Trubie LPN

New grad here, please forgive my questions :) I have always been taught to NEVER NEVER NEVER take a blood pressure on the vascular access arm of a dialysis patient (also no blood draws from that arm). My question is.... what would happen if someone...

Hello all! New grad here.... on my first day of orientation at LTC. Ran across a situation where a patient was very agitated and combative, refused to get up for the day/get dressed/receive peri care (incontinent). She was also refusing meds. She ...

Most popular at our facility is bingo and trips to the Dollar Store. Everybody loves the Dollar Store, LOL!

All I really want is that everybody who wants to pick up Granny for a home visit on the holidays, CALL AND TELL US, before showing up with no notice!! Since we have 55 residents on my hall, it is extremely disruptive when half of them need to be up/...

remember, its never "just" a 12 hour shift (or rarely). I usually tack on 10 minutes before my shift and at least 20-40min after my shift for report and finishing paperwork. I work 4 minutes from the house, the commute is bliss!

Thanks for all the thoughts everybody!! I was off all weekend (going back tomorrow to work 3 in a row), so I will try to give a HIPAA friendly update :) To address a few of the questions.... 1) since this was a readmit after a 2week hospital stay, ...

I work long term care, and we recently had a patient return from the hospital on palliative care (family did not want to pay for hospice until medicaid kicked in... also would not pay/consider having a patient sitter to stay with the patient in her f...

Here is my thoughts on 'helping'..... I really try to be a team player, and if a CNA ever specifically asks for help, I will do my best to assist them. HOWEVER, the helping does not go both ways. If I am spending a lot of time helping the CNA's, I ...

I would stay in my city, and work L&D/PostPartum at the hospital 5 minutes from my house!

At my facility, we have 2 med techs for our hall- and one of them is shared with another station, so she is frequently off the floor. When my residents complain of pain (which is ALWAYS 8-10/10!), I go to the med tech, locate the appropriate med in t...

Some things I wish I had done in nursing school (and would have, if the opportunity was presented!): Taking care of a vent or a trach patient Starting more IVs (I got do about 5 in school, and I think I missed every single one) More hands on care of ...

omg, no I would never work as a RN for $12!! They pay CNA's more than that around here!

I work in LTC and have several confused/dementia patients. One of them is a sweet old lady who once in her bed, does not want to leave her bed for ANYTHING. Yesterday I came in to work and I guess the night shift CNA told her she had to get out of ...

9 hours will be MORE than adequate

Okay, I have heard this is one of those skills that you develop as you grow in your career.... but for the life for me, I cannot read physician handwriting!! To me, it all looks like random loops and lines... I cannot see letters or words! Often, I...

I am a new grad RN, and LTC is my first job. My job title is technically "RN Charge Nurse", but I try to avoid being in charge because of my inexperience! I am the only floor nurse RN with a regular patient load. We have a few other RN's in the bui...

After graduating, I moved to Texas. While job hunting in Texas, almost every application asked for license number and state. I never received a call on any application that I listed my former-state license on. On the other hand, I never received c...

I work LTC and I have encountered this a few times. We have med aides, and normally they just borrow from another patient. This creates problems though, because then you have to borrow back since the original patient is now short. And of course yo...

I wish!! I work in LTC, so usually this horrid handwritten notes are addendum's to the discharge paperwork from the hospital. Often, this means a change to the typed orders Plus, since I am not in the hospital with them, I do not know the contact...

Seriously?!?! A bad check!?! Wow! In my younger days (when I was under paid and loved to spend money), I bounced several checks and none of them have come back to haunt me.... except perhaps by lowering my credit score and of course those nasty ov...

"no voiced complaints" "no apparent distress", vocalized "blah blah blah" and my favorite... faxed pharmacy, updated MAR, completed lab requisition, contacted family, family acknowledged, initial dose given. We paper chart too... my hand might fall ...

Pro: I always know what time it is, I never have to look for a clock. I can easily do resp/pulse counts. Con: Infection risk?

My 3yr old crawled in my bed in the middle of the night. In my dreams, I was actually asking the CNA to remove the patient from my bed and return her to her room!! LOL I also check blood sugars and give insulin in my dreams!

Im sure I interpreted this wrong... however last week, I actually worked with an agency nurse who was painting her nails at the nurse's station, WHILE on duty

I recently accepted job in LTC as a new grad and I learned quickly that if you want supplies, you provide your own. The facility has one BP cuff for all 80 beds. The facility provides an old fashioned oral thermometer that takes about 3-4 minutes ...