have time at work to read it but after work or anywhere I am waiting I take it. Very good information and it is well put altogether. I like the authors...
  4. Share Your Funniest Patient Stories...

    True story while working in the ED. An elderly man comes in with his wife c/o possible hypoxia with blue fingers which his wife states they consulted their neighbor who was a nurse (I am doubtful she...
  5. The best things I ever bought were : a book stand to hold up my giant med/surg book, gel highlighters that don't bleed through the page, a smart phone and a drug guide app . I honestly couldn't do...
  6. Filling the gap

    I say accept which ever job you get first. You do not know if or when you will not only interview but start said job! Sometimes the waiting for people to be done with vacations, call backs and second...
  7. Ok the setting, LTC, the resident is almost a hundred and her son is not much behind her. Tells me his mother is getting dizzy. I state "yes I know, I have assessed her. The doctor is seeing her in...
  8. Combining Med Passes

    We have changed our format to some ranges 4-7pm and 7-11pm. Some medications are still at five and 9 but with the ranges along with the q shift it helps. I start out passing the 4pm's and when I get...
  9. RN vs LPN Clinicals

    I found my RN clinicals to be a real joy. Outside of having the pressure of having to perform infront of someone grading you, its a nice thing to only have one patient! I definitely felt way more...
  10. Behaviors and Failing to Chart Them

    When I was a new nurse I used to document behaviors all the time but a few nurses pulled me aside and said I was opening myself up for liability because I was not including that I did anything that...
  11. Feeling discouraged lpn -rn programs take forever!!!!!!!!

    I can understand the feeling. I started working towards my RN after graduating from LPN school in '08, I took one class at a time and have done a traditional ADN program ( NO bridge was available)....
  12. Abnormal pupil shape/response

    I swear you are probably talking about my resident! I sent her to the ER for the above complaint, gave report to er charge nurse stating that there was a neuro change, after a fall. I send paper work...
  13. IV calculation

    Yes. Now the adjusted rate may be less than 25% or it may be going too fast ( unlikely but possible) in which case you would decrease the rate. For instance in the case you mentioned due to what ever...
  14. IV calculation

    Well start with the original rate of 100ml and hour and know that you can only increase by 25% or 0.25, so you multiply the rate times 1.25 to receive 125% of the original rate. Now the orginal rate...
  15. Abnormal pupil shape/response

    I work in a LTC facility and have noticed on several residents during my initial assessment and neuro check that one of the pupils is either irregular in shape and or abnormal pupil response....