virmm1

I'm glad I found this forum. I've been an LPN for 13 years and I didn't know we could get certifications. I worked in a doctor's office where an LPN was allowed to work in the lab full time. I don't know if she got lab certifications or not. I was given plebotomy classes but never received a certificate that I remember. All I ever got in LTC were regular CEU's. At the last LTC I worked I was an overworked, over stressed med nurse.

Thanks for the info.

Good luck on your next boards. I think you'll do just fine. Welcome to the wonderful world of nursing. You will find that many times competent nurses are fired for trying to do right by their pts. As nurses we are taught to be pt advocates along with everything else we do for pts. Thank you for turning that med tech in for her blantant med administration no no's. I have nothing against med techs personally but it does make me nervous to know that they are taught to give meds but are not made to know the usual dosages, side effects, indications for the meds they are giving. If the responsiblilty was truly presented to them like it is presented to nurses I wonder how many would want to be med techs for what little extra money they get for .

We have a resident who was dxed w/ ALS last Oct. She is already in a w/c and wears O2 at night. She spends her days working jigsaw puzzles. I want to know if the stages of ALS have any peticular order of sx as it progresses or is it like MS in that sx can vary by pt. The information I'm finding gives the disease basics but not much else. Also I would appreciate any suggestions from those of you experienced w/ ALS on what this nurse can do to bring this pt as much joy and happiness as possible since she may not have long to live. Any ideas on what the family needs are of pts w/ this dz.

I breastfed my daughter until she got teeth and bit me. She slept w/ her dad and me until she was about 9-10 years old. She decided she wanted to sleep in her own room. Thankfully. She turned out ok. I am also 100 lbs overweight and smoke pk qd. Worked in a high stress doctors office. It finally got to be just too much. Enough was enough, I now work in a small LTC facility without the excess stress. Its the best LTC I have worked in. We have 45 beds. A short staffed night on 3-11 is 3 aides. The administrator started working 2 nurses on 7-3 +3-11 because it is to much work for one nurse when most of the shift is spent passing meds. I am now beginning to lose wt and will eventually quit smoking again.

Our residents get dried throughout the night. we have some 6am meds but there's very few meds given during 11-7. The accuchecks start on 7-3.and 11-7 doesn't get anyone up unless they want to get up. We recently got a new admit who likes to get up at 5Am. We have another rsd who likes to stay up late. She did this at home and is on her same schedule here. I like working at a place where the rsd aren't gotten up before the roosters and then sleep sitting in their chairs.

Our residents get dried throughout the night. we have some 6am meds but there's very few meds given during 11-7. The accuchecks start on 7-3.and 11-7 doesn't get anyone up unless they want to get up. We recently got a new admit who likes to get up at 5Am. We have another rsd who likes to stay up late. She did this at home and is on her same schedule here. I like working at a place where the rsd aren't gotten up before the roosters and then sleep sitting in their chairs.

HE will be getting a psyche consult very soon. Thanks for all the execellent advice. For the last couple of days I haven't heard of him hitting anyone. As for the dtr, our administrator had a little chat with her. She is much quieter when she comes in now.

HE will be getting a psyche consult very soon. Thanks for all the execellent advice. For the last couple of days I haven't heard of him hitting anyone. As for the dtr, our administrator had a little chat with her. She is much quieter when she comes in now.

Whats up with LTC management allowing staff to be abused by rsds. We recently got a new admit. What legal recourse do nurses and CNA's have when management keeps making excuses for agressive rsds? Man w/ dementia, WWII vet. He has been here less than 3 weeks and so far has smacked me in the face, punched an aide in the stomach, busted another aide's lip, and yesterday grabbed the LPN who was trying to feed him by the throat. Fortunately, his roomate has a sitter who had to pry the man's fingers from her throat. Our administrator thinks that maybe he is like this because someone hurt him in the past and hes afraid of being hurt again. This man also has a sue happy POA. Who bragged that she has filed a suit w/ another LTC facility in the area. Rsd is supposed to be transferred via lift. The other place didn't and dropped him and thats why she is suing them. Yesterday she wanted the two aides who were getting him out of bed to manually lift him instead of using the hoyer. Didn't happen. She the dtr slapped his arm hard enough to make a slapping sound and told our aides that they needed to get agressive w/ him. But yet wanted to know why they were holding his hands so he couldn't hit them. Told them to let go to see what happened. She also told them that they were bringing the abuse on themselves and that he wasn't like this at the last facility, Funny , thats not what the notes from that facility say. One of the aides told her that she wasn't going to get agressive w/ him ,that it is abuse. I had the aides write the incident up and turned it into the DON. I think this POA is trying to set us up for a lawsuit. I was also told she told her mother to "shut up" when they were in visiting dad. This person is a CNA. If this is how she treats her parents I wonder how she treats other rsds. We are a small facility and he is the only one we have like this so far. Our administrator and Don are trying to make concessons so this rsd will maybe settle down. I would hate to see him removed from the facility because we have some of the BEST CNAs I have ever worked with. and they take good care of the rsds and treat them with respect. He would possiabily be abused somewhere else. I didn't mean to ramble on but I needed to get this off my chest.

Congradulations!! Its nice to know that justice prevails at times. Please take that ball and run with it. The CNAs deserve an unemployment check too.

It sounds like you need to do some housecleaning. Can you start documenting the incidents of insobordination and then hire more aides before getting rid of the insobordinate ones? As a DON there's no sense in you putting up with this type of behavior.

The healthcare corp I used to work for has a non profit hospital as well as for profit office practices. The head man gets a 6 figure salary. We were always told tht capital was tight and tht our practice was not making any profits while we were forced to do more with less. In the meantime the corp eats up every private doc office it can and continues to build on to the non profit hosp and build other new facilities too. In this case, I think the hosp needs to be taxed. If the office practices weren't making profits then the building money had to come from somewhere.

I learn something new everytime I visit this site.

I'm thinking that if the med in the vial is 250mg ,its 250mg regardless of how many mls the mixed volumn is. I'm also thinking that if mixed volumn is more than than 1ml you'd have to give the whole amount to equal the 250mg. It seems that by ending up w/ greater than 1 ml after mixing would mean that the mgs would be diluted. I'm thinking about Rocephin, once mixed its 2.1mls that is given to get the total mg dosage.