LPNfurever

LPNfurever

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  1. RN delegating nursing function to CNA/RT

    Are RN's/LPN's allowed to delegate application of swab caps to CNA/RT ? I was under the impression that only IV certified nurses (ma's if trained) could touch an IV.
  2. Extravasation protocols

    Hi All, Do your facilities have protocols for extravasation(non chemo)? If so what are they for antibiotics, iron(venofer/feraheme) and others such as Demerol/morphine? Other than stopping the infusion, elevation and a compress(warm/cold/compressio...
  3. Staff/Patient Ratio - 30 Patients per Nurse

    One would think that higher staff to pt ratios would increase a facilities revenue, ie: better care = satisfied customers, satisfied customers = more customers, more customers = more $$$$$!!!!??? I take care of 23 pt; 8 of them are BS, 5 of them are...
  4. M'am I have a problem when I watch you (the non-compliant diabetic with 350+ BS) stuff your face full of jelly doughnuts, hot chocolate and God only knows what else and then ***** about how slow the van-driver is when taking your overweight rear to w...
  5. Nursing home blues.....

    I really think it would help out immensely if the night nurses could do blood AM blood sugars and if the aids got up several of the totals on the hall. All night shift ever seems to do when its mentioned is act put out about having something else to...
  6. Nursing home blues.....

    We get in trouble if we dont take a 30 minute lunch and if we stay late! I usually work my lunch and just write it in...
  7. Nursing home blues.....

    I work at a LTC facility and it is so very frustrating; the day starts at 6am and ends at 2:30pm. I take care of 23 patients and for those 23 pt I have 2 aids that are expected to get those people up, shaved, face washed, dressed, changed and teeth ...
  8. Dont do it! In the facility I work in we need a Dr. order for milk of magnesia. Call them and get a telephone order so then all they have to do is sign it. You will lose your license if something goes wrong. Believe me the doc will not put his li...
  9. What dressing to use?

    One other thing is that I am a new grad LPN, and at this LTC facility we do not have an official Tx or wound care nurse. Also the manager for my hall is also a new grad. Its very frustrating. Do I need a doctors order for dressings and wound care?...
  10. What dressing to use?

    Does the skin cancer progressively cause the wound to get worse? The dressing is scheduled to be changed Q 3 days and PRN; although it needs changing usually every other day due to the drainage. Would a wound culture be appropriate in this instance...
  11. nursing home rn's

    It is a high calling!! Im a new grad and I love long term care...my med/surg nursing friends go on and on about so and so who OD and had to be kept in restraints, or how whats her name has some rare bone disorder (they maybe have 5 pt) then when I ...
  12. What dressing to use?

    I have a pt with skin cancer who picked off one of the lesions on her hand. It started out as a scabbed over sore about 2 cm in diameter. It keeps getting worse despite PRN dressing changes. It is now approx 5 cm in diameter, and .5 cm deep, has a...
  13. Funny things that pts say

    One of my pleasantly confused elderly patients had DC'd her foley catheter one evening on her way to the bathroom; just ripped the sucker right out. Fortunately she had no ill effects of doing so. When I came on the next morning she was sitting in ...
  14. I work at a LTC facility and have roughly 21 pt to care for. I graduated 6 months ago and am still learning the ropes myself. The other day I had four students with me!!! Anyone else have this happen to them?
  15. New Grad SNF work... I am just exhausted and shocked

    I work at a snf and have on average 18-24 pt. I have found that if I can start getting my 1130 BS at 1115 and just get them all out of the way it runs much smoother. I also dont like giving insulin and checking BS in the dining room. I know state ...