BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    LPN working CNA shifts??

    BrandonLPN replied to Julie1963's topic in LPN, LVN Corner

    Where I work the LPNs and the CNAs are in the same union. The union contract says the LPNs can and will fill CNA holes in staffing as needed. We are told this when hired. Any LPN who has a problem...
  2. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    A few points: a) our breakfast is at 730. b) the doctor explicitly changed the med time to first shift, to avoid third shift having to wake people up so early c) in my facility, and many others,...
  3. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    Happily, as a state facility we are ironically freem from the intrusive hand of state surveyors. And these meds are ordered at 8am. Never once in a single post here did I ever advocate giving meds...
  4. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    Double
  5. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    I lied, one more thing to add. In LTC this is the patient's *home*. I feel we have an obligation to make this as homelike as possible while still maintaining a safe level of care. Years before I...
  6. BrandonLPN

    LPN working CNA shifts??

    BrandonLPN replied to Julie1963's topic in LPN, LVN Corner

    I missed the part about you not making nurse wages. That's all together different. I was talking about people who get hired and paid as nurses, but occasionally get "pulled to the floor" to do an aide...
  7. BrandonLPN

    All of a sudden an ASN is no good anymore

    BrandonLPN replied to pattyslattery's topic in Diploma, ADN, BSN

    This is all I've ever heard out of the mouth of a BSN in real life, too. On this site, however, I have read a few posters who state that ADNs and (especially) LPNs are an embarrassment to nursing and...
  8. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    All right, I'll just add one more thing. I said our synthroids are *scheduled* at 8am. Which means the doctor obviously is aware and is fine with it. Please understand that the 3rd shift LPN has 80 or...
  9. BrandonLPN

    All of a sudden an ASN is no good anymore

    BrandonLPN replied to pattyslattery's topic in Diploma, ADN, BSN

    Part of me still thinks the BSN should just be a separate licensure on it's own. But I have to admit, this makes sense to me. I assume the LPNs without an associates degree were grandfathered in...
  10. BrandonLPN

    All of a sudden an ASN is no good anymore

    BrandonLPN replied to pattyslattery's topic in Diploma, ADN, BSN

    To tell a ADN that they aren't adequately prepared to do a job they've been doing perfectly well for years *is* a hurtful thing to say. And, for LPNs, it's often implied that for us to even be called...
  11. BrandonLPN

    All of a sudden an ASN is no good anymore

    BrandonLPN replied to pattyslattery's topic in Diploma, ADN, BSN

    What are you getting at? Practical nursing is a separate licensure and scope with a different role in
  12. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    You're taking it out of context. I never said the drug book should be disregarded. I use it a lot myself. But following it's recommendations without question isn't always practical. The book also says...
  13. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    So you're saying we should wake half the floor up at 5 or 6 in the morning to give them a synthroid? Why? We check thyroid levels. How we are giving it is working. Im sorry, but for a new grad to come...
  14. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    It absorbs *best* on an empty stomach. It's not like it doesn't absorb at all if given with food. Worst case scenario is the pt needs a slightly higher dose to maintaintherapeutic levels. This is a...
  15. BrandonLPN

    Medication Range Doses-What if Patient Wants Less?

    BrandonLPN replied to rrrrnnnn579's topic in Patient Safety Issues

    As for the topic of the thread, if I have an order hay reads 'give two norco PRN' I sometimes give only one norco if that seems more appropriate. It seems implied that, if you can give two, you can...
  16. BrandonLPN

    Please quit wasting my time: Interview Advice from Hiring Manager

    BrandonLPN replied to Teacher Sue's topic in Job Search, Interview, Resume

    I would imagine interviewers get sick of hearing all the pat answers and sugar coated explanations. I work at a state run home for disabled veterans. When asked in the interview why I want to work...
  17. BrandonLPN

    All of a sudden an ASN is no good anymore

    BrandonLPN replied to pattyslattery's topic in Diploma, ADN, BSN

    To be fair, I'm sure those BSNs will be just as good at those skills as you after 15
  18. BrandonLPN

    Medication Range Doses-What if Patient Wants Less?

    BrandonLPN replied to rrrrnnnn579's topic in Patient Safety Issues

    I have a dumb question. What is the point of ordering a PRN med q 4-6 hours? You might as well just write q4 hours. The "to six" part of "every 4 to six hours" seems unnecessary and pointless. The q4...
  19. BrandonLPN

    "Loosing" my license

    BrandonLPN replied to Ruby Vee's topic in General Nursing

    I've never been afraid of loosing my license. Why would I set it
  20. BrandonLPN

    Are there any jobs in nursing where you can work alone?

    BrandonLPN replied to Kadambari's topic in Nursing Career

    It could just be coincidence, but I've noticed the more uptight and "mean" nurses and aides work day shift where I work. At my last job, too. Evening and night shift staff seem more laid back. I...
  21. BrandonLPN

    Future Shortage in Bedside Nurses

    BrandonLPN replied to westieluv's topic in Patient Safety Issues

    ."management" doesn't always have to mean a desk job or an administrative role. It could mean a BSN who leads a nursing team in the delivery of care for an assigned group of patients (think team...
  22. BrandonLPN

    LPN working CNA shifts??

    BrandonLPN replied to Julie1963's topic in LPN, LVN Corner

    I've always been a little puzzled when people cite the fact that they will be held to their nursing license as a reason not to work the floor in an aide role. When I work the floor doing member care I...
  23. BrandonLPN

    2 glove technique? HUHH?

    BrandonLPN replied to RN1822's topic in Patient Safety Issues

    I use the "2 glove technique" if the girl's really
  24. BrandonLPN

    Please quit wasting my time: Interview Advice from Hiring Manager

    BrandonLPN replied to Teacher Sue's topic in Job Search, Interview, Resume

    Sheesh, I meant don't list jobs that didn't work out that you didn't stay long in as a result. Obviously summer jobs or temp jobs are different. I think many of us have a job or two that will never...
  25. BrandonLPN

    First med error

    BrandonLPN replied to WittySarcasm's topic in Geriatric, LTC

    Med errors need to be viewed as an opportunity for education, not punitive action. Instead of a "3 strike" policy maybe after three med errors you have to have a conference with the DON and determine...