Alex Egan LPN, EMT-B

Home Health (PDN), Camp Nursing

Member

All Content by Alex Egan

  1. Alex Egan

    What areas of your HC could use a new change?

    You need to find someone who's excel skills are advanced. Your staff training issue can be solved with a spread sheet. You can program them to flag specific dates and other things. Well I can't but...
  2. Alex Egan

    Circular Logic in Nursing

    Yea...chart checks mean every chart. The 24 hour sheet is a tool but not foolproof. Back when I did LTC we would check all 60 charts every
  3. Alex Egan

    Deep Suction for comfort with trach at end of life?

    My policy on suctioning is if I can't hear it with my unassisted ear, I generally won't go after it. If he's not having a measurable amount secretions, then suctioning of any kind wouldn't be needed...
  4. Alex Egan

    2015 Work Thread

    Congratulations kayakqueen! Please keep in touch and let us know how it goes. Most of us end up in PA, NY, and other northern places. I would love to hear how it is down south. I personally have ruled...
  5. Alex Egan

    Deep Suction for comfort with trach at end of life?

    My thought would be that comfort care usually means not adding invasive care. If the person has a long standing tracheostomy and has been deep suctioned for years, than its a normal part of their...
  6. Alex Egan

    LPN & EMT certification

    I'm both, I have found no crossover. LPNs are not employed as nurses in any ED within 50miles of me. A job as a tech...well I could have just skipped the whole nursing school thing. I work as a...
  7. Alex Egan

    What areas of your HC could use a new change?

    We serial number each epi pen and make a master list stored in a secure Google doc. I have spent the better part of four years writing procedures for first aid kits, med setup, and trip packing to...
  8. Alex Egan

    2015 Work Thread

    Well I guess it's official enough. I have landed a gig about 30 miles from my house, so I can commute. I will be a staff nurse at a summer program for talented youth hosted at a local collage by a...
  9. Alex Egan

    So Sick Of This Nurses Eat The Young Crap

    The best lesson I ever learnt was not in nursing but on my first day volunteering on the ambulance as a fresh Emt. My preceptor who taught me more about critical thinking than any nursing school ever...
  10. Alex Egan

    A Day In Your Health Center

    We had two vials explode while mixing. One was mine the other the head nurse. If you call the company they generally replace them for free. The GBH thing is just crazy in camps that draw customers...
  11. Alex Egan

    Infirmary aide pay rate

    Camp pay is not usually fantastic. Realize you don't usually attach the term living wage to seasonal work. These jobs are ment to be temporary, and not to support families. They usually go to...
  12. Alex Egan

    Lyme Disease in Camp Nursing Practice

    I'll have to give that a try. I'm game for just about any removal method that doesn't squeeze the rock or distress it overly. The goal is to get the tick to let go without regurgitating infected...
  13. Alex Egan

    Second career LPN

    Your probably not going to find many. Persons with advanced degrees in another field will generally opt to take a transition program direct to BSN that is usually the same amount of time as most Lpn...
  14. Alex Egan

    Even In Nursing, Men Earn More Than Women

    I think that a lot of this can be chalked up Tsimshian negotiation. I have always bargined for higher wages. I am always pushing for money and benefits. I feel as though woman are less likey to do...
  15. Alex Egan

    Purchasing probiotics

    There is no conceivable reason I can see for you to get involved. There is no meds that a RN can buy and resell that a layperson could not. So if you moving a product from one place to another, to...
  16. Alex Egan

    Unfrickenbelievable!

    I couldn't call the Medicare compliance number quickly enough. This is fraud, not even subtle fraud. I'm also not usually quick to report other nurses but his has to be reported to the state
  17. Your first gonna have to see what type of facilities your state allows and make sure there is rembursement for it. After that tere a plenty of models on the east coast you would want to tour and the....
  18. Thanks for making my chosen profession a consolation prize fore those you deam insufficient to be an RN. That's awsome. +1 offended nurse here. Lets use your logic and just make all doctors who fail...
  19. Alex Egan

    Advocating for my pt.

    I would advise you to ask yourself. "Is this the hill I want to die on" are these the issues that worth being labeled for and having your coworkers anxiously waiting to slide a knife in your back. Sad...
  20. Alex Egan

    EMT-B and RN: Scope of practice limitations

    Just going to throw it out there. I would wonder if you would be able to practice as a paramedic at the service your volunteering at? My vol company is a BLS service. We have paramedics who run with...
  21. Alex Egan

    Changing Trachs

    i think that a little "fear" is a good thing. Fear meaning respect. You cannot loose sight of the fact that you are about to do something that will carry the slight risk of massive adverse event. IF...
  22. Alex Egan

    How soon can I start looking for a camp job?

    Yes we could make 10s of dollars! I'm tossing around this years ideas for writing. I would love to read anything you put out. I want to try to time some new content with the influx of new folks for...
  23. Alex Egan

    Epic Health Services

    My agency just got bought out by epic. I'm not optimistic this will be an amazing
  24. Alex Egan

    Trach Changes in Ohio

    The laws regarding scope of practice are so confusing. I wish my school had done a class on it. Really we got handed the practice act and told to review it after our NCLEX so we didn't get mixed up...
  25. Alex Egan

    Trach Changes in Ohio

    The situation you described in your post did not seem to be referring to a routine change. I'm not sure how I was to infer that. The presence of emergency supplies does not imply the training or...