BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    Good Idea. Bad Idea.

    BrandonLPN replied to BrandonLPN's topic in General Nursing

    Good Idea: Throwing a surprise party for little Johnny in the pediatrics unit. Bad Idea: Throwing a surprise party for Mr Smith in the cardiac surgery unit. Good Idea: Talking about what Cdiff smells...
  2. BrandonLPN

    Good Idea. Bad Idea.

    BrandonLPN posted a topic in General Nursing

    (double
  3. BrandonLPN

    Paramedics rank higher than LPNs?

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

    And let's not fall into the trap of thinking some healthcare roles are "higher" because they know more about a very specific duty than others. I've seen paramedics who think they're above nurses cause...
  4. BrandonLPN

    Safety vs. Satisfaction - what is really important?

    BrandonLPN replied to turnforthenurse's topic in General Nursing

    As long as they filled out a positive review before they OD'd on q30 min dilaudid, I think some managers would be fine with
  5. BrandonLPN

    Paramedics rank higher than LPNs?

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

    Also, as a LPN, my education is much broader. A medic's education is focused on emergency procedures, for obvious reasons. I couldn't step into an ambulance tonight and do a medic's job. I'd have no...
  6. BrandonLPN

    How do you deal with passive aggression in nursing?

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

    Trust me, nursing needs a lot more nurses who are "the complete opposite" of passive
  7. BrandonLPN

    Should I Become a Nurse Practitioner?

    BrandonLPN replied to RevolverOcelot's topic in General Students

    I definitely break the stereotype of male nurses being "adrenaline junkies" who all want to work in the ER or on a trauma helicopter. If I spend the rest of my career pushing pills to confused little...
  8. BrandonLPN

    High turnover in LTAC's?

    BrandonLPN replied to nursingilove's topic in Long Term Acute Care

    I think Cape Cod Mermaid's point was that in LTC we have far less support than nurses in acute settings. As someone who worked in a hospital and now in a nursing home, I agree. We have to rely more on...
  9. BrandonLPN

    CNAs no longer doing vitals on our floor

    BrandonLPN replied to new_grad_RN's topic in General Nursing

    In LTC I think it's appropriate for the nurse to get the vitals. I never heard of this in acute care. To play the devil's advocate, I always wondered, when I was an aide in the hospital, why the...
  10. BrandonLPN

    What is the point of becoming a nurse?!

    BrandonLPN replied to newRN121's topic in Pre-Nursing Students

    It's not as hard to find a nursing job as people make it out to be. Too many new grads waste time applying at places that don't hire new grads. So you can't get the hospital job you wanted. So
  11. BrandonLPN

    How do you deal with passive aggression in nursing?

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

    If you have time to worry about who's giving who birthday presents and who's getting all the postings on the "good job" board maybe you have too much time on your hands. Focus on your
  12. BrandonLPN

    Visiting nurse slapped with a parking ticket :-/

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

    You kind of loaded your answers there. Anyone voting that nurses should get tickets too is also voting that pt care comes
  13. BrandonLPN

    D-U-N - done!!!

    BrandonLPN replied to Vtachy1's topic in Nursing Career

    Once you cool down I'm sure you'll feel differently. Lots of nurses talk about finding another profession. Few actually do. I know a couple nurses who used to be truck drivers. I've never heard of a...
  14. BrandonLPN

    How do you find the right size adult brief for a new patient?

    BrandonLPN replied to redcandle's topic in General Nursing

    You can just eyeball it after a while. There aren't that many sizes
  15. BrandonLPN

    Is this legal??

    BrandonLPN replied to nurseruby's topic in Geriatric, LTC

    Now now, just because we disagree over this topic doesn't mean I care less about patient safety than you do. I realize my often being the dissenting voice against what I perceive to be over-rigorous...
  16. BrandonLPN

    High turnover in LTAC's?

    BrandonLPN replied to nursingilove's topic in Long Term Acute Care

    Don't worry about it. Very similar acronyms. The pluses of working in a LTAC are that they readily hire new grads, you would learn a lot and the pay is better than the hospitals. (from my research,...
  17. BrandonLPN

    Assisted Living

    BrandonLPN replied to adamsmom2's topic in Geriatric, LTC

    I'm going to guess it's a skilled care ALF. (I never heard of it
  18. BrandonLPN

    Is this legal??

    BrandonLPN replied to nurseruby's topic in Geriatric, LTC

    I usually do, unless I'm passing meds right up to shift change. That can happen on a busy night. And even if you do look again it's still possible to miss a box. All I'm saying is in LTC a box will...
  19. BrandonLPN

    Is this legal??

    BrandonLPN replied to nurseruby's topic in Geriatric, LTC

    Of course not. But combing the entire MAR just can't happen every shift change. If you see the last nurse left a hole tag it for her as you go. (I will usually put her initials for her if I know she...
  20. BrandonLPN

    Is this legal??

    BrandonLPN replied to nurseruby's topic in Geriatric, LTC

    And to clarify I'm not saying that it's okay to leave blanks or become complacent. As I said, best practice is to go over our MAR once more before the end of your shift. But this doesn't always...
  21. BrandonLPN

    Is this legal??

    BrandonLPN replied to nurseruby's topic in Geriatric, LTC

    As you said as long as the MAR in LTC comprises of thousands of little boxes, 100% error free charting is almost impossible. I'm good about it, but I probably miss a box on a rare occasion. It's...
  22. BrandonLPN

    Is this legal??

    BrandonLPN replied to nurseruby's topic in Geriatric, LTC

    Yes, failing to document that you gave a PRN narcotic could result in an overdose if the next nurse gives it 20 minutes after you did without realizing the pt just got one. But going over the entire...
  23. BrandonLPN

    Why do some nurses guess on BP?

    BrandonLPN replied to Dixon, future NP's topic in Patient Safety Issues

    I have to admit, if I watched the needle stop at 115 and the MA said my BP was 120/80 (or something) I'd be pretty suspicious too. That doesn't add up. I suppose some might stop at the systolic and...
  24. BrandonLPN

    Why do some nurses guess on BP?

    BrandonLPN replied to Dixon, future NP's topic in Patient Safety Issues

    10 years isn't enough time to be an expert at manual
  25. BrandonLPN

    High turnover in LTAC's?

    BrandonLPN replied to nursingilove's topic in Long Term Acute Care

    LTAC is completely different from LTC. I would imagine LTACs have a high turnover because they deal with almost ICU level acuities mixed with med surg level ratios. And WAY less support. Many pts go...