aortas

aortas

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All Content by aortas

  1. I have a 3/4 sleeve of tattoos which often shows from under my scrub top...and various other tattoos (mostly unseen whole in scrubs). My hair is platinum blonde, I wear frames that tend to be on the...
  2. Charge nurse pay

    Yeap. Long term care and subacute
  3. Charge nurse pay

    And I am a LPN and often am the charge over longer employed LPNs, and RNs. Just sayin. Is anyone else in this
  4. Charge nurse pay

    Extra headache, no extra money, more responsibility, and a unit to myself (or two) if short!
  5. Comfort care med protocol?

    At my facility I often see a lot of "hospice" patients. Until the pt is formally admitted to hospice or even after they are...the hospice recommendations and recommended orders are just that. The...
  6. And! You have to try non pharm interventions. Maybe the pt just needs 1:1 or their nails painted or a couple more pillows...to maybe just hear someone is listening (take the 75 yo AA03 female who is...
  7. why nursing is a mess. three simple facts

    "Chillnurse". That is
  8. I'm not going to lie and sit here myself and say that when I am on a unit (or have to pick up an extra unit when short)...and find myself continually handing out prn narcs q3 q4 etc...that I don't get...
  9. Staph infection...abt tx..immune system shot to ****...cdiff + and then a patient
  10. Forgetting to waste meds

    Waste immediately with a second nurse and do not mess around without taking care to do this immediately. You will get in trouble. It's your
  11. Vanco Trough Advice

    Because USUALLY the next dose is held pending the results but NOT ALWAYS. I have also given the same ordered vanco after the level was drawn as ordered by the physican and then when the results were...
  12. Vanco Trough Advice

    Consult with the ordering physician and go from
  13. Patient who continually refuses her meds

    Try and communicate with the family and explain to them the issues you are having with the patient, maybe they can be of assistance and help you to gain understanding as to why the patient is...
  14. Advice for charge nurse ...Help

    What I have learned being the charge nurse is simply that confidence goes a long way and gets you very far. If you are confident in yourself you will be able to deal with whatever comes your way. It...
  15. State Surveyors

    State came in a couple weeks ago when I had the pleasure of being the charge nurse. When the surveyors showed up at 830a I was busy attending to a patient who was in respiratory distress. 911 and MICU...
  16. Doctors taking too long to call back...

    And in an emergency, exercise judgment. Sometimes you gotta be persistent .. And doctors may get mad but really what's them yelling at you for disturbing them..if you saved a life or prevented...
  17. Doctors taking too long to call back...

    Will text if non emergent, non critical, not a trough, If high or low but previous labs have indicated what a pt baseline is then I see from there. Doctors have specif stated"call me with mrs. X lab...
  18. Polypharmacy-When is it too much??

    Our pharmacy audits charts on long term pt qmonthly. Never seen any rec to d/c vitamins. Only reduce or taper anti anxiety, antidepressant, sleeping tabs, etc. out of my 28 long term patients, for a...
  19. Is your DON allowed to pass meds?

    in the four years i have worked at my facility i have never seen her pass meds.
  20. charting at night hellllp

    Hi, I'm a new LPN charge nurse at a subacute and long term care facility. At night we are required to chart on all patients in subacute and certain long term patients for the MDS look back and...
  21. ah! i have to find the motivation to get to the gym again. i just don't have it in me to go run after i work. too
  22. Weight loss as a new nurse

    personally for me, working nights and scurrying around everywhere and doing things fast and relying on not many people- and the anxieties are weight loss inducing for
  23. Lazy Staff

    my aides on nights are wonderful and really bust their butts. i am lucky to have such good ones. working other shifts though-day especially, there are problematic aides...hiding in rooms on cell...
  24. What is your current LPN salary

    central/western new jersey. brand new lpn. $25.00/hr + differential of $3.00/hr for working