VANurse2010

VANurse2010

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All Content by VANurse2010

  1. Wound assessment when the bandage change is not due

    Your coworker needs some education on proper
  2. I'm Stuck - Need to Make a Quick Decision

    It's not entirely accurate to say that all RN progams require clinical hours. That is certainly true of initial licensing programs but *Not all* RN-to-BSN programs require clinical hours. In fact,...
  3. Damned if you do/don't

    They do have the right, and they should be referred to the patient's physician. OP, you're in for a short, painful career if you play things like you have in this
  4. New Nurse PICC line question

    What you did was pretty disgusting - don't EVER do something like that with a CVC especially. Yes you should have at least changed the tubing, and no it's not a definite that your patient will get an...
  5. Keeping LPN practice current

    Tell us what you think, or do your own
  6. Inane scripting

    Who made you the arbiter of what constitutes "acting like a
  7. Never been in a code?

    I worked 2 years of messy telemetry and almost 2 years of ICU before it happened to me - in a patient with a balloon pump and swan through the groin. Assisted in quasi codes before then, but never...
  8. Terminated

    This type of unprofessionalism is common if not the norm in LTC, but it's hard to really judge without knowing what you actually
  9. Discouragement

    For what it's worth, not all hospitals allow their doctors to act like this - or at least not to that
  10. I think I will give negative feedback

    I'll go against the majority a bit here and say that while it's not the wisest thing to do in front of patients, IMO it hardly ranks in the top 20 or maybe even top 50 unprofessional things that can...
  11. Respiration counting

    I interpreted it differently from you, and since this is something open to interpretation I'm allowed to give my
  12. Respiration counting

    The character of one peripheral pulse is pretty meaningless without checking both sides, uppers and lowers, and checking other physical assessment
  13. My professor is an LPN in a BSN program

    Unless she is supervising the clinical practice of RN students, I don't see the problem. Most nursing instructors have never worked in
  14. The workload in a hospital is typically much less than in LTC. Your material and human resources will also be much more
  15. Cardizem can definitely slow heart - it will have have far more effect on HR than
  16. You clearly don't know how LTC
  17. Quitting while on maternity leave

    I believe you have to exhaust your PTO before you can use
  18. Nursing home responsibilities for RN

    You may or may not have a second nurse or aid to pass meds, but probably not. Mostly likely you'll be doing the exact same job as every LPN in the building - meaning passing meds and doing...
  19. I've seen a couple nurses who wear caps, but never worked with any who wear the entire traditional
  20. To run infusion with CVP or not... That tis the question..

    I would only do intermittent infusions with CVP (like antibiotics or electrolytes), not drips. CVPs are of dubious validity under perfect circumstances, so I would avoid monkeying with
  21. No 12 hour shifts in Southern California LTC?

    I've never seen a long term care facility routinely do 12 hour shifts. It must be
  22. Taking critical patients to tests

    We took a tackle box of supplies, but the only meds we had were two amps - one of epinephrine and one of atropine. I suppose the presumption was that in 3-5 min. a code team could bring a real cart if...
  23. Central line compatibility

    NO, you were not wrong. The fact that they would question that makes me seriously question THEIR competence. I would file an incident report against them. If there is some backward facility policy...
  24. So, what's it like?

    IABP doesn't need to be singled unless unstable (but usually if they're *that* unstable they are going to need something more invasive than IABP). We did our timing/waveform checks every hour along...
  25. holidays... sick call...

    I have no issues with reading comprehension - but whatever happened last year is still irrelevant. Do what you want, and good luck with that next job