BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    Long term care is really THIS bad???

    BrandonLPN replied to hilzaberry's topic in Geriatric, LTC

    No, it's not that bad. Nurses tend to grossly exaggerate when it comes to LTC. I think all those LTC nurses who wistfully pine for that hospital job.... have never actually worked in a hospital. It's...
  2. BrandonLPN

    BSN as entry into practice; why we decided against it.

    BrandonLPN replied to MunoRN's topic in Diploma, ADN, BSN

    The real bottom line is: Is raising the entry to practice going to raise the pay scale? As someone aptly pointed out, grad students working at Starbucks still make nine bucks an hour. BSN nurses here...
  3. BrandonLPN

    BSN as entry into practice; why we decided against it.

    BrandonLPN replied to MunoRN's topic in Diploma, ADN, BSN

    Why can't there be a third level of licnesure? The ADN can still result in sitting for the NCLEX-RN, and grads of a BSN can sit for.... Something else. A scope of practice higher than the current RN?...
  4. BrandonLPN

    Advice

    BrandonLPN replied to leksie's topic in Geriatric, LTC

    I wouldn't have washed her while sitting on the toilet. But, yes, some residents protest getting washed up every time. It still has to be done. For many demented old people getting washed up or...
  5. BrandonLPN

    Burnt Out, Tired of Floor Nursing

    BrandonLPN replied to MystyqueOne's topic in Nursing Career

    I'd think long and hard before giving up the benefits and stability of a VA job. Maybe you're just going through a
  6. BrandonLPN

    Please, someone tell me how to stay out of trouble and keep my job.

    BrandonLPN replied to NurseCard's topic in Geriatric, LTC

    I know a nurse in a local LTC who was suspended for administering Advair to a resident for two days after the order ran out. And the stop date wasn't even listed on the MAR. This same facility...
  7. BrandonLPN

    Ordering antibiotics!?!

    BrandonLPN replied to Bec7074's topic in Patient Medications

    I think she meant you would call the doctor, tell him about the fever, but suggesting a medication or diagnostic test ot treatment or whatever was being
  8. BrandonLPN

    Ordering antibiotics!?!

    BrandonLPN replied to Bec7074's topic in Patient Medications

    I was told by the nurse who precepted me that it's overstepping our bounds to "recommend" anything to a doctor. (she meant both LPNs and
  9. BrandonLPN

    Did I just get thrown under the bus? Or I'm a bad nurse?

    BrandonLPN replied to proudauntie415's topic in Geriatric, LTC

    There are some situations where it's okay not to wake the doctor up and just leave something on sick call. When I worked thirds and received a call from lab about an INR that's slightly high (not...
  10. BrandonLPN

    Replacing LPNs with medication techs - Is this legal?

    BrandonLPN replied to aelmore's topic in Geriatric, LTC

    I say states that allow med techs are on a slippery slope. Today it's just PO meds. Tomorrow it's narcotics, too. Then insulin and fingersticks. Then every facility has a "wound tech" who makes 10...
  11. BrandonLPN

    The new person is a germaphobe.

    BrandonLPN replied to Brian's topic in Nurses Rock

    If I saw a nurse wearing gloves in the parking lot I'd think she's a tad crazy-pants.
  12. BrandonLPN

    The new person is a germaphobe.

    BrandonLPN replied to Brian's topic in Nurses Rock

    I find it amusing when, despite all their OCD rituals, it's the germaphobe who gets sick
  13. BrandonLPN

    What to do about refusing Dr. orders?

    BrandonLPN replied to nancynurse0828's topic in General Nursing

    But I stand by my original point that *disagreement*, in and of it's self, isn't justification for the flat out refusal of an order. It's justification for seeking clarification and consulting with...
  14. BrandonLPN

    What to do about refusing Dr. orders?

    BrandonLPN replied to nancynurse0828's topic in General Nursing

    Ok, that's interesting. I had no idea that a PICC RN is considered to have a degree of parity with the physician when it comes to placement of a PICC. I was under the impression that said nurse was a...
  15. BrandonLPN

    What to do about refusing Dr. orders?

    BrandonLPN replied to nancynurse0828's topic in General Nursing

    So it's okay to refuse an order of we disagree with the doctor's course of
  16. BrandonLPN

    Sucide lies: is it CYA or blaming?

    BrandonLPN replied to Tiffanybaybay's topic in Emergency

    I chart "notified RN" all the time. Being responsible fo those under you is the definition of being in
  17. BrandonLPN

    Did I just get thrown under the bus? Or I'm a bad nurse?

    BrandonLPN replied to proudauntie415's topic in Geriatric, LTC

    I would never adjust/hold a dose of lantus w/o a doctors order. I just meant that I'm sure there's some exceptional situations where it's being held is
  18. BrandonLPN

    What to do about refusing Dr. orders?

    BrandonLPN replied to nancynurse0828's topic in General Nursing

    I never meant to imply questioning orders was insubordination. I regret if that's the impression I gave. The OP is undoubedtly well informed and has valid concerns. The scenario of the OP seems like a...
  19. BrandonLPN

    What to do about refusing Dr. orders?

    BrandonLPN replied to nancynurse0828's topic in General Nursing

    And I will reiterate that the scenario the OP presented was a difference of opinion over the medical plan of care. I don't see how it was a "clear and present danger". I'm not saying her concerns...
  20. BrandonLPN

    What to do about refusing Dr. orders?

    BrandonLPN replied to nancynurse0828's topic in General Nursing

    Nobody said not to question orders or to follow them blindly. The OP specifically said she thought she ought to *refuse* to carry out the order to place a PICC. Again, big
  21. BrandonLPN

    LTC-What is meant by "The skilled nursing area of LTC"

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    What bugs me about facilities that have a "skilled" hall and a "LTC" hall is that I don't see a big difference in staffing between the two. I see the nurses in the skilled hall who have 3rd day post...
  22. BrandonLPN

    Chest Pain and DNR status

    BrandonLPN replied to MissRN7's topic in Geriatric, LTC

    "chest pain" could mean many different things. Musculoskeletal pain. Chronic angina. GI upset. So, you must first figure out what's going on. You still treat whatever it is. A majority of LTC...
  23. BrandonLPN

    Ordering antibiotics!?!

    BrandonLPN replied to Bec7074's topic in Patient Medications

    Could he have been waiting for the
  24. BrandonLPN

    What to do about refusing Dr. orders?

    BrandonLPN replied to nancynurse0828's topic in General Nursing

    And, as others have said, there's a myriad of reasons the doctor might think a PICC is necessary at this stage. Maybe they need long term IV ABX. Maybe there's a concern that IV pacerone would cause...
  25. BrandonLPN

    What to do about refusing Dr. orders?

    BrandonLPN replied to nancynurse0828's topic in General Nursing

    I never said to follow unsafe orders. But it's not your call to refuse to follow an order just because you don't agree with the medical treatment plan the doctor has decided on. Of course inserting a...