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proudauntie415 LPN, RN

Corrections
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proudauntie415 has 15 years experience as a LPN, RN and specializes in Corrections.

Currently an LPN in Corrections Medicine. I have worked in the ER, Public Health and many clinical settings in a few different states. I've been in the medical field for over 15 years in varying positions.

proudauntie415's Latest Activity

  1. proudauntie415

    Drug-seeking in prison? Rx narcotics?

    Yeah, that is a great trick too. I usually reply with, "well okay no problem sorry to hear about your back pain, I'm gonna go ahead move you bottom bunk/tier with rec restrictions". Then they are like wait I want a single cell on top tier, and don't want to lose rec. Well then sir, your back pain is not effecting your ADL's and you may have Motrin. Next!
  2. proudauntie415

    Any specialty type LVN's ?? what's yours?

    Hello! I am currently and LPN in Corrections Medicine. It is a different world of nursing, but a I really value what I do. It really has a psych nursing approach to it. You can still be a patient advocate, but remember there is a huge manipulation possibly in play, but I have very good nurse / patient relationships with my inmates. I tend to be on the friendlier side, but they know i do not tolerate being lied to, nor do I break or bend the rules in any fashion. I remember that safety is first, it has to be. I work evenings and get a slight increase in pay. I live in Missouri and make just over 18/hr. However, with all the overtime available, the CHEAP benefits (like 5 a month!) and great retirement (you are 100% vested after 5 years) I still make more then when I was running around stressed out, crying after work and pulling my hair in a nursing home with 75 patients between myself and 4 CNA's. Trust me, I'll take this ANY day over that again!!
  3. proudauntie415

    Signs you are a Correctional Nurse:

    I just love this post. I can tell you have been there awhile as well. I was so naive when I started, I mean I'm not cold and nurse ratchet now. I remind myself I am a nurse and advocate...but will not tolerate disrespect.
  4. The clock has struck 9 pm; you realize you haven't taken a single bathroom break in the past 4 hours. The last thing you remember eating is the leftover crumbled muffin from two days ago while on your way to work; that was ten hours ago. As you soon as you think you have a break in sight, two patient call lights go on followed by a doctor calling with roughly five new orders on a patient. The bathroom break will have to wait. This is an all too familiar scenario in the nursing profession. There is a saying in the nursing field; Nursing, the hardest job you will ever love. Skills, knowledge and excellent time management are critical components in being a strong nurse. However, one of the most difficult tasks new nurses are required to have is being mentally prepared for such a challenge. The psychological toll can weigh heavy. So how do you prepare yourself? How can you psychologically prepare for such a seemingly difficult task? The first step is digging deep within you and finding that confidence. It is in there, it is what got you through endless hours in nursing school. It is what you had you when you sat down to take your nursing boards. It is within you. You will have to dig deep and conjure it up, but it is there; I promise you. One important thing to know is that not a single nurse, no matter long she/he has been in this field knows everything. It is just impossible. Be confident in what you DO KNOW! If you feel it isn't much at all, that is okay. Hold strong to what you are confident in and build from that. Patients rely on us; they sometimes think we have all the answers. Be okay with knowing we don't. But do your best to find the answers out! Another beneficial psychological component would be humility. A confident nurse is assertive in her knowledge, but has enough humility to know when to ask for help. I honestly cannot stress enough that no one will know everything. Whether you aced every test in school or not it is the application in the field that is an entirely different process. People are different, their bodies, their minds, everything is different. No one can know it all. Having humility can only help you as a nurse grow and learn. Step back and look at a situation and tell yourself, maybe I need some help with this. This will only save you the mental anxiety later as you question yourself over and over on the drive home, did I assess that patient correctly? If you were able to ask other nurses their input, or even the aides their observations, it can only benefit you and the patient. A sense of humor will also save you long hours of beating yourself up over a silly mistake that was maybe just a mere oversight. "There is support in the literature for the role of humor and laughter in other areas, including patient-physician communication, psychological aspects of patient care, medical education, and as a means of reducing stress in medical professionals." (Medscape, Humor in Medicine, 2003) If you can't laugh or enjoy the moment you are in, the passion and fire you have for being a nurse will eventually die out. You will drive yourself down to the point of burn out. Everything will seem like a daunting task. Laugh, smile and remember that a smile can go far. Our patients are already stressed and nervous from whatever ailment they have, a smile will go a long way. Sometimes our patients have nothing medically left we can do for them, but a smile, or holding a hand is the best medicine we have. Remember that old saying, Patience is a Virtue. Notice the difference of patience and patients. As a nurse, you have to have patience in yourself, and your patient. Be prepared for your patient to not always understand their directions or care plans. If it takes five times to explain it, then explain it once more just to make sure they are fully aware of their directions. High patient outcomes are the goals of nurses, so it is critical we are patient with them. It will also only benefit you psychologically if you are mentally prepared to accept not everyone will learn or understand at the same rate. If you are going over and over your mind about what is due or what is next you may let this moment slip by. You need to be able to give your patient your best undivided attention. Be patient with yourself in learning. Be patient with your supervisors, your doctors and your aides. Everyone is going to work at different paces, or have a different way of doing something. Don't stress yourself out trying to change them or modify their approaches. When you grasp patience, you will have a peace within in yourself. To be psychologically prepared for the nursing profession I cannot emphasize one critical component: compassion. Compassion is what drives us in our endeavors. It is the vow you took at graduation. Remember the nursing pledge, ".....With loyalty will I endeavor to aid the physician in his work, and devote myself to the welfare of those committed to my care." (Lystra Gretter, 1893) Your compassion will take you to a level of care that only a nurse can provide. Compassion will guide you in achieving humility, patience, and even a sense of humor. Holding that compassion will guide you in your bedside care with patients, it will give you the drive to do the best possible care for those you are responsible for. If will keep you focused on the patient and their needs and not your personal desires and beliefs which can often blind many nurses. As a nurse your skills and knowledge will you get you far. But if you are not psychologically prepared, no matter how well you have intellectually prepared yourself there is a little chance of success without a healthy mind, a compassionate heart and desire to make a difference. Keep your mind straight, your confidence strong, your smile bright and your heart open. Go forward and remember; People will forget what you said, People will forget what you did, But people will never forget how you made them feel. (Maya Angelou, 1989) References With loyalty will I endeavor to aid the physician in his work, and devote myself to the welfare of those committed to my care.” (Lystra Gretter, 1893)
  5. proudauntie415

