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NMB22's Latest Activity

  1. I work in a 30 bed facility as an LPN. My question is, should combative residents be living in the same facilities as non combative residents? Or should they be put in a facility where there are male orderlies to help control them when they get out of hand. We have an all female staff of nurses and nurses aides. ( there have been male nurses and aides in the past ). I just hate going into a room and not knowing if you're going to see the good behavior of a resident, or an agitated state where they want to swing, punch, kick, etc. u. We have 3 male and 1 female residents who are frequently combative with care. . *Knock on wood* no one has been seriously hurt yet. I would just like to know other people's opinions regarding this subject. I just know my fellow staff is tired of wondering if its going to be a good day/night everytime u walk into their room.
  2. NMB22

    resident falls in a long term care facility

    I work in a 30 bed facility. Fall prone residents are watched closely during the day. I've noticed that most of the falls are at night, or between 3-11. We have recently increased our staffing for 2nd shift, which has helped out. During the night we use sensor alarms near the bedside. Every time they move around in bed we can hear them. We also have catch mattresses on the floors of the residents prone to falling. . Some of the restless residents have protective wedges on the sides of their beds so they won't roll out. Frequent rounds, and toileting helps out a great deal. Another good thing with our facility is that during the day most of the residents stay in the day room, right outside the nursing office, and have activities and tv to keep them occupied. This gives u a better chance to keep an eye on everyone.
  3. NMB22

    Should new grad LPN work 11p-7a alone

    I am an LPN at a small nursing home in Rhode Island. I personally wouldn't want to be the only nurse there on nights. Especially being fresh out of school. This is my first job as an LPN, and I've been there for almost 2 years. I like having an RN on the shift with me, it allows me to do my job and have someone there that I can turn to when a problem arises. Our facility doesn't allow LPN's to be there without an RN on the shift. They used to let LPN's work the night shift with some aides, but then changed it because of a need for a higher licensed nurse to be present.
  4. NMB22

    "Eating Our Young" and Ethics

    At work the other night an RN was telling me about a survey about nurses eating their young. I am an Lpn, and I have seen it happen, not to "younger" RN's, but to new CNA's, and RN's that have been working for over 20 years in their field. I have seen many CNA's come apply and start their orientation only to quit after 1 or 2 nights. Not because of the work load, but because of the attitude of the other aides. Cliques form, and backstabbing occurs, and they leave. I also have observed that some of the older RN's feel threatened by nurses with more education, degrees, etc. and go out of their way to find faults in someone, just to feel satisfied to question their judgement. When i chose to go into the nursing profession I had no idea it would be like high school all over again.
  5. I feel I was somewhat prepared when I graduated. I went to a fast paced 1 year Lpn school through the military.. We had classroom time the first few months, then started clinicals 2 days a week, with classes for the other 3 days. Soon it was up to 3 days clinical, then 4, and after we took our last exam we worked in the hospital 5 days a week for about a month. It was just like having a regular nursing job towards the end. I think my instructors went out of their way to make sure we had opportunities for hands on, such as IV's, foleys, blood draws, etc. Another good thing we did was practicing IV's and blood draws, injections, etc. on each other. (classmates and instructors). It made us feel more comfortable when we had to do a procedure on a patient. All in all I was satisfied with my schooling, although when it came time for the NCLEX, we all thought felt like we didn't know anything, but we had a very high pass rate, and our instructors told us we'd feel like that when we went out in the real world to out first jobs.
  6. NMB22

    LPN pay

    I am currently making $15.30 an hour at a small nursing home in Rhode Island. Looking through the ads in the papers, Lpn's in Rhode Island can make between $12-almost $20 an hour at nursing homes out here. I'm not sure about the hospitals though. I live in Connecticut, and I know the nursing home where my grandmother is the LPN's make about $16.50. I started out at $15, and then got a .30 raise.