JeanineLPN1984

JeanineLPN1984

LTC, Medicare visits

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All Content by JeanineLPN1984

  1. Any advice for a New nurse starting in LTC??

    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...

  2. You will lose your skills in LTC

    JeanineLPN1984 replied to egglady's topic in Geriatric, LTC

    "Lose your skills in LTC"", HA-HA, right. More like "Lose your Mind" !!!!!!!! Been there, done that, made it all

  3. dnr in geriatrics

    JeanineLPN1984 replied to ulmaulma's topic in Geriatric, LTC

    By the way, Eldragon how's it going? Are you still at the same place? I am and were gearing up for survey. Take

  4. dnr in geriatrics

    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...

  5. # of residents in LTC

    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...

  6. "My" job is being advertised in the employment ad!

    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...

  7. I don't think I can handle this!

    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...

  8. I don't think I can handle this!

    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...

  9. When it's the visitor who needs the ER....

    JeanineLPN1984 replied to nerdtonurse?'s topic in General Nursing

    Don't worry, you did the right thing- he was admitted after all. When he sends you that HUGE box of candy- give one to the charge nurse! Have a great

  10. Patients who are too lazy to open their own splenda packets

    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...

  11. Early recognition of the deteriorating patient

    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...

  12. Do you say you're a nurse...

    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...

  13. What's an LVN ll or lll

    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...

  14. Heart failure nursing diagnosis

    JeanineLPN1984 replied to PulchritudinousRN's topic in Nursing Student Assistance

    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....

  15. Rudeness from EMTs and Paramedics

    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...

  16. Promotions in LTC?

    JeanineLPN1984 replied to michael79's topic in Geriatric, LTC

    In NY and FL all the ADON's were RN'S, but at my facility in TN, she is an LPN with 20 years at the place. They are encouraging her to get her RN thru Excelsior but she hasnt started. She really is...

  17. I don't think I can handle this!

    JeanineLPN1984 replied to eldragon's topic in Geriatric, LTC

    Dear eldragon, Hopefully they will get you out of the dining room early and you can get going. Over the years I've worked with that "desk nurse", basically they like to run their mouths, but will do...

  18. I don't think I can handle this!

    JeanineLPN1984 replied to eldragon's topic in Geriatric, LTC

    I wanted to add that most facilities want to keep their nurses rather then try and find someone else.(costs them alot more to hire, then keep staff in place). You do need to speak up for yourself and...

  19. I don't think I can handle this!

    JeanineLPN1984 replied to eldragon's topic in Geriatric, LTC

    Wow , that's crazy- Why does'nt the charge nurse go to the dining room? It's taking 2 hrs. away from your work every day. By me I work 12hr. with 2 other nurses and each night 1 of us goes to the...

  20. made a med error

    JeanineLPN1984 replied to jelorde37's topic in LPN, LVN Corner

    We've all done it, for one reason or another. Early in my career ( I can't even remember the exact incident) I told the charge nurse and she said dont worry. The patient wasn't harmed. I felt so bad-...

  21. slow with papper work...I might be to slow for new job

    JeanineLPN1984 replied to bcollins61's topic in Geriatric, LTC

    Dear Betty- Don't worry- I've been in long term for over 23 years and just started a new job 1 month ago. I still am asking the other nurses where's the paper for this.... and where's the book for...

  22. Little children visiting

    JeanineLPN1984 replied to RNperdiem's topic in Geriatric, LTC

    We love having kids on our unit, it perks our residents up. I just have to watch one of my ladies in a merry walker. She see's kids and she will chase them down " Come here honey, give me a kiss",...

  23. My Med cart is a magnet, how about yours?

    JeanineLPN1984 posted a topic in Geriatric, LTC

    OK, I have been in LTC over 20 years and just started a new career at a great place. It's been a while since passing meds and having a med cart, but I am beginning to believe they have magnets in...

  24. Does #2 get waived if your a LPN ?

    JeanineLPN1984 posted a topic in Online Distance Learning

    Hi, I'm finally finishing my education after 23 years- Woo Hoo. I applied, they are waiting on my transcripts- as far as I can tell, I will only have the nursing exams, the FCCA and The CPNE. I was...

  25. CPNE in 2 weeks

    JeanineLPN1984 replied to aegirl's topic in Online Distance Learning

    Good Luck to you on the