LPN_FTW

I don't believe the vaccine will prevent viral shedding from us after we are exposed to the virus. No doubt, the virus takes time to replicate within our body before our immune cells discover it and beats it, so I feel like the policy should be mandated masking for all employees on the front line if there will be any policy at all. The vaccine gives a false sense of security, especially during those years where the efficacy is low.

In BC, you would have not been covered under worker's comp after the first 16 hours. That is to say, if you were injured, you would not have been able to submit a work-related claim and you would be SOL.

Faxing the doctor without first checking that it`s already been done... three times. Giving meds that haven`t been ordered (Volteran, tylenol, etc. mostly harmless stuff). Giving meds that have fallen on the floor. Not signing the MAR appropriately. Not reading the MAR properly and following the checks. Not questioning orders that should be questioned.

1. Nope. They get their medications usually at the breakfast, lunch, or dinner table. It is a home, not a hospital. Some residents aren`t keen on being served at a table, so I will deliver to them in their room either before or after. Door is always shut. 2. I wash my hands if they are dirty. Otherwise, I will use hand sanitizer before and after gloving for the eyedrops. Everything is brought at once. 3. I gently pull down the lower lid to create a cup, or ask the resident to pull their own eyes open. 4. I give them 5 minutes apart at minimum. 5. No, only if it`s a medication that is harsh or stains.

I think it's best for your little buddy to have the consistency that daycare can offer him. Regardless of you're working or not, time with his friends. Being a single parent and working the hours of a nurse is not a jackpot. It's rough on me and the kids. I've seen them a collective couple of hours over the past two weeks. They've been at school, daycare, and family members' houses so I can work. It truly sucks. I picked a bad career for child rearing, but I made that choice so I definitely avoid putting that burden onto others by calling in sick "because I have kids" with the exception of earlier this month when my son had a fever of 104 (2.5-year-old) and an intense ear infection.

Is it just you? Or are there care aides there to help you as well? I have been in charge of 45+ residents as an LPN with two care aides by my side and never ran into issues from it. LTC, so there usually aren't any acute patients.

Nope. There is no evidence that it reduces our risk of being carriers and the flu vaccine was only 54% effective in previous years (2012, I think), per the WHO.

I'd say you withheld them, yes. These are prn orders, not regular standing orders so in essence I'd treat them as BTP.

The finding nurse would write the report, but the doctor, the transcribing nurse, and every nurse failing to exercise their medication rights should be informed of their errors. I hope this pt had PRN medications and that he/she received them.

I won't disagree with you there. I'd like to offer a look inside *some* women's heads: When I bring up another worker's name, I do it with the intent on sharing and brain storming best approach. For example, that care aide that spends too much time chatting... Is she always this chatty? What approach should we take to keep her on track without being hardasses or coming off as a B? Then again, I work with a lot of women who like to complain about other people just to complain about them. Keeps them happy, I guess. I'm not innocent, I'm right there engaged in the conversation, though my stance is more "they probably did that because _____." I'm an enabler and I make excuses for everyone :|

I think you used good judgement with holding the medication. I'd have held the dose and contacted the doctor for a follow-up while continuing to monitor her BP t/o the shift as needed. Also, to reiterate other posters, I'd have definitely used a BP cuff and auscultated, not using the damn machines. I hate those things lol

As Esme said, per rectum if there is one. A stoma doesn't necessarily mean that there is no rectum.

Here they usually wait until shift change.

My instructors would always go "In a perfect world, we do ___. In the real world, we do ___."

MunoRN said it perfectly. You can adequately perform your 8/9/10 medication rights on the order examples you have provided. Right drug through the right route at the right time in the right dose, and ordered for the right patient.