BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    Things dying patients say

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

    I've actually found that some actively dying people who were formerly 100% confused/demented for years often have a burst of complete lucidity shortly before dying. Im not spiritual, but it makes you...
  2. BrandonLPN

    Why are LPNs allowed to supervise RNs in Long-Term Care?

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

    Where I've worked "unit manager" and "charge nurse" are two different jobs with different responsibilities. The unit manager makes assingments, does audits, staff evaluations, makes sure all the flow...
  3. BrandonLPN

    Why are LPNs allowed to supervise RNs in Long-Term Care?

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

    I've never seen a unit manager (RN or LPN) that actually "lead" the floor nurses in a clinical sense. Each charge nurse is responsible for his hall. But a LPN unit manager *can* write a RN up for a...
  4. BrandonLPN

    Out of Scope of Practice?

    BrandonLPN replied to ladytopaz's topic in Geriatric, LTC

    Yeah, I think we do too. You need an order to consult a hospice service, just like you need an order to consult a
  5. BrandonLPN

    Dropped pills

    BrandonLPN replied to mandaaRN's topic in Patient Medications

    Until there's evidence based best practice, we'll never really
  6. BrandonLPN

    Out of Scope of Practice?

    BrandonLPN replied to ladytopaz's topic in Geriatric, LTC

    So a nurse (even a RN) can't just deciede to call the hospice company for a consult for a resident. It has to be physician ordered,
  7. BrandonLPN

    Question for RNs from a student.

    BrandonLPN replied to rmolander's topic in General Nursing

    I think any hospital HR would view paid CNA experience (in hospice, LTC, wherever) as trumping volunteer experience, even if int was in a hospital. Really I don't think the "experience" of being a...
  8. BrandonLPN

    Out of Scope of Practice?

    BrandonLPN replied to ladytopaz's topic in Geriatric, LTC

    One question. Doesn't the actual consult to a hospice provider have to be an official order from the
  9. BrandonLPN

    are there nurses who ACTUALLY care ?

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

    Well, yeah, I guess they should have allotted the time so everyone had a more equal part. I don't know if it was a deliberate snub or that's just what they felt they had to cut. What I, and I think...
  10. BrandonLPN

    are there nurses who ACTUALLY care ?

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

    They cut your part because it put them over the time limit. In your own words you said they did it to protect their own grade. You said it as if it were a bad thing, as if their grade shouldn't have...
  11. BrandonLPN

    are there nurses who ACTUALLY care ?

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

    You said "all they care about is their grade" regarding the project. What else should they care
  12. BrandonLPN

    Dropped pills

    BrandonLPN replied to mandaaRN's topic in Patient Medications

    If a nurse drops a pill on the floor and nobody else is there to see it, did it really
  13. BrandonLPN

    are there nurses who ACTUALLY care ?

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

    What are you saying? A student with a 90% grade would be dropped from the program or something? That's pretty
  14. BrandonLPN

    are there nurses who ACTUALLY care ?

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

    So your classmates are "bad" and "uncaring" because their main concern re: the presentation was their grade? What on earth would you have them do? Take a lower mark on the project to be "nice" to you?...
  15. BrandonLPN

    Out of Scope of Practice?

    BrandonLPN replied to ladytopaz's topic in Geriatric, LTC

    For example: I could say "your mother's kidneys have shut down and she's not a candidate for dialysis or transplant. Have you considered hospice?" Sally the daughter replies: "I've been thinking...
  16. BrandonLPN

    Out of Scope of Practice?

    BrandonLPN replied to ladytopaz's topic in Geriatric, LTC

    So we can't describe the disease process, ever, to the family 'cause that's "diagnosing"?? And I think a nurse can at least *broach* the subject of hospice.... but the doctor has to be the one to give...
  17. BrandonLPN

    LTC has changed-How do you give out 5pm meds now?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    This seems absurd to me. I park my med cart right in the DR during supper. Best time to get everyone all at
  18. BrandonLPN

    LTC has changed-How do you give out 5pm meds now?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    Our doctor would rip my head off if I called him because Daisy refused a pill(s). Don't these facilities have a sick call book? Our doctor checks the sick call book every
  19. BrandonLPN

    Representing yourself to the public as a nurse when you are not a nurse

    BrandonLPN replied to Penguin67's topic in Patient, Colleague Relations

    But this guy never said he was a nurse. He just said a med tech does the same thing a nurse does. Presumptutous and annoying? Yes. Misrepresentation?
  20. BrandonLPN

    LTC med nurses-Are you obeying all of the rules?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    A med that the pt is allergic to should never make it on the MAR in the first place. When you transcribe the order is when one must check for allergies. If a pt receives a med he's allergic to, the...
  21. BrandonLPN

    Do all LTC's chart the meals on the MAR's?

    BrandonLPN replied to Blackcat99's topic in Geriatric, LTC

    At my last job, it was the TAR that was ridiculous. We had absurd treatments to initial. "move the foley catheter from one side of the bed to the other q shift", "elevate billat. hands above heart 15...
  22. BrandonLPN

    Name Badges Worn Backwards

    BrandonLPN replied to westieluv's topic in General Nursing

    There are exceptions to everything. When I worked at the jail, I covered my last name with a little bit of masking tape. There is no inherent "right" for a pt to know a nurse's last
  23. BrandonLPN

    Fired for expressing concerns about patient safety and care!

    BrandonLPN replied to hkrntobe's topic in Patient Safety Issues

    One thing I'd like to point out is that I'm sure many (if not *all*) the experienced nurses the OP worked with warned her the consequences of rocking the boat and getting in over her head. Don't fall...
  24. BrandonLPN

    8 or 12hr shifts?

    BrandonLPN replied to ashleyr34's topic in General Nursing

    I really wish LTC would get on the 12 hour shift bandwagon. It would cut down on all the burn
  25. BrandonLPN

    Fired for expressing concerns about patient safety and care!

    BrandonLPN replied to hkrntobe's topic in Patient Safety Issues

    Being a "good" nurse does not mean you necessarily have to throw yourself on the sword and risk your job. Did your speaking out and subsequent firing change anything? Did it result in better patient...