    New Grad RN Angst

    Wow, It was like the little voice in my head jumped out and wrote this article. I to am in constant motion of thoughts and worrying. And I too was one of the top of my class and have OCD, everything in it's place and a place for everything. Every "i" dotted and "t" crossed. Sometimes it just seems impossible to do that. I'm at 4 months now in, and my doctor has suggested Prozac. LOL. At least something to help me get through this first year! Good Luck, keep your head up and I'm sure you are doing great, as I hope I am.
  6. proudauntie415

    Did I just get thrown under the bus? Or I'm a bad nurse?

    Yeah the 0200 accu check is routine for her because this resident has such out of control all over the place blood sugars and she gets SSI at that time too. I agree whole heartily about re-checking the BS again, and I would have. But I was ending my shift and that was the point of me trying make sure she knew what was going on.(but you're right a double check right at that moment wouldv'e been wise) I didn't plan for it to be held and not given at all, I just thought hold until she has her snack...then give. Which was what this nurse gave me the impression she would. Usually I will give her the Lantus and milk with graham crackers. Basically it felt like she had my back and would go give that Lantus in about 30 mins and no problem. But no, it turned into something more. However, there are some great seasoned nurses who have been so helpful!
  7. proudauntie415

    Did I just get thrown under the bus? Or I'm a bad nurse?

    You are right VANurse, sorry, I meant when I said "general night time insulin" as just saying it was this specific residents routine nightly long acting dose! But I too have seen it in the days and so forth, honestly, if she is getting so high starting mid day, why doesn't she get a morning dose I wonder, since around 2am accu checks she always ends up low, give it to her earlier and let it works it course throughout the day with her SSI? IDK. Gonna have do my research and break the old pharm book ! Thanks again! proudauntie
  8. proudauntie415

    Did I just get thrown under the bus? Or I'm a bad nurse?

