BrandonLPN LPN

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All Content by BrandonLPN

  1. Exactly. There is a time and place for everything. And you should always think before you speak, and keep in mind that WHO you're speaking up to is important. Remember: If wisdom's ways you wisely...
  2. BrandonLPN

    Question about marijuana use as a nurse

    No one is saying it's okay to come to work high. But just because someone smokes pot on occasion does not mean their senses or response time are "dulled" or something. No more than someone who gets...
  3. BrandonLPN

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

    Yikes, no, we don't. That seems more than a little excessive. Sometimes our doctor *does* order us to document food intake logs. But that is only if the resident's nutritional status has become a...
  4. BrandonLPN

    What should I do?

    People really make LTC out to be much worse than it actually is. All the talk about "you'll lose your license!" is based more in melodrama than reality. Too many new nurses give up too quick in...
  5. BrandonLPN

    Question about marijuana use as a nurse

    Yes, I think it's an absurd double standard that some view drinking alcohol and occasionally getting drunk is morally and socially acceptable, but smoking pot and occasionally getting high is "bad"....
  6. As for the subject at hand, yes sometimes one DOES have to just keep their mouth shut and go with the flow. That's how the real world works. Obviously there is a line where one has to speak up, but...
  7. Umm, it was drafted, voted and passed by a president, a house of representatives and the senate. All of whom were ELECTED by the people. And it was upheld by supreme court judges. All of whom are...
  8. BrandonLPN

    Calling in sick, staffing issues

    I work at a union facility and we have a sick time bank (separate from vacation time). I accrue 4.5 hours of sick time every two weeks. As long as we have the sick time available we can call in....
  9. BrandonLPN

    How to handle lazy LPN's on the team

    I have to admit that I don't really get this. Yes, I refer to the CNAs I work with as "my" CNAs. I also say "my" boss, "my" patient, etc. Doesn't everybody say "my" when referring to other people...
  10. BrandonLPN

    How to handle lazy LPN's on the team

    In LTC, we LPNs *do*assess each and every shift. It is silly to pretend otherwise. Sometimes I work with no RN and am the only nurse. So OF COURSE I assess. People try to come up with absurd word...
  11. BrandonLPN

    Just a Floor Nurse

    Don't you make less money as a floor nurse? Right or wrong, our culture really does view taking a position that gets compensated less as a "step back". Still not nice for them to say that, but maybe...
  12. BrandonLPN

    How to handle lazy LPN's on the team

    I understand where the OP is coming from. On her floor, it just so happens that the laziest staff tend to be LPNs. I can accept that. On my unit (LTC) the laziest staff is undoubtedly the RN staff. I...
  13. BrandonLPN

    Top 10 Reasons Against Unions

    What violent strikes are you talking about? And when has a union forbidden a nurse to retrieve blood from the blood
  14. BrandonLPN

    New grad nursing home charge nurse.. help?!

    Having a RN act as supervisor and LPNs act as floor/med nurses is the best possible staffing model in LTC. Having to be charge AND pass meds is a recipe for disaster. Where I work, on 7-3 and 3-11...
  15. BrandonLPN

    Help!! Can't find an Lpn job in MI

    Where in Michigan? Here in Western Michigan, there are many LTC facilities that hire new grad
  16. BrandonLPN

    Nightshift nurse worries

    Yeah, if you want attention and recognition, night shift might not be for you. Remember, though, as the night nurse you tend to take on a lot more responsibility than the day or evening nurses. You...
  17. BrandonLPN

    Opinions about Tympanic Thermometers

    Even when used 100% correctly, I have found temps with tympanic thermometers to be a full degree lower than oral or axillary. Some people (especially older people) have this weird underbite thingie,...
  18. BrandonLPN

    Shift Swap Vent

    If the nurse you traded with called in, you are under no obligation to come in. That's ridiculous. If the floor manager said you "have" to come in, she's
  19. BrandonLPN

    How does your facility flag blind patients?

    An interesting thought, but unnecessary, IMO. We had purple magnets on doors to designate fall risk. Green to designate no English. Red equals NPO, etc. My experience shows no one really pays...
  20. BrandonLPN

    Did i really do anything wrong?

    Well, the OP did clarify that she checked with the floor nurses before leaving. That's good. And yes, if I'm a floor nurse, and the charge were to leave without checking if I (or others) need help...
  21. As a floor nurse in LTC I have to admit that I'm a little surprised anyone would want to leave the MDS office and return to the med cart. That MDS job sure *looks* like a cake job from where I'm...
  22. BrandonLPN

    Did i really do anything wrong?

    If I had been a floor nurse working that day, I would have been PO'd that you asked the DON if you could leave without checking with me, or any of the other floor nurses. If you are charge with NO pt...
  23. BrandonLPN

    Do I REALLY need a BSN?

    I wonder if you're misinterpreting the data. The vast majority of nursing jobs in the future will NOT be in hospital settings. LTC, subacute and outpatient services are the future of this profession....
  24. BrandonLPN

    Not doing what I was hired for

    Well, I think being full code and hospice simultaneously is nonsensical. There's nothing 'hospicie-ish' about breaking someone's ribs or shoving a tube down their throat. Doesn't that violate the very...
  25. If you want to document this particular behavior issue, you can simply chart "resident continues to make accusations against staff." A good rule of thumb is NOT to chart something that could be...