BrandonLPN LPN

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All Content by BrandonLPN

  1. BrandonLPN

    Disgusted - wipes for bathing

    BrandonLPN replied to beeker's topic in General Nursing

    As long as you use a new, clean basin for each bath, I don't see how there's an infection
  2. BrandonLPN

    Disgusted - wipes for bathing

    BrandonLPN replied to beeker's topic in General Nursing

    At my facility, we are told the wipes are too expensive and just using washcloths is cheaper. We send our laundry (both the linens and the residents' clothes) to the state prisons and have the inmates...
  3. BrandonLPN

    Discrimination Against Ethnic/Minority Names

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

    I will agree that this does still happen this day and age, even though it shouldn't. I'm sure a lot of it is subconscious on the part of the hiring manager. But it happens all the same. Since black...
  4. BrandonLPN

    Bed Baths & Other Nursing Arts Still Taught? (Speaking of Wet Wipe Baths)

    BrandonLPN replied to DoGoodThenGo's topic in General Students

    We learned bed baths in my LPN school. With wash cloths and with wet wipes. I personally hate the wet wipes. I know they are used in the hospital moreso than washcloths. But give me a good old...
  5. BrandonLPN

    Only Charting "The Good Vitals"?

    BrandonLPN replied to whitecat5000's topic in Patient Safety Issues

    Well, I don't know if that's fair. I need my CNAs, my facility would collapse without them. They're great at the hands on care part of their job. I just wish they would take the vitals more seriously....
  6. BrandonLPN

    Only Charting "The Good Vitals"?

    BrandonLPN replied to whitecat5000's topic in Patient Safety Issues

    I don't get how "charting both sets" would work logistically in a hospital setting. Say the aide gets a BP of 71/39. Obviously, you would go recheck manually. You get 94/52. If you charted the 71/39,...
  7. BrandonLPN

    Only Charting "The Good Vitals"?

    BrandonLPN replied to whitecat5000's topic in Patient Safety Issues

    Also, if the first set the aide gets is way out of whack and I recheck right after and get a more normal set, it's safe to assume the aide used improper technique. Lots of times they get crazy low BPs...
  8. BrandonLPN

    Too much emphasis on "caring"

    BrandonLPN replied to sweet~revenge's topic in General Nursing

    I should have said 'florence nightingale wannabe'. I meant no
  9. BrandonLPN

    Only Charting "The Good Vitals"?

    BrandonLPN replied to whitecat5000's topic in Patient Safety Issues

    Right, but when you start saying *some* formerly "nursing only" skills are okay for UAPs to do and others aren't, you've opened the floodgates. Why is inserting a foley "okay" but restating an...
  10. BrandonLPN

    What to do...quit or stay?

    BrandonLPN replied to leinasmom's topic in LPN, LVN Corner

    If it's all the same district (therefore, presumably, the same employer) I don't get what the issues is. Take the position with more
  11. BrandonLPN

    Too much emphasis on "caring"

    BrandonLPN replied to sweet~revenge's topic in General Nursing

    You don't need to really care (in a touchy-feely way) to be competent. Give me a cynical, world weary battle axe who knows her stuff over a Florence nightingale who's an airhead any
  12. BrandonLPN

    Only Charting "The Good Vitals"?

    BrandonLPN replied to whitecat5000's topic in Patient Safety Issues

    And I'd like to add that all of this improper delegation that happens all the time in hospitals is a direct result of the abandonment of team nursing and the elevation of UAP to "nurse tech" status. I...
  13. BrandonLPN

    Only Charting "The Good Vitals"?

    BrandonLPN replied to whitecat5000's topic in Patient Safety Issues

    Well, I was told to. When the pump beeped "distal occlusion" I was told to have the pt straighten out his arm, check for infiltration, and then push 'start'. It wasn't until much later that a nurse...
  14. BrandonLPN

    Only Charting "The Good Vitals"?

    BrandonLPN replied to whitecat5000's topic in Patient Safety Issues

    I did this all the time as an aide in the hospital. Of course, I'd always tell the nurse I did so. I also would tell the pt to straighten out his arm and then restart a beeping pumpthat had stopped...
  15. BrandonLPN

    Only Charting "The Good Vitals"?

    BrandonLPN replied to whitecat5000's topic in Patient Safety Issues

    I know it's not always feasible, but this is why it's best for nurses to check vitals themselves. The temps the aides get really bug me. Febrile pts with normal readings 'cause they check right after...
  16. BrandonLPN

    let go on first day because of OSHA :(

    BrandonLPN replied to Ashley3H12's topic in Nursing Career

    There must be some other reason they let you go. Maybe someone with power decided they just didn't like you. Maybe you did/said something without realizing it. But the reason they gave you is a lie....
  17. BrandonLPN

    Computarized Med Pass in a LTC facility????????

    BrandonLPN replied to pretty70's topic in Geriatric, LTC

    But doesn't the barcode system take forever? If I had to scan EACH med before I gave it, I'd never finish on time. I have 40-50 residents on 3-11. Most of them get a bucket of pills. How is this...
  18. BrandonLPN

    Proper charting?????

    BrandonLPN replied to jennilynn's topic in General Nursing

    Out of curiosity, why do hospitals seem to discourage narrative charting in favor of "click and point" flow sheet charting? In LTC we rely heavily on narrative charting in the form of nurses notes. To...
  19. BrandonLPN

    Which nursing specialty or position is the most physically demanding?

    BrandonLPN replied to J19J94R's topic in General Nursing

    Being a wound/treatment nurse in LTC! Holding peoples legs up and bending at weird angles to apply dressings *kills* your back. Ever have to apply a dressing to the bottom of a heel on a 400lb pt?...
  20. BrandonLPN

    Why are some aides so disrespectful?

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

    Re-reading the description of what happened, I feel the need to play devil's advocate for the CNA in question. First of all, it wasn't time for church yet when the church lady came to get the...
  21. BrandonLPN

    When you make rounds when coming on to the night shift...

    BrandonLPN replied to Jasel's topic in LPN, LVN Corner

    If it's the middle of the night, I don't even knock. I know there's probably some sort of policy regarding that, but many of my residents are really light sleepers. I've never, ever had anyone...
  22. BrandonLPN

    Using an iPad on the floor

    BrandonLPN replied to Magenurse's topic in LPN, LVN Corner

    I use mine to listen to music softly while I pass meds. But I don't think that's the kind of 'use' you
  23. BrandonLPN

    LTC Nurses... please answer

    BrandonLPN replied to Finallydidit's topic in Geriatric, LTC

    *some* new grads do indeed graduate without knowing how to care for people. But that's not the new grad's fault. That's why jobs have orientation periods. I don't think the schools spend enough time...
  24. BrandonLPN

    What are you really good at?

    BrandonLPN replied to proud nurse's topic in First Year After Licensure

    I'm good at calming agitated patients (without having to medicate) and at defusing tense conflicts between CNAs before they explode. Those girls are at each others' throats and management has *no*...
  25. BrandonLPN

    What Kind of Patients Do You LIKE Most?

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

    In LTC, I apperciate family who visit their parents/grandparents and act as advocates for