BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    Different Types Of Coworkers

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

    In LTC there's the "med cart zombie", the nurse who's so obsessed with her med pass that she misses more important things, like critically declining
  2. BrandonLPN

    Assuming The Nurse Role

    BrandonLPN replied to Soliloquy's topic in General Nursing

    It takes all kinds to make the world go round. Nursing is no different. I'm sure you bring a lot to the table that "type As"
  3. BrandonLPN

    Question about Novolog

    BrandonLPN replied to nurs1ng's topic in Patient Medications

    The receptor cells (or whatever) of people with a hx of uncontrolled diabetes don't use insulin very efficiently. So they might require what seems like ungodly doses of novolog. I remember a resident...
  4. BrandonLPN

    What else is there for an ADN besides bedside nursing??!!

    BrandonLPN replied to li011312's topic in Nursing Career

    Most LTC DONs I know are ADNs. They do little, if any, actual bedside nursing. But I would never in my wildest dreams describe that as a "low stress" option
  5. BrandonLPN

    LTC med pass

    BrandonLPN replied to jennell209's topic in Geriatric, LTC

    Some will disagree, but I say it's okay to pour meds by memory *IF* you flip through the MAR first for med changes. Once you've confirmed there's no med changes, I see no reason not to go by...
  6. BrandonLPN

    County Job Soon to be Privitized

    BrandonLPN replied to litlgrn's topic in Geriatric, LTC

    No good ever comes of county/state jobs being privatized. Get ready for cost cutting, decreased benefits and at will employment. Good
  7. BrandonLPN

    LTC med pass

    BrandonLPN replied to jennell209's topic in Geriatric, LTC

    If I understand correctly, you and another RN function as "med nurses" for two halves of a unit, while another RN functions as "charge" for the entire unit. Since this unit manager does not have a med...
  8. BrandonLPN

    Anyone else think HIPAA rules are getting out of hand?

    BrandonLPN posted a topic in HIPAA Challenges

    My manager told me yesterday that I can't write the resident's last name on our bowel care sheet. For privacy I have to write a room number. Really? The clipboard we keep behind the nurses station...
  9. BrandonLPN

    What to do when your patient adores you?

    BrandonLPN replied to dsf43's topic in General Students

    Be prepared for these same patients not loving you quite so much once you actually hit the floor as a licensed nurse. With a full pt assignment and the responsibilities that follow, things will be...
  10. BrandonLPN

    Will med error keep me from NT position?

    BrandonLPN replied to kht124's topic in General Students

    Every nurse has made a med error. Anyone who tells you otherwise is lying. It doesn't make you a bad nurse. But for the love of Pete, DON'T mention it in interviews! That's a deal
  11. BrandonLPN

    Anybody LIKE working holidays?

    BrandonLPN replied to wooh's topic in General Nursing

    And you can always play the "I've been mandated" card to get out of family functions at the last
  12. BrandonLPN

    I am now too expensive and too experience to get a new job!

    BrandonLPN replied to madwife2002's topic in General Nursing

    I guess you could always tweak your resume to downplay your past experience and salaries, make yourself seem less experienced than you actually are..... one shouldn't have to do that, but I suppose...
  13. BrandonLPN

    When is it too late to intiate CPR?

    BrandonLPN replied to myschuler's topic in Patient Safety Issues

    A very wise RN supervisor once told me: "Of *course* you start CPR on a pt who is clealy dead. Isn't that the *definition* of
  14. BrandonLPN

    unfair assignment

    BrandonLPN replied to treeye's topic in General Nursing

    *someone* needs to be assigned the difficult pts. Maybe it was just your
  15. BrandonLPN

    Do you have to count lyrica at your LTC facility?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    Plus, who are you going to hold accountable? I'm sure every time there's been at least half a dozen med nurses on duty during a course of
  16. BrandonLPN

    Patient ID Bracelets in LTC?

    BrandonLPN replied to kwvath's topic in Geriatric, LTC

    I think most new nurses would be surprised how fast you learn to recognize residents in LTC. Every shift it gets a little better. It just seems more overwhelming than it really
  17. BrandonLPN

    pain management/narc abuse in the geriatric population

    BrandonLPN replied to mmc51264's topic in Geriatric, LTC

    I think they're overmedicated when it comes to all the freaking vitamins, fish oil, coenzyme, etc. I mean, why don't we just piclke them so they live forever? I *don't* think they are overmedicated...
  18. BrandonLPN

    Do you have to count lyrica at your LTC facility?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    And who keeps track of how many coumadin pills there "should" be at any given time? With all the split doses and every other day doses, this sounds like a logistical
  19. BrandonLPN

    Alert,oriented LTC patients who refuse routine nightly insulin?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    Well, I don't think we're talking about the same kind of resident here. If someone *really* understands the consequences of refusing treatment and they are willing to face the consequences (ie death)...
  20. BrandonLPN

    Any new grads having major employment problems?

    BrandonLPN replied to lsid16's topic in Job Search, Interview, Resume

    You have a good point, but I guess this is where I differ from most people. I would most definitely trust a nurses' discussion forum over the dept. of labor's website. Who knows more about being a...
  21. BrandonLPN

    Certified Nursing Assistants - The Nurses think we have it so easy.

    BrandonLPN replied to hfullerCNA's topic in Medical Assistant, CNA/MA

    I don't blame you for leaving, but I disagree with the last line that "no one with morals would have stayed". I don't think that's fair to the staff that *does* stay at a place like this. The...
  22. BrandonLPN

    Very little witnessing going on with drug wastes on my floor!

    BrandonLPN replied to Nurse ABC's topic in Patient Medications

    There's a million ways narcotics could be diverted. No facility has a fool proof system and none ever will. But addicts are addicts. And addicts are sloppy and desperate. That's why addicts always get...
  23. BrandonLPN

    Alert,oriented LTC patients who refuse routine nightly insulin?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    To put it even more simply anyone who has ever worked in LTC knows there are residents who will *never* be satisfied with their insulin dosing and will argue with the nurse every darned time. If the...
  24. BrandonLPN

    Alert,oriented LTC patients who refuse routine nightly insulin?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    Of course I make sure he eats his meal. And most LTC residents are not on SSI or carb counting. They just get a set dose with meals, the nurse obviously having the privilege to withold if he's not...
  25. BrandonLPN

    Alert,oriented LTC patients who refuse routine nightly insulin?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    I get your point, but I still don't think that not allowing residents to dictate their medication regimen is a violation of their rights or something. I mean, society has legally decided you are...