BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    Narcotics administration

    BrandonLPN replied to schoolmack's topic in Patient Medications

    I'm a "jaded" nurse in most senses of the word. But one way I hope to never become jaded is in pain management. I'd much rather err on the side of giving pain meds to someone who doesn't really need...
  2. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    What's a PI
  3. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    I'm sorry, I was thinking of those depakote sprinkles capsules, rather than Dilantin. My
  4. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    *sigh*, as I understood the OP's post, this guy has been taking this pill this way for ages. And is fine. What makes you think he's suddenly going to have a "reaction" or something? In this case all...
  5. BrandonLPN

    Can employer look up where you've worked before?

    BrandonLPN replied to dann023's topic in Job Search, Interview, Resume

    Likely no HR will ever dig that deeply. I would just leave it off my resume. I left my first nursing job after a month when I got a job offer somewhere else making $5 more an hour. Places that pay...
  6. BrandonLPN

    2nd degree nurses

    BrandonLPN replied to grantchatt's topic in General Nursing

    I think most people leave their first career because there WAS no security. That's what makes nursing so
  7. BrandonLPN

    First med error

    BrandonLPN replied to WittySarcasm's topic in Geriatric, LTC

    It's not the facility's fault if a nurse makes a med error. But it IS something we all do, occasionally. Even the best nurse working at the best staffed nursing home ever will make med errors at some...
  8. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    I agree with getting an order clarification, if only to CYA. In the case you mentioned with the Dilantin, isn't the facility checking her serum Dilantin levels regularly? If her blood levels are...
  9. BrandonLPN

    Comparing A Nurses' Salary

    BrandonLPN replied to Joe V's topic in Nurses Rock

    I don't know, I think 30k a year is insultingly low for a RN. Even a new grad. That's what, $15 an hour? As a LPN in a lower cost of living rustbelt state I won't get out of bed for less than $20 an...
  10. BrandonLPN

    Narcotics administration

    BrandonLPN replied to schoolmack's topic in Patient Medications

    As others have said, I don't really care if the patient isn't really in pain when they request a PRN narcotic. As long as they can safely handle it and there is a legal order for it, why not? It's not...
  11. BrandonLPN

    Ooops, I told off a doctor

    BrandonLPN replied to catladynurse's topic in Patient, Colleague Relations

    You're idea of "telling someone off" is pretty tame.
  12. BrandonLPN

    First med error

    BrandonLPN replied to WittySarcasm's topic in Geriatric, LTC

    A "three strikes" policy re: med errors is absurd. All it will result in is nurses who lie and are good at covering their
  13. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    I also want to say that I'm disappointed that so many seem to be implying that the other nurses th OP is working with are somehow "lazy" or "bad" nurses. They've been given this resident his meds...
  14. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    You're missing the bigger point that this resident has been taking this med this way for a long time without any apparent adverse reactions. Did you ask the other nurses on the floor about it. I'm...
  15. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    I don't think the OP said the pt can't swallow. He just chews on his meds, thus breaking down the enteric coating (or whatever) before it has a chance to dissolve in the GI tract. Not ideal, but not a...
  16. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    I've given pain narcotics rectally to hospice pts. Very rare. They didn't want the pt to have anything PO or SL. Not even
  17. BrandonLPN

    LVN license on hold in CA!

    BrandonLPN replied to Cali86's topic in Licensure: Criminal History

    Hmm, I didn't wait for anything. After I passed the NCLEX I was automatically licensed. You don't have to wait for the physical piece of paper to start working. My state's website said I was a LPN and...
  18. BrandonLPN

    To BSN or not to BSN

    BrandonLPN replied to J.D.'s topic in LPN to RN

    Where do you want to work? Most LTC facilities don't require a BSN for any position, all the way up to DON. And LTC nursing is more holistic than acute care. Hospitals focus on medical dx, for obvious...
  19. BrandonLPN

    LVN license on hold in CA!

    BrandonLPN replied to Cali86's topic in Licensure: Criminal History

    I had an arrest and spent a few days in the pokey for some youthful indiscretion when I was 20. It never came up during my licensing or during any employment checks. I can't imagine your license being...
  20. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    Sometimes a physician might okay a timed release pill to be crushed or capsule opened. Sometimes the physician WANTS the pt to get the full effect all at once. It's not necessarily harmful. The longer...
  21. BrandonLPN

    Best and Worst places for LPN opportunities

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

    Why is everyone putting little frowny faces next to LTC? What's wrong with
  22. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    If he opened the capsule, then the time release mechanism wouldn't
  23. BrandonLPN

    Do I give the med or hold?

    BrandonLPN replied to spectrabrite's topic in Patient Medications

    Maybe get the order changed to a non timed release version? In the meantime I wouldn't hold it. He still needs the med for his neuropathy pain (or whatever). It obviously is doing him no harm if he's...
  24. BrandonLPN

    What to do, what to do...

    BrandonLPN replied to cchezem15's topic in LPN, LVN Corner

    What is it about these LTC facilities that you don't like? The fears new grads have of losing ther license are grossly exaggerated. I've been a nurse for years and the only cases of license revocation...
  25. BrandonLPN

    Do you feel bothered by new training CNAs?

    BrandonLPN replied to chariot's topic in General Nursing

    The nurses who roll their eyes or seem annoyed when told something obviously have poor self control. When I'm told of a resident's complaint that I know is pure BS or one I've heard a billion times,...