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RLtinker LPN

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RLtinker's Latest Activity

  1. RLtinker

    Texting in nursing

    There seems to be a preference for texting over calling. With the doctors we have a web portal that sends the information in the form of a text to their phones. Honestly, it makes it harder to make a mistake writing a TO/VO when it is actually written out on the screen. It is also a lot faster, we used to use a paging system and it could take an hour for the doctor to call back and if someone is not by the phone the doctor would then have to wait for someone to pick up the phone and someone would have to search the building for the nurse that made the call. With the ED, DON, and Unit managers it is not unusual to text quick information like so and so had a fall or Mr Doe has a new open area, anything more complicated I will probably be calling. The thing is they don't like being called in the middle of the night, but have to be notified.
  2. RLtinker

    Dropped Pill - Do you give it?

    I guess LTC is different as the pills would never fall on the computer and we use med carts. Generally, I will clean my cart at the being of the shift, so I don't think dropping a pill on the cart is that big of a deal. Dropping it on the floor, I would throw it out.. but most residents will insist on taking the pill anyway. However, throwing out pills can cause some issues depending on what the pill is. If it is something common you could pull it out of the pixis, but not all the pills you need are in there, for an example some antibiotics or vitamins. In some cases some pills are tightly regulated and the pharmacy may only send out 7 or so pills at a time...attempt to reorder early and the med may not be sent out and then you have to spend 15 minutes on the phone trying to get the pharmacy to send out the medication. In some cases insurance will refuse to fill the medication. In that case you have to contact the DON to authorize a charge to the facility and then if you are out you have to order it stat it could take four hour to get the med. And this is not even mentioning the cost of some of these meds as some of these meds are expensive. Janumet is one example I can think up off the top of my head. I think it is about $7-8 a pill.
  3. RLtinker

    Wasting controlled substances

    I have seen this done, but state wound not approve of this practice or at least that is the case here in Indiana. The pharmacy should have sent half tabs, this is a med error waiting to happen. As for switching out percocet with some other med this is also a possibility and why state will tag a facility for doing this. The extra half should be destroyed with another nurse as a witness.
  4. RLtinker

    LPN is it worth it?

    Most LPNs tend to work in long term care and rehabilitation with home health and correction also having a high demand. Getting a job in a hospital setting or clinic is less common. Now don't get me wrong, clinics and hospitals both still bring in LPNs, but these jobs are less common and the pay is usually lower then other areas. As for becoming an LPN before becoming an RN, that depends on your personal situation. In my personal opinion, it is better to go strait to being an RN if you can, it take less time and money to become an RN then to become an LPN and then bridge to RN.
  5. RLtinker

    5 twelve hour shifts in a row?? Is it safe??

    I have done 6 twelves in a row. Is it safe? Perhaps, but what I found is by the end of the week I was getting very irritable. It's not something I wouldn't recommend unless you really need the extra money.
  6. RLtinker

    LTC has changed-How do you give out 5pm meds now?

    My understanding is that it is a state rule and by association a company policy not to give meds in the dinning room. But it is also the one time all the residents that haven't got their meds are all in one place and I have to be in the dinning room at dinner time anyways. Typically, once it is time to pass trays all the meds are passed anyways, its just that some residents are in the dinning room 1-2 hours before meal time. I have one diabetic that spends 75% of her day in the dinning room reading her books. On events days, such as when we have a singer or bingo, nearly all the residents are in the dinning hall when I get there at 3pm and stay there until after meal time. So if I didn't pass meds in the dinning room, most of the resident wouldn't get their 5pm meds until 7pm. I was even told by my DON that we are not supposed to give meds in the dinning room, but they look the other way when we do it. Just don't do it when state is in the building, no joke. While I can understand no insulin shots or accuchecks in the dinning room, I am curious as to what the rational is for this no med in the dinning room rule is.
  7. RLtinker

    Nurses found out what im making, dont know how ?

