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  1. BrandonLPN

    Best LVN position for experience while in R.N. program?

    It depends on what you want to do as a RN. Urgent care LVN experience will look better on a resume for the ER, experience in outpatient surgery will look better on a resume for a clinic. I don’t think one is overall better than the other when it comes to becoming a RN in a general sense.
  2. BrandonLPN

    I have not worked as a nurse since graduation.

    I would imagine most employers will simply view you as a nw grad nurse, which in a way you still are because you have zero experience. I don’t see why you wouldn’t be considered for an entry-level position any other new LPN would be considered for. They will probably be mildly curious as to why you haven’t worked as a nurse. Frankly I would not say anything about the place you oriented at then left. No employer likes to hear you used valuable orientation resources then quit. Personally, I don’t blame you for not wanting to work there, but from an employer’s POV you cost them thousands of dollars with zero return. Just tell them you haven’t worked due to personal issues, and you waited until you were able to devote yourself fully to a position. As a new LPN, your main option for lucrative work is in nursing homes. Be aware that all nursing homes share similar faults to varying degrees. Some are better than others, but 99% of them deal with high staff turnover, large patient loads and are extremely task-oriented.
  3. BrandonLPN

    LIES About LPN's and LVN's

    If you want to be disheartened, go read the Yahoo! comments section on the story about the nurse who impregnated the nursing home resident. It’s unbelievable how many commentators are “correcting” the article by saying the culprit is “a LPN, not a nurse”.
  4. Reserving judgement. we have all had patient who, through tolerance, are on very high doses of opioids. What constitutes as a “potentially fatal” dose for one person may be routine for another.
  5. BrandonLPN

    LTC nurses: Can I hear from you, please?

    A few off-the-top-of-my-head thoughts: the assumption that nursing home nurses make less than hospital nurses is false. In fact, since nursing homes have a harder time attracting nurses, they often offer high wages as an incentive. a mistake I see new-ish nurses making all the time is having a “the grass is greener....” mentality. Some facilities are indeed better than others, but 99% of all nursing homes deal with similar issues of understaffing, high turnover, large nurse-to-patient ratios, etc. If you think you’re going to find some magical facility without these problems you’re going to wind up being one of those nurses who has floats from one facility to another every year or so until the lack of longevity on your resume begins to limit your career choices. Its not as hard as it seems at first. Every nurse starting out in LTC experiences shock and feels overwhelmed. Nursing school conditioned us for a very, very different sort of nursing. I long for the day when the people who design nursing school curricula realize that not every nurse in existence works in acute care. Once you get your flow and adjust to the acuity level vs patient load balance, you will be shocked by how what once seemed impossible is more manageable than you believed.
  6. BrandonLPN

    Nurse accused of impregnating women in vegetative state

    Massive patient loads mixed with high turnover rate can go a long way to explain how no one noticed. I work in a 200 bed facility, alternating between six halls. And, at two years, I am already one of the highest senior nurses. I can see myself missing this on a resident I see once or twice a week, mostly just for medication administration. Especially if pre-existing obesity masked an obvious “belly bump”. And, as someone else mentioned, a potential pregnancy isn’t exactly the sort of thing your mind would go to easily in this sort of setting.
  7. BrandonLPN

    Nurse accused of impregnating women in vegetative state

    It has been my experience that a every 90 day assessment by a physician is the minimum requirement in LTC.
  8. BrandonLPN

    Don't Say The "Q" word!

  9. BrandonLPN

    Wearing a beard as a male nurse?

    Honestly, I'm quite glad that the cultural pendulum is swinging in a direction where no one bats an eye at beards and tatoos. It was always a stupid "rule" that they made one look less professional. And, really, it's more uncommon for a guy *not* to have a beard these days.
  10. BrandonLPN

    For Adult Male Nurses Only

    As opposed to all those child male nurses......
  11. Of course it's legal. But I would laugh *so* hard at the ridiculous human being who tried to tell me that I was expected to clean a room after a death or discharge.
  12. BrandonLPN


    What, you mean the half-assed pizza parties and five dollar gas cards didn't work??
  13. BrandonLPN

    LTC nurses...

    It has been my experience that the staff members in nursing homes who work all shift without so much as a 15 min break is definetly *not* the CNAs. The ones working without breaks and staying over for hours tend to be the licensed nurses...... just sayin'......
  14. BrandonLPN

    LTC nurses...

    Not having time to do a lot of direct care doesn't automatically make a LTC nurse "lazy". If I spend half my shift answering call lights and toileting people I won't get out until four hours after my shift was supposed to end. There's a reason nursing home units are staffed with one nurse and four CNAs, whereas a hospital unit is staffed with four nurses and one CNA. See the difference?
  15. BrandonLPN

    Writing Bad Orders

    Nope, if the lasix dose really needs to be changed, then the MD needs to change the dose or order a one-time dose with each daily weight as he sees fit. Each time. PRN lasix sounds like a bad idea in an acute setting and a terrible idea in LTC. What's next, warfarin orders with PRN dosages based on INR results?