JeanineLPN1984 replied to katbird21's topic in Geriatric, LTC
Good luck and I'm glad we have new nurses excited about working in LTC. LTC has changed alot since I started in 84. We have some that have more complex issues that your education will give you a good...
JeanineLPN1984 replied to ulmaulma's topic in Geriatric, LTC
In all my years in LTC, I've seen this many times. Denial does play a big part but guilt is worse. I have found that nobody wants to be responsible for " mom " dying. Even when they understand there...
JeanineLPN1984 replied to pielęgniarka's topic in Geriatric, LTC
We have 5 nurses 7-7p and we each have a max. of 26 residents, 7p-7a has 3 nurses. We have a treatment nurse ( Thank Goodness) too. All our residents are mixed- skilled, long term, Picc's , etc. We...
JeanineLPN1984 replied to TheCommuter's topic in General Nursing
As the previous posters stated it's just to up the staff and have relief for the rest of you. It reminded me years ago at a facility I was the restorative nurse for 2 years and was planning on...
JeanineLPN1984 replied to eldragon's topic in Geriatric, LTC
Dear Eldragon, I'm so glad you wrote that letter and changed things for the better. Sometimes the "bosses" are so busy handling other fires, they really don't notice what is going on. Alot of nurses...
JeanineLPN1984 replied to eldragon's topic in Geriatric, LTC
Dear Eldragon, I feel really bad for you. I have never worked in such a poorly organized place. I did on a few occasions encounter silly rules, eg. CNA's arent supposed to use gloves for residents...
JeanineLPN1984 replied to FireStarterRN's topic in General Nursing
ha-ha, I'm leaving one at the nurses station for the families. The rare occasions I get to sit and chart, family members stand there and ask " Are you mom's nurse?", even if I'm not they proceed to...
JeanineLPN1984 replied to CO2emission's topic in General Nursing
In LTC the changes are usually subtle, esp in the confused. Early signs of CHF in them start with anxiety before the edema or lung sounds. Some of the ones with MI's never have chest pain but will...
JeanineLPN1984 replied to picurn10's topic in LPN, LVN Corner
I posted early on in this thread and it keeps going. I've thought about it and in 23 years, I have probably told over 2,000 people " I'm a nurse". Most don't ask for clarification and leave it at...
JeanineLPN1984 replied to Ks mommy nurse's topic in LPN, LVN Corner
I have been licensed since 1984 and worked in Florida from 1989-2005, and IV certified in 1993, but I never heard or used the title LPN2. The title I use is LPN CLTC, I took the NAPNES certification...
Without knowing the patient and their specfic details, in my experience 1. Decreased Cardiac Output 2. Activity intolerance 3. Altered cardiopulmonary tissue perfusion 4. Fluid volume excess 5....
JeanineLPN1984 replied to TheCommuter's topic in Geriatric, LTC
I just wanted to my 2 cents in. I have always been in LTC and in 23 years, I have come across this a few times. It usually would happen with a new EMT and it did'nt matter that I had all the...