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Dementia care, hospice
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JenLPN001 specializes in Dementia care, hospice.

Been an LPN since 1989. Gave it up for 12 years but now currently work in an Alzheimer's/Dementia facility

JenLPN001's Latest Activity

  1. JenLPN001

    What exactly is so bad about LTC??

    I have always worked LTC and I enjoy it. Yes it can be stressful and yes we're always understaffed but for the past 4 years I have worked for a family owned facility that specializes in Alzheimer's and other forms of dementia. It is challenging to say the least but also fun. We're all like family here and as a matter of fact, when my mom died last August, my administrator was right there with me. She stayed at the house until 3am and was wonderful. I got messages from the owners saying to take all the time off that I needed and that my job would be waiting when I was ready to return. The benefits here suck big time but no where else have I felt more appreciated and loved. Sometimes we just get lucky but the key is to never stop searching for that one place you know you belong.
  2. JenLPN001

    Stupid things that nurses say

    Had a resident once tell me to go to hell. Without thinking, replied "I'm already there"
  3. JenLPN001

    Stupid things that nurses say

    OMG I know that man!!!!!!!!! I kid you not, we've got a resident, very HOH, dementia, has pulled his cath out with balloon inflated so many times that he looks like a split hot dog (ok bad visual but anyway...) and that's what he says ALL the time and that's pretty much how we have to reply to him too. All I can think is.. he must have been great fun at dinner parties LOL
  4. JenLPN001

    New LVN looking for gadgets for new work

    I went over to Amazon and got a really good pulse ox for about $30. There are so many different companies and styles and I really haven't heard any negatives about reliability of any particular type. Believe it or not, you can get relatively inexpensive and pretty accurate bp cuffs at most drug stores. Our facility doesn't allow wrist cuffs because we have a lot of residents who bruise very easily and using a standard cuff on the bicep reduces the risk of bruising. Wow, just read what I typed and realized I probably didn't help all that much... but one thing I can tell you... keep ALL reciepts! Anything you buy for work, ink pens, shoes, scrubs, cuffs, even notebooks, is tax deductible... and you'd be amazed at how much you spend in a year's time!
  5. I started my first year of PN school during my last year of high school, through a vo-tech program. Had a pre-test which was basically just common sense and a bit of math, but then again, we're talking about back in 1987 so I'm sure things have changed quite a bit. Most schools will give you a practice test if you ask for it. Or talk to someone who has already been accepted to that particular program. A couple of the aides where I work are either in, or applying to, LPN programs and they were given practice tests by the schools. Good luck to you!
  6. JenLPN001

    How many LPN's had phlebotomy including in their course?

    I graduated LPN school in 1989, in Virginia. At that time, phlebotomoy could not be taught in the LPN program but we all took a course in it about a week after graduation. Believe it or not, haven't stuck a vein since.
  7. JenLPN001


    Hey, where are ya? Our facility can definitely use an experienced LPN! Several actually... Oh and after 30 years, who WOULDN'T be overwhelmed at times? Sheesh, seems to me there would have been some alternative that could have been figured out rather than termination.. that's just HARSH!
  8. JenLPN001

    LPN not taken serious

    I've gotten that same attitude from people for years. Had more than one family member say to me "are you an LPN or are you a REAL nurse?" AAARRRGGGHHHH!!! I decided to make fun of it though. See, obviously RN = Real Nurse, therefore LPN must = Learned Practically Nothing, right? LOL... seriously though, it is frustrating and insulting in more ways than one, to be dismissed by whomever simply because it doesn't say RN behind one's name. I guess I'm lucky because I work in a facility that doesn't have any RN's who work hands on. We have one on staff to sign the stuff us "lowly" little LPN's can't, but other than that, you never ever see her. Even our Administrator is an LPN.... pretty cool, huh? Maybe that's why I've been there longer than I have anywhere else LOL. Oh and to clarify, I am not now, nor will I ever, degrade RNs. I admire anyone who furthers their education and applaud them for it. What I do take issue with is the "I'm better than you are" mentality that some, mainly new grads, have. But that's another thread...............
  9. JenLPN001

    What happened to responsibility?

