BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    Ethical/moral issue

    BrandonLPN replied to dee78's topic in General Nursing

    I agree with the poster who said you should pass this off to social services. You shouldn't be expected to be bothered with this anymore than they should be expected to perform nursing
  2. BrandonLPN

    Vent thread... when to send a pt out

    BrandonLPN replied to pppp87's topic in Geriatric, LTC

    Well, since being sent to the ER is a doctor's order, I don't see how any DON could get mad at *nursing* staff for too many ER admits. All we do is provide the doctor with our assessment and he...
  3. BrandonLPN

    Do CNA's in a union ever get fired?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    Technically, it isn't official abandonment unless you accepted report and the narc keys. Unprofessional? Yes. Abandonment?
  4. BrandonLPN

    Do Nurses Earn Big Money? You Decide.

    BrandonLPN replied to TheCommuter's topic in General Nursing

    Very true that advancement opportunities for ADNs in LTC are legion. In LTC there doesn't seem to be any distinction between degrees. I can't tell you how many times I see an ADN as DON while an...
  5. BrandonLPN

    Where can I actually help people??

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

    Well, *all* nurses actually help people, of course. And *all* patients need a good nurse. In fact, I'd go as far as to say it's those pain-in-the butt, non-compliant, manipulative med seekers who need...
  6. BrandonLPN

    Why is it okay for Doctors to yell at Nurses?

    BrandonLPN replied to GlowBear500's topic in Patient, Colleague Relations

    Agree with everyone that doctors *literally* "yelling" at nurses just isn't happening with any sort of regularity. A doctor who did so wouldn't last long. And, if we're going to be totally honest, I...
  7. BrandonLPN

    Do Nurses Earn Big Money? You Decide.

    BrandonLPN replied to TheCommuter's topic in General Nursing

    I'm guessing you didn't mean it the way it sounds, but advocating giving poor kids "just enough to survive" sounds really, really
  8. BrandonLPN

    Medication Question;

    BrandonLPN replied to RN_Madam's topic in Patient Medications

    I see what your saying, but I don't think it's *quite* the same as giving 2 twenty mg lasix in place of 1 forty mg. I mean, if a pt were out of ultracet I couldn't just give an ultram and a Tylenol in...
  9. BrandonLPN

    What kind of animal are you?

    BrandonLPN replied to madwife2002's topic in Job Search, Interview, Resume

    This could be a fun question if you didn't really care if you get the job or not. Just creep them out for the heck of it. You could be weirdly specific, and say you would want to be that talking horse...
  10. BrandonLPN

    On a need to know basis? How would you approach such situation?

    BrandonLPN replied to rksgray13's topic in Patient Safety Issues

    "I'm sure glad that nurse pointed out the other shift's shortcomings." - said no patient,
  11. BrandonLPN

    Medication Question;

    BrandonLPN replied to RN_Madam's topic in Patient Medications

    I would just circle my initials and write "not avaiable, pharmacy aware" on the back of the
  12. BrandonLPN

    Do Nurses Earn Big Money? You Decide.

    BrandonLPN replied to TheCommuter's topic in General Nursing

    Another factor separating us from most everyone else is the level of responsibility and liability we take on in our job. Even though I work in a relatively low acuity environment (as a LPN in LTC) I...
  13. BrandonLPN

    Do CNA's in a union ever get fired?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    Are the RN supervisors using all the disciplinary routes available? Where I work, bad aides and nurses CAN be fired, but the supervisors need to establish a legitimate and verifiable paper trail first...
  14. BrandonLPN

    Do Nurses Earn Big Money? You Decide.

    BrandonLPN replied to TheCommuter's topic in General Nursing

    That's a good point. The middle class is, well, stuck in the middle with neither the independent wealth of the rich nor the government assistance of the poor. But I'd argue that all the assistance...
  15. BrandonLPN

    Do Nurses Earn Big Money? You Decide.

    BrandonLPN replied to TheCommuter's topic in General Nursing

    I was venting, cause I'm tired of relatives who lived WAY beyond their means complain about how they're losing their 5 bedroom house with a pool that they never could afford in the first place. It's...
  16. BrandonLPN

    Do Nurses Earn Big Money? You Decide.

    BrandonLPN replied to TheCommuter's topic in General Nursing

    Ok, I probably shouldn't have said that, as I have no experience raising children. Point taken. Also, where I live 50k goes a long way as living is super cheap here. I know my dad raised us (4 kids)...
  17. BrandonLPN

    Do Nurses Earn Big Money? You Decide.

    BrandonLPN replied to TheCommuter's topic in General Nursing

    I'm probably not in an objective position to judge what equals "big bucks" compared to most here. I have no kids and own my own house and make a little over 50k. I know I am in a position to have WAY...
  18. BrandonLPN

    Do CNA's in a union ever get fired?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    Well, the whole point of a union is protection of jobs, benefits, compensation, etc. against management that would otherwise seek to take them away. Unions are about the eternal give and take between...
  19. BrandonLPN

    Do Nurses Earn Big Money? You Decide.

    BrandonLPN replied to TheCommuter's topic in General Nursing

    I think it's pretty clear that the old adage of more higher education equaling more compensation is becoming less and less true in this economy. How many people with majors in liberal arts are waiting...
  20. BrandonLPN

    Getting new orders

    BrandonLPN replied to krg8089's topic in LTC: Directors, Assistant

    Hmm, maybe our pharmacy handles all this on their end where I work. I've never seen a script. Sounds like a pain in the butt for nursing to have to handle all
  21. BrandonLPN

    What kind of animal are you?

    BrandonLPN replied to madwife2002's topic in Job Search, Interview, Resume

    Hmm, a lot of people want to be blue whales for some reason. There must be something about them I'm not
  22. BrandonLPN

    Getting new orders

    BrandonLPN replied to krg8089's topic in LTC: Directors, Assistant

    But does it make a difference if we have an in-house pharmacy? The doctor writes and signs the order, we give the carbon to our pharmacy and they give us the narcs. I've never heard of needing a...
  23. BrandonLPN

    Why ESRD patient still take furosemide???

    BrandonLPN replied to orchunkin's topic in Nursing Student Assistance

    Not all pts on dialysis are
  24. BrandonLPN

    Why ESRD patient still take furosemide???

    BrandonLPN replied to orchunkin's topic in Nursing Student Assistance

    A doctor once explained to me that even if a pt no longer urinates, lasix can still "shift the the fluids" by shifting fluids out from the lungs. He said anuric pts are sometimes put on lasix to treat...
  25. BrandonLPN

    Overtime

    BrandonLPN replied to Mickme's topic in General Nursing

    Any facility with high turnover will have more OT. Of course, the high turnover indicates problems.... In my experience, the larger the facility, the more potential for OT. I work in a 700 bed...