TBLPN

TBLPN LPN

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All Content by TBLPN

  1. How do they post DNR in the patients rooms at your LTC

    TBLPN replied to dinkymouse's topic in Geriatric, LTC

    "Full Codes" are an issue in the LTC facility that I work in, unfortunately. I have more full codes, many more, than DNR. This facility that I work in is brand new, it's only been open a year. A...

  2. Vanco peak & trough times

    TBLPN replied to alarla's topic in Infusion, Intravenous

    At our facility we draw the trough (usually) just prior to hanging the vanc. We draw the peak an hour after infusion. If it finishes at 7 am we draw at 8 am. We have a doc that specifies he wants the...

  3. Doctors........aggghhh!

    TBLPN posted a topic in LPN, LVN Corner

    I work LTC and I have to deal with a doctor that just gives me fits, all the nurses for that matter. He's a foreign doctor, he's the medical director of our facility and he has the majority of our...

  4. Doctors........aggghhh!

    TBLPN replied to TBLPN's topic in LPN, LVN Corner

    Well in the county I work in there are a handful of doctors. I've worked at 3 facilities in this area............he has patients at all of them. Downfall of a small town. I don't want to relocate...

  5. Vanco peak & trough times

    TBLPN replied to alarla's topic in Infusion, Intravenous

    I just did this this morning. The order was specific. Draw the trough one hour before running the Vanc and draw the Peak one hour after infused. At my facility lab doesn't draw from a Picc either. I'm...

  6. I need HELP!! with IV starts

    TBLPN replied to Jasano's topic in Infusion, Intravenous

    When I first started in nursing, I was terrified of starting IVs. I didn't even want to attempt it. If one came up, I'd have another nurse do it, until the dreaded night I'm on shift by myself (I...

  7. fall interventions

    TBLPN replied to Inquisitive one's topic in Geriatric, LTC

    We have had SO many falls at the facility I work at. Numerous head injuries while one resident has an active "slow bleed" from all the falls. We now have initiated for our "dementia" type patients...

  8. LTC Orientation

    TBLPN replied to jat_phil's topic in Geriatric, LTC

    I've worked several LTC facilities. I have never received more than 3 days orientation. I'm not agreeing with this by no means, but that has been my experience. But once you have worked LTC, and...

  9. PICCs in LTC

    TBLPN replied to CritterLover's topic in Geriatric, LTC

    PICCs have become a popular item in the LTC facility I work at these days. One lady in particular, just had hers replaced, because it occluded, but she is also a retired nurse, confused, and thought...

  10. Fecal Impaction

    TBLPN posted a topic in General Nursing

    I work in LTC and there has been much controversy lately on fecal impactions. Can nurses check for fecal impactions as a nursing measure without a MD order? I know we cannot remove without an

  11. Share Your Funniest Patient Stories...

    TBLPN replied to Trvln Nurse's topic in Nursing Humor

    I work in LTC 7p-7a. I have this little lady, incredibly sweet and funny although pleasantly confused, early 90's. She doesn't sleep much, we've lost many personal alarms because she hates them and...

  12. Poll: Do you use an alcohol-based hand sanitizer as an adjunct to handwashing?

    TBLPN replied to Brian's topic in General Nursing

    I hate the hand sanitizer our facility offers, 1. It smells like skunk and 2. if you happen to get to much on your hands it like clumps up and looks really weird. But some of the sanitizers that I...

  13. Charge Nurses

    TBLPN replied to NeuroNP's topic in Neuro Intensive Care, ICU

    In the facility I work at, I am the charge nurse of my unit from 7p-7a. But I pass meds, chart, start IV's, g-tubes, treatments, answer call lights, take off orders, changeovers............you name...

  14. What is your biggest nursing pet peeve?

    TBLPN replied to ferfer's topic in General Nursing

    BIGGEST: "Oh, that's NOT my patient"!!!!!!!!!!!!! Drives me

  15. Xenaderm?

    TBLPN replied to CoffeeRTC's topic in Wound, Ostomy, Continence

    I agree, Xenaderm is great, works well on excoriated areas, however, our facility went through a period where Xenaderm was the "cure all", drove me crazy, same deal with Ultec, which I hate, leave...

  16. Can you Initiate and Maintain IV's in Your State?

    TBLPN replied to FocusRN's topic in LPN, LVN Corner

    In Indiana we can start and maintain IV's. I work in LTC and have started many IV's, some IV pushes, we hang TPN and handle PICC and

  17. What is a typical lpn day like?

    TBLPN replied to JessicaAAA's topic in LPN, LVN Corner

    i work 7p-7a in ltc. a very hectic unit. something always going on. when i get there, first and foremost, top priority, is my mt. dew for the noc. i then get report and count narcotics. talk the...

  18. Hi, am about to be set free after orientation

    TBLPN replied to JessicaAAA's topic in LPN, LVN Corner

    i work on a unit that i personally am responsible for 26 patients in ltc. after 11p i am responsible for 54. the med passes, treatments, and tubes, on top of charting, v/s, census reports, skin...

  19. Special Weekend Shifts?

    TBLPN replied to HisTreasure's topic in LPN, LVN Corner

    I work LTC and I work what they call "weekend opt" Although, since I've inquired about this shift, I have found that most weekend opts work you 2-12's and get paid for 32. However, where I work, I...

  20. CNA issue~can anyone advise?

    TBLPN replied to jschut's topic in General Nursing

    I myself have encountered several CNA's who think they are in charge and run the floor. Going to the DON is not always effective. Keep documenting, keep a notebook with you and document everything,...

  21. New LPN troubled with CNA's

    TBLPN posted a topic in General Nursing

    I am a new LPN. I have had my license for 8 months now. I have worked at my current facility (LTC) for 7 months. But I recently changed shifts. I now work weekend opt. I love the hours and being...

  22. New LPN troubled with CNA's

    TBLPN replied to TBLPN's topic in General Nursing

    Finally, someone who really put it out there the way I feel!!! It's crazy. I have such a hard time being "responsible" for everything and anything the CNA's do. I love LTC, I don't want to leave it,...

  23. Again..Problems with the Comfort measures Only Orders

    TBLPN replied to burger914's topic in Geriatric, LTC

    funny this should be on the board, i just had a similar experience sunday, actually monday morning 2 am. i work ltc. i have a chf patient, who is up and down, one day you think, well this is it, the...

  24. I have to be bathed by my classmate???

    TBLPN replied to Saved_by_Grace's topic in General Students

    we did that in our "lab" groups. no guy/gal thing, the guys were in one place, gals in another. we wore shorts and tank tops. i was really nervous about it and really dreading it, but it went...

  25. Nurses, Smoking, I have to say it

    TBLPN posted a topic in Patient Safety Issues

    I read through a lot of the posts on nurses and smoking and I felt compelled to say this. Everyone makes it sound like because we're nurses that makes us "not human" or "superhuman". Yeah, we know...