asluss

Honestly, about the only way you will work in an area where you don't have to worry about it is working in an physicians office or in long term care. Most long term care facilities send residents to the hospital for transfusions and such.

The hospital I've worked in didn't allow fake nails, but the long term care facilities I've worked in do allow them as long as you are meticulous about keeping them clean.

I have tats and piercings, but most of mine are not visible. Sometimes the ones on my ankles are when I sit if my pants legs come up. The last place i worked you could wear capris and mine would show and quite a few of our nurses and our social worker had the inner wrist tats. Most places won't say much as long as they are tasteful. But it's different during clinical rotations.

Ok I've helped you out before, but that doesn't mean I'm going to do your job for you. Quit taking advantage of those that help you. Fine you are an LPN and I'm an RN. That doesn't mean I think I'm better than you. If you think you are not as good as me, then go back to school. You are a brilliant nurse (when you aren't complaining or being a loud mouthed witch) regardless of what your title is and I have no problems asking you questions when I didn't know the answers. Facebook is not a place to complain about your co-workers. Especially if you have your co-workers as friends. It's a small facility. We all work together. And even if you think you are being clever in the way you are talking about a person without mentioning their name, we all know who you mean.

We have our orders entered on the computer, but still have a paper MAR. I do believe this has happened before seeing this same resident has had his BS bottom out quite a few times.

Actually the DON told me herself that the 100units/ml is not suppopsed to be under dosage (and we only use one kind of insulin syringe....the 50unit syringe), that 100 units/ml is supposed to be taken out and the dosage put in under dosage and the 100 units/ml goes elsewhere, then tried to say someone put the order in the computer wrong, however, the DON or one of the other Dept. heads are the ones that put it in incorrectly. I did speak with the RN board and they said with the system we use, the person that put the order into the computer is also at fault. I admitted that I drew up the wrong amount and that I should have been the one to actually administer it. But the LPN that gave it was supposed to also check the order and the dosage. I admit the ultimate blame, it's just there are other factors involved.

Ok, so I've been an RN for 2 years. I've worked in both an acute care facility and a LTC facility, which is where I'm currently at. Last week, I had an LPN orientee with me. We always would pull the meds together while the orientee would give them so she could put faces and names together. At our facility we recently just went to the Point Click Care computerized charting. A lot of people are still learning it, so it's caused some confusion. So here is the problem.On the night in question, I was pulling meds on a resident on a hall I had never worked before and had the orientee with me. When it came to his Lantus order it read Lantus, SQ Dosage 100 units/ml, Do not shake vial, roll gently, date after opening vial. 10 units. There were a few other things that are facility specific that we include in our orders also. So I did what I've always done, looked at the resident name, looked at the medication, the time it was to be given and looked at the dosage (keeping in mind, it says 100 units/ml). In one of my previous jobs at the hospital, we regularly gave that much Lantus at a time, so I really didn't think much of it. I drew up the 100 units, and set it aside while I went about pulling the rest of the meds. About the same time the LPN orientee gave the Lantus, I saw that 10 units down at the bottom mixed in with a bunch of other garble. I owned up to my mistake. The resident suffered no harm, other than having his blood sugar drop a couple times, but this is also a regular occurrence with this resident. I'm the one though that had the incident faxed to the state board of nursing, while nothing happened to the LPN and my dept. heads, DON took none of the responsibility for it considering they are the ones that didn't remove the 100units/ml like they were supposed to and just added the dosage in elsewhere. Now since this is a first offense, do you think I'll lose my license over this?