misschiatia

misschiatia

geriatrics/long term care

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All Content by misschiatia

  1. LPN practicing outside of scope

    You can kill to birds with one stone. You can both check with your board about what your state's actual scope of practice is for LPNs and report it, all with one phone call to your state board. If...
  2. In answer to DizzyLizzyNurse I practice in the state of missouri, specifically the metropolitan st louis market. Many hospitals and tons of nursing homes, rehab and specialty hospitals,etc. Metro...
  3. Mistakes we have made

    When I was a new nurse to the hospital setting, my patient came back from dialysis upstairs. I had orders to flush her central line with NS. Instead I flushed her dialysis access ports with NS. I...
  4. Have worked as a nurse for years and never had my credit score brought up in the interview process at all. But where I practice nurses are in high demand and the job market could hardly be...
  5. Nursing Diagnosis

    Ladies and gentlemen, we seem to have some seriously heated opinions on this subject. The girl asked a question. As rational adults, those of us that would like to respond to them should be able to...
  6. Students in Delivery Room

    If it were me, there is absolutely NO WAY i would want people I know on a proffessional level in the room. I mean, I could care less if they were strangers or people I would not have to see every day...
  7. Evidence Based Paper--need help!

    I just pulled a few nsg dx's out of the book that might GENERALLY relate to a medical dx of MI. Nick RN, not being a hospital nurse, i honestly didnt know that about the pathophysiology as far as...
  8. declining a job, then calling back

    Have been in the position where a candidate I really wanted was interviewed for a position, hired and scheduled for orientation. The day of orientation she popped up to tell me that she was still...
  9. Have worked for years with cute little old confused alzheimers/dementia patients. Have been kicked, slapped, called everything but a child of god, feces thrown at me, spit on, etc. Have found that...
  10. Evidence Based Paper--need help!

    Found among my old books a book called "Nurses Pocket Guide". Publisher FA Davis company in philidelphia. My copy is really old, but good resource, I'm sure there are other books out there on nursing...
  11. LVN's and/or RN's who were once LVN's. HELP!

    I live in the midwest, not california, so im not familiar with the market for nurses out there. I also got my LPN first and I strongly recommend that for anyone that has to work and go to school....
  12. TB Skin Test

    I have worked in nursing for years and taken many a PPD test, all negative until about 5 years ago when I took it and the area swelled up, turned red, and itched like the devil. Ended up at the state...
  13. How could I have handled this better?

    Absolutely, you did the right thing. Where I practice even dementia residents have the right to refuse(LTC, not hospital).The day we stop respecting the rights of the people we care for is the day we...
  14. Four 10's or Five 8's? Which would you do?

    I currently work a 4 day 10 hour shift schedule. I found the five 8 hour schedule unmanageable. 5 days on in a row can be a bit much. I'd much rather bust my week in half. Even if I'm staying a...
  15. Masters of Social work vs Nursing

    Even with a masters in social work, a diploma RN could make more than you in a management position. Or a floor nurse with a strong tolerance for doubles. However it does involve what position you...
  16. State is coming and I'm a wreck..

    Try to remember that the state surveyors are there to make sure we maintain reasonable standards of care. They really are not there to put good nursing homes out to pasture. It's the bad ones their...
  17. Going straight for my RN

    Yeah, get your LPN first. I am an LPN to RN bridge and feel that I am just as qualified and knowledgeable(if not more) than my 4 year degree or 3 year diploma counterparts. I say if not more only...
  18. Mistakes we have made

    Yes, it's true, that SOME of us "eat our young". In my career I have had supervisors, managers, and mentors that have treated me like their own personal protegee through 3-5 days of orientation,...
  19. Things you wish you knew when you were young?

    That the best ways to obtain and maintain personal peace are to do the right thing, and appreciate what you have. That way you don't have to worry(about what you did that you shouldnt have, and what...
  20. Thank you for all you do

    Thanks!!!
  21. Work in long term care setting with an upscale conservative population. Tattoos definitely frowned upon here. None of the managers have them(myself included), and since they are against dress...
  22. LTC- resident in clear distress

    Previous responder is right. Code status is your deciding factor. A resident who is a full code wants you to fight for his or her life to the finish. That means O2, nebulizers, ambulance,...
  23. Need advice please

    I disagree with the last responder who said to make up some innocuous reason for looking for a new job. I firmly belive that HONESTY is always the best policy. You can express moral differences...
  24. patient choked after taking pills..

    Yes, you can be fired for being written up, but your managers really do have great deal of latitude( in my experience) as to how to address discipline issues. It sounds like you are still kind of new....
  25. I actually have no idea, but Kudos for asking a thought provoking and relevant