downsouthlaff

downsouthlaff LPN

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All Content by downsouthlaff

  1. LPN supervising RNs

    downsouthlaff replied to RN UNDER DOG's topic in General Nursing

    Interesting question. The answer is yes and no. Say for instance at an LTC facility. A nursing facility administrator would count as being a unlicensed person in the world of nursing practice. But in...

  2. 2024 CMS mandates. How will southern rural LTC facilities ever survive?

    downsouthlaff posted a topic in LPN, LVN Corner

    Im sure by now most nurses in LTC have heard the new CMS mandates set forth by the biden administration. Setting forth new minimal federal staffing requirements for all nursing homes. These proposed...

  3. LTC RN Supervisor

    downsouthlaff replied to nursingstudentwannabe's topic in Geriatric, LTC

    Not a problem at all! You sound like the kind of nurse who would take the input and do well. But yes indeed. LPNs are usually the direct care staff nurses in LTC. Doing the assessments, notifying the...

  4. LTC RN Supervisor

    downsouthlaff replied to nursingstudentwannabe's topic in Geriatric, LTC

    Experienced LPN here in the LTC realm. Yes this is typically how LTC facilities are staffed. CMS only requires an RN be present eight hours a day seven days a week. A weekend RN supervisor covers this...

  5. LPN/LVN Nursing Home Floor Nurses? RN Charge Nurse?

    downsouthlaff posted a topic in LPN, LVN Corner

    Hi everyone. I work in a nursing home/SNF where we LPNs are the only Nurses present in the facility on 3pm-11pm and 11pm-7am as the RN/DON works 8a-4p. As LPNs we complete all the admits, body audits,...

  6. The real difference between LPNs and RNs. Not what you think.

    downsouthlaff posted a topic in LPN, LVN Corner

    You once considered a career a nursing. You browsed the web, looking for different types of nursing education. And then comes the big question, what is the difference between an RN and LPN. On some...

  7. Nurses notes on lab results ?

    downsouthlaff posted a topic in Geriatric, LTC

    I am an LTC nurse. I’ve practiced as an LPN in LTC my whole 8 year career as a licensed nurse. I recently started at another facility with young floor nurses, a young ADON, and we share a different...

  8. It’s time for the internet and the NCLEX to do better when describing LPNs

    downsouthlaff posted a topic in LPN, LVN Corner

    Do a career search on the internet regarding what a Licensed Practical Nurse does. You’ll find something along the lines of Then on the flip side pull information from any NCLEX RN review...

  9. Nursing Home NA nightmare

    downsouthlaff replied to PunkinNoir's topic in LPN, LVN Corner

    Sorry your going through it. Sad reality is that short staffing in healthcare has caused many employers to trend toward a much more lenient approach. These are not guranteed methods but I’ll give...

  10. New DON

    downsouthlaff replied to bbrown74's topic in Geriatric, LTC

    Hi, let me just start off by saying welcome to LTC. Although I am an LPN and have never been a DON, I have been working in LTC for 11 years. I’ve been an Asst. in the Activity Department, a CNA,...

  11. How to deal with workplace Drama/Gossip?

    downsouthlaff replied to Convoy2022_TrumpSupporter's topic in General Nursing

    I’m a Work in an LTC facility and you don’t imagine the drama between staff members even in this kind of setting. People are just so entertained by other people’s lives and nothing is gonna...

  12. To what degree is the RN responsible for LPN errors

    downsouthlaff posted a topic in LPN, LVN Corner

    I've been an LPN at the same long term care facility since graduating nursing school in 2014. The facility recently hired a new grad RN to supervise and do wound care on weekends. As a new grad RN she...

  13. Do Dept head meetings violate patient privacy ?

    downsouthlaff posted a topic in Geriatric, LTC

    The practice at many nursing homes if not all, involve some type of daily meeting where the Administrator meets in private with department coordinators at the facility, (DON, SSD, Activity Director,...

  14. New grad, 52 residents, anxiety through the roof

    downsouthlaff replied to BobbyDigitalis's topic in LPN, LVN Corner

    OK first breathe ! This is what you need to do and what helped me tremendously as a new nurse in LTC. One, realize that LTC is very hard. Until you have the advantage of knowing the routine to a T....

  15. NCLEX LPN

    downsouthlaff replied to Folashade's topic in LPN, LVN Corner

    Congratulations and welcome to nursing. NCLEX PN is a nerve wracking test. It really makes you put your critical thinking cap on. The PVT used to be spot on, now we know it’s lost some

  16. Active RN license working as an LPN

    downsouthlaff replied to Anon143's topic in General Nursing

    You’ve have my complete aggreance! LPN and RN practice isn’t the same. I agree that we had beat this one to death but I want you to know that completely agree with you on that. Law is law Even if...

  17. Weekend Staffing

    downsouthlaff replied to teacher91's topic in Geriatric, LTC

    The best for our facility when we had this problem was 12 hour rotations. It worked well for our nursing home. 6a-6p and 6p-6a nurses rotate between working a M,T,F,S,Sone week and then only working...

  18. Do Dept head meetings violate patient privacy ?

    downsouthlaff replied to downsouthlaff's topic in Geriatric, LTC

    I agree entirely. One of my pet peeves as a CNA for a couple years also. We were told that they can only know the type of precautions pertinent to the disease, but not the disease itself. I also think...

  19. Active RN license working as an LPN

    downsouthlaff replied to Anon143's topic in General Nursing

  20. Active RN license working as an LPN

    downsouthlaff replied to Anon143's topic in General Nursing

    I think that you have completely lost me here and do not understand what point I am trying to make here. Yes the RN maintains responsibility for the nursing process. I understand that and I’m not...

  21. LPN to social worker?

    downsouthlaff replied to Xyz123's topic in LPN, LVN Corner

    This is not uncommon, despite what other posters have said here you are more than qualified. Surprisingly, state regs for nursing home (Social Service Directors) are very loose. Especially if the...

  22. LPN role on a medical surgical unit?

    downsouthlaff replied to jakrob123's topic in LPN, LVN Corner

    It entirely depends on the hospital. I’ve seen small med surg hospitals use LPNs as primary nurses for about 6 or 7 stable patients who the only time the Charge RN was called was when a push was...

  23. Active RN license working as an LPN

    downsouthlaff replied to Anon143's topic in General Nursing

    Hanabanna, you also say that only an RN can assess, analyze, and interpret, and formulate a nursing diagnosis, but your statement is inaccurate. While in every state the RN must coordinate and review...

  24. Active RN license working as an LPN

    downsouthlaff replied to Anon143's topic in General Nursing

    Hanabannana, first of all you should know that every state the LVN/LPN is giving a different level of responsibility. In some states LPNs can push IV meds, hang blood, perform assessments in others...

  25. Do Dept head meetings violate patient privacy ?

    downsouthlaff replied to downsouthlaff's topic in Geriatric, LTC

    Sounds great in theory. In my brief stent as MDS coordinator we also had a nursing staff meeting after the initial dept head meeting but somehow, they still brought up clinical