BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    Doctor vs Nurse

    Ok, fair enough. I think many of us were under the impression you simply charted "pt presents with flu symptoms" or something. Even if you do list the actual symptoms, you should still never chart a...
  2. BrandonLPN

    Doctor vs Nurse

    So chart that she was using her accessory muscles. Don't chart that she c/o difficulty breathing when she in fact denied it. And documenting the phrase "pt has sings/symptoms of flu" is in fact...
  3. BrandonLPN

    Safe Harbor question

    My sleep deprived brain actually thought the thread would be about literal "safe harbors" for boats caught in a storm. I was curious to find out how this would be related to nursing.... Anyways, it...
  4. BrandonLPN

    Doctor vs Nurse

    I wouldn't lie and say the resident reports SOB when they denied it. I guess I'd have to hear the resident's wheezes. If you say they were serious sounding I'll take your word for it. I've told the...
  5. BrandonLPN

    Weather

    Extreme winters for us northerners is another reason I like 12 hour shifts. Driving through snow three days a week is one thing. Having to do it five days a week is
  6. BrandonLPN

    Doctor vs Nurse

    My thoughts: how high was the hyperglycemic resident? Was he actively dying? Was he eating? If the doctor didn't order an extra insulin dose, I'm sure he had a reason. Don't be afraid to ask why, but...
  7. BrandonLPN

    Do you know your (LPNs) scope of practice?

    Yes, I believe all 50 states say that the LPN is supervised by a RN or a doctor. So in a doctors office where there's a doctor present..... a RN isn't required to supervise the LPN. The doctor fills...
  8. BrandonLPN

    medication study hints for an lpn

    Don't try to learn every obscure little detail of every drug. If you try to memorize everything you'll likely end up remembering nothing. Concentrate on learning drugs by classes. Learn what beta...
  9. BrandonLPN

    Areas of Nursing where would I work as a new Nurse?

    If you want to get a job in the hospital as a new grad, you should really consider becoming a CNA or PCA or whatever they call the aides at your local hospital. Having connections is of the utmost...
  10. Our facility only hires CNAs as ward secretaries. It's great. If there's no orders to note or appointments to schedule or whatever, the secretary can help on the floor. They can help feed at meals,...
  11. BrandonLPN

    Facebook dilemma

    Isn't it pretty rare to actually call 911? I've done it once in my three years in LTC. I've paged the doctor plenty of times and had him tell me to send the pt to the ER. But, then, I'm not really the...
  12. BrandonLPN

    I Chart Too Much?!

    There is definitely such a thing as "charting too much" if what you're charting comes off as too subjective or judgmental. I know nurses whose frustration and dislike of the pt comes out load and...
  13. Use whatever's provided in the insert-a-foley
  14. yes, too many skilled nurses is clearly one of our profession's major
  15. BrandonLPN

    OK Managment you win. Nurses are leaving on time now.

    We put all the tx within the CNA scope of practice onto flow sheets that the aides initial every shift. Foley care, magic butt cream, elevating heels off bed, checking tab alarms.... all this stuff is...
  16. BrandonLPN

    Foods you have discovered as a Nurse

    I didn't dip the fufu in the sauce.... Now I'm glad I didn't.
  17. BrandonLPN

    Foods you have discovered as a Nurse

    I work with a lot of African CNAs (as in from Africa, not African American) and they keep trying to get me to try their food..... sadly I'm apparently a redneck philistine or something cause I have to...
  18. BrandonLPN

    Wal-Mart Walk-in Clinic

    True. But I still don't get it. Is it a power thing? As in "I'm a pharmacist, and I'm much too busy to draw up a vaccine" I would just feel uncomfortable giving meds someone else drew up. It doesn't...
  19. BrandonLPN

    Weather

    Well, I think not coming in on a day you agreed to pick up is the same as not coming in on a scheduled day. Actually, I'd have been *especially* careful not to call in during an orientation/training...
  20. BrandonLPN

    Things you'd LOVE to tell coworkers...and get away with it!

    I'd love to tell a few nurses "Just put on your big girl panties and deal with
  21. BrandonLPN

    Do male nurses wear scrub jackets???

    If you're confident in your masculinity, you wouldn't really
  22. BrandonLPN

    Wal-Mart Walk-in Clinic

    Why would you even want to have someone else draw it up for you? What, to save the whole 30-60 seconds? If I'm going to give a shot, *I* want to be the one to draw it
  23. BrandonLPN

    is it really that hard to find a job as a LVN?

    But are they working as LVNs or as techs? Where I live, hospitals will hire LPNs, but will place them in tech positions. A LPN whose job title is "tech" or "patient care associate" is wasting their...
  24. BrandonLPN

    LPN (Phasing out for LTC?)

    The argument that LTC "needs" RNs over LPNs due to higher acuity is horsepucky. The LPN scope of practice is perfectly sufficient to be a floor nurse in a nursing home. The reason we're seeing more...
  25. BrandonLPN

    is it really that hard to find a job as a LVN?

    Anyone who hates LTC should think long and hard before pursuing a LPN