    Okay, thanks guys. I was just beating myself up over this. Yes, VAN I have learned for sure, NEVER hold that Lantus. I was just shocked cause I was giving the report on what was happening at the nurses station, holding the Lantus in my hand and asked her specifically does she want me to waste this and she said she would draw up her own. I just really want to do right by my patients and be a diligent, knowledgeable nurse that can provide the best care. I really had hoped that a seasoned RN with years of experience would of said, "don't waste it, just go give it". :/ Instead she did her 2AM accu check, gave her SSI and went on about her night shift. Feel bad, but thanks guys. You are right on the nose about keeping my drug book handy. I was "familiar" in the sense I knew it was a long acting insulin and general night time insulin, but really didn't know the full scale. So I will be sure look closely at nursing implications in my med books on meds when I make a nursing judgement!
  9. New nurse and going on my first month in LTC (first nursing job) and boy, is it difficult. I don't get a break, barely pee and just overwhelmed. They say I'm doing a very good job and happy to have me, but I feel just like a bumbling idiot most of the time. I constantly question my interventions, and having a hard time building that confidence. Here is my question, a very crazy evening and did not get a chance to check a blood sugar until about 10:15 ish, it was due at 9. It showed 62. For this resident that's pretty low, but I knew it wasn't critical. So I held the Lantus, gave a shake. About this time it was shift change, gave report and explained the situation to the night nurse, wasted my Lantus right in front of her because she said she would draw up her own. I informed her that my thought was it would be better for her to finish the shake, but wasn't going to give the Lantus until after she finished and waited a bit or so (30 mins -ish). Well, now I realize, I really didn't need to hold the Lantus (its that slow) at all. residents blood sugar was very high the next morning around 450 something (that isn't rare for her anyhow) And resident was pleasant, calm, no s/s hyperglycemia, to her it was just another morning. But still, when I came on the next evening..... I saw that the Lantus was never given later that night after I left. When I asked the night nurse about why she didn't give it she informed me that she can't give a medication that was ordered within my time to give. There is the "hour before and hour after" rule. But technically the Lantus is written for HS, only the BS check is for 9pm. Either way, why didn't she just tell me--hey, I'm not gonna give the Lantus? Or explain to me, "ya know, you don't need to hold the Lantus?" So all in all, I made the error cause I made the choice to hold it, thinking I was doing the right intervention ( I did make a note on holding). Doctor of course gave me a stearn NEVER hold Lantus lecture. I respectively chalk it up to lesson learned....but I feel kinda like I got thrown under the bus here...and now I have a med error I guess? So frustrated. Just need some encouragement.
  10. proudauntie415

    New Nurses

    Was nice reading this, not alone being the new nurse on the block I guess And don't forget, "please, ask questions of your preceptor for anything" Then later, you hear them say you don't seem confident in your own choices Pfft, I was confident but thought I would just run my intervention across you to see if it is policy here at this facility!
  11. proudauntie415

    Scheduled my NCLEX-PN! Anxiety Level UP!

    It sure did!!
  12. proudauntie415

    Please, tell me I'm not crazy! :/

    I am in Missouri!
  13. proudauntie415

    Please, tell me I'm not crazy! :/

    Hey everyone!! I checked, I PASSED!!! I am now a nurse!! Thank you AN! What a big support this forum has been! And Butterfly6890 I know your anxiety! I'm sure you did great! hang in there till that 48 hour mark!!
  14. proudauntie415

    Scheduled my NCLEX-PN! Anxiety Level UP!

    It's official! I passed!!!
  15. proudauntie415

    Med Passers at Nursing Homes 8HR course and giving out NARCS ...

    Hey ladies! I have to say even being a new nurse who is obsessed with double and triple checking every treatment I do (nerves?!lol), I thank THE LORD that we have med techs, honestly. At first, I was like WTH! :***: They are passing BP meds like beta blockers?!?! (but think, it's a skilled facility, they have been taking this beta blocker for years it's not really a "new" med, I'm sure if they had a reaction, someone would know by now) I mean, my grandma who is 75 ensures her husband gets his meds every night, and she isn't a nurse or need a nursing judgement to give his routine meds he is taking for years. I am on my own finally and usually have 35 patients.... and ya know, that med tech saved me! My declining patients, or more severe patients received sooo much more of my time!! The med techs I work with are VERY knowledgeable and have been doing it for years. However, at my facility, they only pass routine meds and controlled meds (no prn such as benzo's etc), no narcs, and we do our own insulin. I like that, the three main ways a medicine would need a nurses judgement I get to use, but the endless amts of vitamins our routine synthroid, iron ,etc...let them do it! They KNOW to ask me if for ANY reason they hold something. No matter if it is you or the med tech, keeping an open communication is the key! Teamwork!!
  16. proudauntie415

    Anybody LIKE working holidays?

    Yes, I have to agree. I have no children and my boyfriend works 3-11 in security. I work 3-11 in LTC....so we have same schedule pretty much. Why not get paid double time?!?! Works great, we have Christmas morning, Thanksgiving brunch, and get home for the first kiss of the new year. Not bad 🙂