PHTLS

I was offered a fulltime position as a GI LVN with Kaiser Permanente a year ago, but I decided to work else where. Did I make the right decision by refusing the job offer? You guys just don't stick tubes up patients anuses all day do you? And the ...

You don't know nothing about me, kid. Don't make assumptions. Belittle? please. I'm speaking that damn truth. Maybe if you have more experience, you'd understand. As for the turd comment? Well... let's just say it's good thing this is an internet for...

Duh...of course it can be done. But you try doing everything by the book 5 days a week (excluding overtime and doubles) and see if you can keep that up. Don't work hard, use your brain. What? you believe is killing yourself slowly physically and ment...

Listen. I work acute and LTC and you know what? I've notice the habits of both types of nurses the past 14 years. That's 14 years! I know what I'm talking about it. What? you think I'm a post-dot.com nurse?

Hoo-ah! Are you motivated and dedicated? Army Reserves by-the-by. Graduated from good ol' Fort Sam ( Delta Company or Psycho Medics) back in the early 90s as a 91 Bravo. Currently a Whiskey Mike Six. Hoooooooo-ah!

Thank god my co-workers and I are one big family. We don't have crap issues like that at my hospitals and we watch each others back ( CNA'S, house keepers, kitchen, managers, visitors, licensed, docs, and so on.)

Of course! What do these "State" people think? We're super nurses. If you want to be perfect all the time, go get a home health job where you only have one patient to take care of. Better yet, work ICU.

Who cares! just do the best you can. What are you? a martyr?

Either way, 99% of nurses working LTC don't give a rats butt about assinine policies (this is the damn truth too). Here's one policy at my hospital: Never take medication from another resident to give to another resident. My take on this? whatever! i...

Uhh..yeah. I'm sure we're all going to go out and smoke every day, have a fracture, and leave our pills lying around (label that damn cups) without bothering to tell the replacement nurse what's in those pre-poured meds. Ummm.yeah

Damn right. Ever try assembling an AIDS patient's cocktail meds? Takes me like 5 minutes to get all those anti-viral meds ready along with their other meds (pain meds, psyche, vit, stool softners, appetite stimulants, etc).

Look, you're not in a acute setting( residents tend to be more stable), so it's cool. Just as long as you don't make major medicine errors, you're fine. Now, if the States around...

Well, my manager says that she attended an inservice warning nurses about cell phones screwing up IV pumps, but the telemetry thing was okay.

Well, Tylenol makes you sweat and wouldn't dehydration lower a pt's BP?

That's sad. I got closer to my fellow soldier LPN classmates towards the end of our 2 year practical nursing program. I guess it's different in the RN program with all the advance classes. I still see some of those fools at my unit once in a while. S...

]You forgot CNA's

This is precisely why I hesitate counting meds if I can and let the RN's count (I don't always get away with this). And if I take out controlled meds, I do it with licensed people in the med room with me.

Oh yeah? What meds were these? I hope one of them isn't Colace ordered Q.. ERR..every day.

Good one! :chuckle

Wow, times have changed haven't they? Actually, I've never witnessed a telecomputer going haywire over a cell call. I also heard that cell phones can screw up a Baxter IV pump.

And yet another one: Admissions and discharges! The Med Surg floor I worked in as an LVN, clerk, and CNA had discharges/admissions every shift (mostly days and some on PM). LTC? Our last admission was 3-4 months ago? Discharge? 1 resident a month ago...

Here's another difference between Acute and LTC. Doctors and interns. When was the last time you saw an "intern" write screwed up MD orders in LTC only to have him/her change them 5 minutes later driving the Unit Coodinator mad along with the LVN/RN?...

1) An old guy is just ONE Person. You work acute, a majority of the patients will be bugging you left and right (half of them are on PCA's already). And guess what? You'll be bugging the doctors too for pain orders 2) You're supposed to monitor them ...

0800 and 1000 ? Why can't you just passed them at 9?

Whoa! you think "Wandering" is ridiculous? My hospital is notorious for residents going AWOL. You try writing an incident report on that and calling their families.