MelissaLPN

MelissaLPN ASN, LPN, RN

ICU

Member

All Content by MelissaLPN

  1. Morphine and End Of Life

    MelissaLPN posted a topic in Geriatric, LTC

    I have a question, or a scenario rather that I have recently come across. Recently at work, I had a hospice patient who was unresponsive with respiration between 7-8 bpm with long periods of apnea....

  2. What does an RN supervisor do?

    MelissaLPN posted a topic in Geriatric, LTC

    Hey guys just a quick question. I am in a LTC facility and we have RN supervisors on the weekends. We have had several and I would like to know what it is that they should do? My supervisor doesn't...

  3. Abandoning family in the ED during the holidays

    MelissaLPN replied to SubSippi's topic in Patient, Colleague Relations

    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...

  4. Student Nurse w/ Erb's Palsy

    MelissaLPN replied to Duttygal86's topic in Nurse Disabilities

    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....

  5. Hard copy of icufaq.org

    MelissaLPN replied to JUSTanLPN's topic in Critical Care

    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...

  6. Share Your Funniest Patient Stories...

    MelissaLPN replied to Trvln Nurse's topic in Nursing Humor

    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...

  7. Favorite things you bought during RN school to help your studies?

    MelissaLPN replied to northmississippi's topic in General Students

    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...

  8. Filling the gap

    MelissaLPN replied to pockunit's topic in Job Search, Interview, Resume

    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...

  9. Family Members and their pearls of wisdom...

    MelissaLPN replied to R!XTER's topic in Patient, Colleague Relations

    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...

  10. Combining Med Passes

    MelissaLPN replied to wearinwhite's topic in Geriatric, LTC

    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...

  11. RN vs LPN Clinicals

    MelissaLPN replied to SheldonCooperPHD's topic in LPN to RN

    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...

  12. Behaviors and Failing to Chart Them

    MelissaLPN replied to Tired_Mommy's topic in Geriatric, LTC

    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...

  13. Feeling discouraged lpn -rn programs take forever!!!!!!!!

    MelissaLPN replied to Ericad85's topic in LPN to RN

    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)....

  14. Thinking like an RN

    MelissaLPN posted a topic in LPN to RN

    Hey guys. I am anxiously awaiting my acceptance letter to nursing school ( God willing it will be here next week!). I am pursuing a traditional 2 year ADN but I have been an LPN for the past 3 years....

  15. Patient abandenment and mandatory overtime

    MelissaLPN posted a topic in Georgia Nursing

    i am a lpn who works in ltc. lately our facility has been extremely short staffed and we have had many call outs. the don has said that the nurse must stay the extra shift ( 16 hours!) if no nurse can...

  16. Abnormal pupil shape/response

    MelissaLPN posted a topic in Geriatric, LTC

    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....

  17. Abnormal pupil shape/response

    MelissaLPN replied to MelissaLPN's topic in Geriatric, LTC

    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...

  18. IV calculation

    MelissaLPN replied to nursingstudent_88's topic in General Students

    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...

  19. IV calculation

    MelissaLPN replied to nursingstudent_88's topic in General Students

    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...

  20. Diversity.. at what price?

    MelissaLPN replied to Been there,done that's topic in Patient, Colleague Relations

    I agree with the OP. I work with people from all around the world, in fact in most cases I am the only native speaker present for the entire shift. I have noticed a breakdown in communication that has...

  21. Calm before the storm...

    MelissaLPN replied to NurseLoveJoy88's topic in General Students

    Laundry, spending time with my kid, grocery shopping! My pantry looks like I am an hoarder! I plan on one final farewell with my friend the day before

  22. New guidelines for gastric residuals

    MelissaLPN replied to IheartICUnursing's topic in General Nursing

    Do you have those

  23. frequent call in's or no shows

    MelissaLPN replied to nola1202's topic in Geriatric, LTC

    My place is in a similar situation. Our prn staff consists of only 15 people, all of whom either do not answer the phone or are already scheduled to fill in the gaps that are missing from lack of full...

  24. GTC 2011?

    MelissaLPN replied to blueharlequin's topic in Georgia Nursing

    Welcome! We are going to have a great program

  25. Mistakes we have made

    MelissaLPN replied to LilpoRN's topic in Patient Safety Issues

    I think it is great to learn from yours and other mistakes. One time I was giving medication to a pt and I got distracted by a pt running their wheelchair into the back of me and I turned two pages in...