    Just ignore it and they will forget about it. Besides even if they did know, it wouldn't matter, your employer is not going to fire you over this or at lest legally they can't. Just don't add fuel to the fire by confirming the amount.
  8. RLtinker

    Being a male increase your chances

    Our school has a strict point system based on academics, sex did not play a role in the selection process. As for the supposed 57%, during all my clinical rotations I met two male nurses and only one was a head nurse every other one was a female.
  9. RLtinker

    how do you apply for prerequisites?

    I think we had 3 in the LPN and RN program together at the Lawrence campus. I don't know about TEOFL(you need to talk to an advisory), but since I have gone through the nursing program at Ivy Tech Lawrence, I can tell you this. First, you have to have your basic placement test to see what English and what math you can take. If you do poorly on these tests, you have to take remedial classes which add time and cost to taking the pre-reqs. Basically, you have to have ENGL 111 (English comp) and a MATH 13X (college algebra). English 111 is part of the section process, so you need to do really well in this class. Ivy tech's nursing program selection is based on a point system. ENGL 111, PSYC 101, and APHY 101 and 102 carrying double weight plus your TEAS score are added together to make up your score. In addition, you must also have IVYT 1XX,COMM 101 or 102, and a Social/Behavioral Science Elective ( PSYC 2XX or SOCI 1XX) done before you apply. This totals 22 credit hours or about two semesters. There are actually two co-req that must also be done before you finish the nursing program which equal another 6-8 credit hours. The admission dates are as follows: For Fall Admission April 1 For Spring Admission September 1 For Summer Admission 1 February (if I remember correctly only LPN and medics can apply for the summer) I am not sure of the start and end dates, but if I remember correctly at least one semester is lost because of the end and start dates.
  10. RLtinker

    failed med surg

    It maybe embarrassing to fail a class, but it maybe best just to try it again. Besides, many teachers reuse questions year to year and that may give you a leg up next time. Not to mention you have already reviewed this material.
  11. RLtinker

    NCLEX Computerized Adaptive Testing (CAT)

    The Nclex seemed easier then some of the tests we had in NS. I passed the nclex-PN with 85 questions, granted it was much longer then any nursing test. The only thing is there seemed to be a lot of conference questions.
  12. RLtinker

    If Hospitals Were Run Like Denny's...

    Pretty much, in most restaurant there is a limit to the number of tables or guest a server can have at once. Usually around 4 or 5. More tables=more wait time = worse customer service = smaller number of guests coming back= less money
  13. RLtinker

    CPR help

    That would make sense. The 4th edition came out in 2009 and the AHA made the change from ABC to CAB in 2010.
  14. RLtinker

    Embarrassed to even post this.

    To be honest, the math we do in nursing school is basic algebra, but the pre-req math wasn't. You need a grasp of the basics before you can do college level algebra. However, most schools have placement tests and they will place you in right level math class and you will have to to work up to whatever pre-req math your school requires. Unfortunately, this is an expensive option. My suggestion is to search the web for math tutorials and practice questions. Practicing will make you better. There are a ton of websites out there that are just tutorials and practice questions.Secondly, youtube. Just about any subject that you can think of a youtuber has probably made a video about and that includes math. Third, ask your school about tutoring and math labs. Most schools have an open lab where you can bring in a questions and they will help you with the steps. Usually, in the same general area they can help you get in contact with tutors. Typically, the math lab service is free, but tutors are not. And once you think you are ready take your schools placement test.
  15. RLtinker

    Insulin Dosages

    I have seen carb counting a few times, but mostly it is sliding scale and never by weight. The goal with diabetics is to keep glucose levels in the body within a certain range (not to high and not to low). This is done with insulin products, since it lowers blood sugar. Each insalin has a different onsets, peak and durations. Usually, you have a longer lasting insulin such as Lantus (long acting) that maintain a basil amount of insulin and a shorter acting insulin such as lispro (rapid acting)that controls spikes in glucose after a meal. .
  16. RLtinker

    CPR help

    LandD_RN_chica is correct. A few years ago AHA change the order from ABC to CAB. You must have an older version of saunders, because my version uses CAB.