MelissaLPN

MelissaLPN ASN, LPN, RN

ICU

Member

All Content by MelissaLPN

  1. Morphine and End Of Life

    MelissaLPN replied to MelissaLPN's topic in Geriatric, LTC

    the patient is not normally non-responsive and he was not in any distress, resp or otherwise. Keep in mind he maintained a resp of 7 after missing two doses, imagine had I plowed along and kept piling...

  2. What's the deal with ER?

    MelissaLPN replied to JenniferSews's topic in Geriatric, LTC

    Actually I made that statement just from personal observation. I know from learning about the aging processes that they sleep for a shorter amount of time and have frequent interruptions in the sleep...

  3. GTC 2011?

    MelissaLPN replied to blueharlequin's topic in Georgia Nursing

    I wanted to join in the discussion. I took the Kaplan exam a few days ago! Yeah, first leg of the trip over. Now I get to wait nervously for a letter. If I don't get in I will try for North GA. Any...

  4. What's the deal with ER?

    MelissaLPN replied to JenniferSews's topic in Geriatric, LTC

    I work in both a SNF and an ER and I have seen first hand that the problem is everyone thinks they are right. For example I heard a MD in the ER tell a family member that a SNF gives trazadone to...

  5. Hope this is refreshing to hear: I LOVE LTC!!!

    MelissaLPN replied to LPNweezy's topic in Geriatric, LTC

    I love my patients, thats all I can say for LTC. My place is not relaxed. I work in the ER ( and ltc) and in comparison LTC is not relaxed. Its much easier to work a cardiac arrest than a combative...

  6. Do you get any raises? How do you ask for one?

    MelissaLPN replied to Nuieve's topic in Geriatric, LTC

    At both my jobs ( hospital and nurse home) have been told us that no raises are coming to us because of the economy. To make matters worse our health insurance premiums were increased by 35%!!! If I...

  7. Am I in the wrong Nursing home?

    MelissaLPN posted a topic in Geriatric, LTC

    My facility expects me to "borrow" medications. Should I leave? We are currently under new management and new DON/ADON but we have the same immediate supervisors. No one else cares about whether they...

  8. is there a good way to get blood pressure right?

    MelissaLPN replied to italy's topic in General Students

    In nursing school I was always taught to apply the bp cuff and palpate the radial artery while pumping up the cuff. When you can no longer palpate the radial artery this is the " baseline." You then...

  9. Co-workers talk.....

    MelissaLPN replied to lpnwkids's topic in Geriatric, LTC

    I have the same thing at my work. With the economy the way it is there are so many cut backs, and everyone is really unhappy. I just try to hijack the negative conversation with some positive...

  10. Am I in the wrong Nursing home?

    MelissaLPN replied to MelissaLPN's topic in Geriatric, LTC

    I dont see how I can be expected to know the medication is missing until I go to pull it? I float and work on 5 separate halls (plus I am PRN). I pull and administer over 300 medications per shift,...

  11. How Many Residents Do You Care For On Your Unit?

    MelissaLPN replied to Nurse!Nurse!Hello?'s topic in Geriatric, LTC

    The above sounds like my pt load. I have 32 residents 1 LPN ( me) 3 cna's. No supervisor, only a ward clerk ( who is splint between 130 residents) until 8pm. So the phones and everything else is on me...

  12. Am I in the wrong Nursing home?

    MelissaLPN replied to MelissaLPN's topic in Geriatric, LTC

    I agree that calling MD will make a point but I will be the only one repeatedly calling. ( this of course is ok if it means protecting my license but wont make me popular fast) So if the MD does not...

  13. Am I in the wrong Nursing home?

    MelissaLPN replied to MelissaLPN's topic in Geriatric, LTC

    In my facility none of the medications missing have been in the e-box. Trazadone, lipitor, metoprolol,

  14. How come you don't work more?

    MelissaLPN replied to Schmoo1022's topic in Geriatric, LTC

    I have the same problem. I work two part time jobs and I have a young child ( plus school). All my co-workers see is that I work part time (never mind that I work 50 hours a week while they work 36)....

  15. When to hold bp medications

    MelissaLPN posted a topic in Geriatric, LTC

    Hi, I am a pretty new nurse and I have a question about when to hold bp medications. I come across one to two patients a night whose systolic is below 110. For medications such as beta blockers I know...

  16. losing your license?

    MelissaLPN posted a topic in Geriatric, LTC

    I have a question for all you experienced/informed nurses, how easy is it to lose your license? I just hear all the time " its my license" or " you better get out of there or you will lose your...

  17. Nurse helping out Cna at times = they eventually expect the nurse to help them?

    MelissaLPN replied to nd deb's topic in Geriatric, LTC

    I try to help when I can however, I have to set boundaries. If its during medpass or other time sensitive tasks, I have to pass it along. For instance I work 2-4 hours after the end of my shift to...

  18. Giving PRN at family request

    MelissaLPN posted a topic in Geriatric, LTC

    I am have been a nurse for two years and work in a LTC facility. I have had several " run in's" with family requesting PRN medication for the resident( residents who are not oriented). I go and...

  19. Depends (diapers) at night?

    MelissaLPN replied to Town & Country's topic in Geriatric, LTC

    All of our incontinent residents wear briefs. I just recently started the practice of checking how many diapers residents are wearing on evening rounds. I once found a resident with three diapers....

  20. I need help with charting!!!

    MelissaLPN replied to Peeker19's topic in Geriatric, LTC

    With antibiotics you should chart the signs/symptoms. Such as for UTI no dysuria, urgency or frequency. Or for c-diff. number of BM,

  21. church and med pass

    MelissaLPN posted a topic in Geriatric, LTC

    I need some advice on whether to request a change in med pass times. On Sundays, residents are in church from 4p-5p and go directly to dinner from 5p-6p. This means I can not correctly administer the...

  22. Student Nurse with LTC question RE: clothing

    MelissaLPN replied to soupermom's topic in Geriatric, LTC

    I always respect the patients wishes and sometimes the family. a quick example, a family member got upset with me for putting butter and gravy on the residents mashpotatoes. When mom is a 98 years...

  23. system of breaks is for licensed staff in SNF

    MelissaLPN replied to gigimon's topic in Geriatric, LTC

    My facility has the same policy, however, only the CNA are every allowed to follow it. I have worked at my current facility for almost a year and have only had two 30 min. lunches. They automatically...