BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    What to do, what to do...

    If you keep turning job offers down you're going to burn a lot of
  2. BrandonLPN

    "Why does a nurse have to go to college?"

    Also, enough with *every* custom in the world being off limits to judgement based on the principal of "cultural relativism". Apartheid wasn't a legitimate cultural belief of white South Africans, it...
  3. BrandonLPN

    "Why does a nurse have to go to college?"

    Who said nurses can't be judgmental? First of all this man isn't a pt of any of us. Second, we have a duty to be objective in how we *treat* pts and not let our beliefs affect how we deliver care....
  4. BrandonLPN

    Pt's/visitors reading Fifty Shades of Grey???

    Oh my, you'd be doing an awful lot of charting at my facility, 90% male, many under 65. It's a rare night you don't walk in on *someone* watching hardcore
  5. BrandonLPN

    Pt's/visitors reading Fifty Shades of Grey???

    Just remember, if their heart rate spikes suddenly on the tele monitor, KNOCK before rushing in the
  6. BrandonLPN

    TV Shows

    The most glaring error I've ever seen on a TV show/movie was on the movie Panic Room with Jodie Foster. The type one DM daughter was going into hypoglycemic shock and they kept saying they needed to...
  7. BrandonLPN

    Help needed with one interview question

    Yeah, these kind of priority scenarios are actually easier in real life than on paper. As you see a confused pt try to stumble out of bed you will rush in to help him before passing meds or even...
  8. BrandonLPN

    Help needed with one interview question

    Also, it should be noted that we usually check a BP before giving an anti hypertensive to make sure the BP isn't too LOW. If the systolic is over 200, by all means give the BP
  9. I'd be interested to know your staffing ratios, too. You say it's a "high end" facility, which leads me to believe most your residents are private pay or at least Medicare. Come to a "low end" all...
  10. BrandonLPN

    TV Shows

    At first I though you meant shows like ER or Greys Anatomy. I was about to pop some popcorn and sit back and watch the flurry commence... With that said, I think ALL reality shows are staged and...
  11. BrandonLPN

    Help needed with one interview question

    If the pt trying to get out of bed is a fall risk, that seems like the most emergent task. I think all the bits about "post op" and "anti hypertensive meds" are to make you overthink it. Good...
  12. BrandonLPN

    Primary Nursing is for the BIRDS

    It seems to me your hospital isn't using it's LPNs efficiently. If you have a LPN on your team you shouldn't have to do hourly rounds yourself. Also, at 10-14 pts you should have 2 LPNs on your team....
  13. BrandonLPN

    Primary Nursing is for the BIRDS

    As someone said earlier, I think when Primary Nursing was first envisioned it was meant to be a system where a single RN took responsibility for the management of a pt throughout his hospitalization....
  14. BrandonLPN

    doing the work of a CNA at a lesser pay

    I should add that CNAs do NOT hold a license. This is a common
  15. BrandonLPN

    doing the work of a CNA at a lesser pay

    The only places that legally require CNA certification are facilities licensed as nursing homes. Hospitals, assisted living facilities and home care agencies have no legal obligation that their...
  16. BrandonLPN

    "Why does a nurse have to go to college?"

    This guy sounds like one of those militant anti-government extremists. Remember the Ruby Ridge shooting? I'd say not being able to attend nursing school is the least of his daughter's
  17. Maybe you're misunderstanding the nursing student in the OP. I would never say "eff that" to doing CNA type work. I pick up empty CNA shifts all the time where I work. But you better believe I get...
  18. BrandonLPN

    Primary Nursing is for the BIRDS

    Primary nursing on a med surg floor would be wonderful... if it were practically or economically feasible. It works on an ICU floor because the ratios are 1:1 or 1:2. And even most ICUs I've seen use...
  19. BrandonLPN

    Medication issue

    This is why I refuse to work in a non union facility. I doubt your getting fired has anything at all to do with this PRN med issue. Someone, for whatever reason, decided they just didn't like you so...
  20. BrandonLPN

    Please tell me it gets easier!

    Hmm, a facility that only gives a new grad a 3 day orientation and keeps a nurse known to divert narcotics sounds shady to
  21. BrandonLPN

    How to study/learn medications

    Well, anything that's enteric coated or ends in ER or SR shouldnt be crushed. Iron shouldn't be crushed. Coumadin shouldn't be split in half, though we do where I work. In my nursing school...
  22. BrandonLPN

    Please tell me it gets easier!

    As for the topic at hand, yes it does get easier. You said yourself that the second day was a little easier. That trend will continue. Too many new grads quit too soon. Just out of curiosity, why do...
  23. BrandonLPN

    Please tell me it gets easier!

    I post from my iPad, too. You have to go back and edit in paragraphs every time. Pain in the a**, I
  24. Any smart hiring manager would be thrilled to hire a nurse with expeience in psych. Or LTC. Or any other speciality where nurses are said to "lose their skills". As a psych nurse you'll bring lots of...
  25. That's about 40 residents per nurse on days. Sounds normal to me for LTC. I have 49 on 3-11. Dayshifts has the same amount, but they have a RN unit coordinator, too. It's the CNA staffing at twos...