    I work in an Alzheimer's/Dementia facility. Every one of our 60 residents has some type of dementia diagnosis. We allow our residents to "age in place" so we have a very broad spectrum of cognitive ability represented. Our Administrator is an insomniac so it is nothing to see her come in at 3am to have some quiet time (yeah right) to work on paperwork. The other morning, she came in at 3 and found TWO of the night shift people asleep. One was even lying on a couch in one of the resident common areas. The Admin even took their pics, with flash, and neither stirred. She then woke them both up and told them to clock out and leave the property as their services were no longer required. Then boy did the excuses start flying. One even blamed it on menopause.....whatever. The thing that gets me is this... we've had this situation before, night shift caught sleeping... it's automatic termination. No ifs ands butts or maybes... GONE. I don't mean fired if you're sitting at the desk, pen in hand, nodding over a chart. No, that's different. That just gets you a nudge and a suggestion to get up and walk around. I mean about a year ago we had one curled up with a pillow and a blanket! These folks filed for unemployment... and GOT IT! They were approved because, according to the unemployment commission, simply "exercised bad judgement"... ummmm what? Bad judgement? We have residents who wander, and who get into everything, and can, at times, become agitated and overly aggressive and the aides who were sleeping were simply displaying "bad judgement"? Does this seem wrong to anyone else, or is it just me?
  10. JenLPN001

    Stupid things that nurses say

    "I told 2 squabbling 80 + yr olds to "GO to your room, if you can't get along". (I work LTC.) Then I remembered, not only was that probably NOT appropriate for me to say, but they are in the SAME room!! LOL" OMG did this one night last week!! Next thing I know, pillows and blankets are flying into the hallway! Had to stand between the two beds until both had changed into night clothes and were all tucked in... then told them each to stay on their own sides of the room and GO TO SLEEP! I swear, some nights it's like Romper Room on crack!
  11. JenLPN001

    Ever get the urge to release a horde of flying monkeys?

    This was my Facebook status yesterday.... Dear Friday, Please be nice to me. The rest of the week has made me want to scoop my eyeballs out with a melon baller. Sincerely, Me and dang it.... Friday didn't listen!!!!!!!!!!!!!!!!!!!!!!
  12. JenLPN001

    Is it possible.....

    Where I work we had a resident who had such bad urinary retention for so long that upon hospitalization, the top of his bladder was even with his navel. Had him come to our facility and he was constantly pulling on his cath and ended up pulling it out of place just enough to slow the flow but not totally block (advanced Alzheimer's) and when he was re-cathed, he had 1700cc of residual. Wouldn't have believed it if I hadn't seen it with my own eyes. Afterwards he said "I don't know what y'all did but I sure feel better." Gotta love 'em!
  13. JenLPN001

    Blame the weekend staff! It's fun!

    I work for a small, family owned Alzheimer's/dementia facility. We have our little fights between shifts, but nothing major. I think that even if you counted kitchen and housekeeping staff, we don't even have 50 people total. Our Administrator is also a nurse and more often than not you'll see her on the floor with the rest of us, giving meds, feeding during the meals, helping with transfers, etc. For the most part, we're all willing to help out when we can but one thing that really bugs me is hearing one of the people on my weekends say "Why don't the others help us on our weekends? They never come in when we ask, even if we beg." My answer is this... "when was the last time any of you helped out on THEIR weekend???" It's amazing how fast people disappear!
  14. JenLPN001

    Hospice and Full Code

    I've seen a few full codes on hospice at our facility. Usually it was because although the family is accepting that the resident is nearing end of life, they're not fully ready to totally let go. There's also a lot of guilt involved too. They feel that they're giving up by signing the DNR. Since our facility is all Alzheimer's and other dementias, it's usually pretty easy for us to talk about quality of life issues and help the families through the fact that the person they knew and loved their whole lives is already, in a way, gone. I find it a little easier to talk with families about hospice and DNRs and all because I just lost my mom to liver cancer last August and hospice made things a lot easier and helped us give mom her wish to die pain free and at home.
  15. JenLPN001

    How much of a raise did you get this year?

    Raise your hand if you had to look "raise" (this usage) up in the dictionary before replying to this thread
  16. Oh to run them down and feel that THUMP THUMP of the wheels going over top of their bodies.......................... oh sorry, was daydreaming there!! We've had a wife pound.. and I do mean POUND on the window of our nurse's station and that was the nicest thing she did during that particular temper tantrum. Our admin is super cool.. she looked the woman right in the eye and after chastising her for her more than juvenile behavior, she told the wife, in no uncertain terms, that if she was SOOO dissatisfied with the care he was recieving, she was more than happy to take her husband (who has Alzheimer's with major behavior issues, mainly aggression) home with her. She then got some empty boxes and told a couple of the CNAs to go help this lady pack up her husband's belongings. Boy, talk about an instant attitude adjustment!! Needless to say, the resident is still with us, and his wife is behaving better...... for the most part. What gets me is this... our facility is locked and all doors are alarmed. The front door can only be accessed by either an access code (which is NEVER given to family members) or by us pushing a button in the nurse's station. If there is no one at the front, there is a doorbell to press which sounds on the unit phones throughout the building. I was in the doorway of the station, trying to calm down a very upset resident who was crying uncontrolably about whatever the crisis of the day was. I saw another resident's family member come in. I established eye contact and gestured to her that yes, I saw her and I would be with her in just a sec. The woman proceeded to go and HIT THE DOORBELL!!!!!!!!!! I picked up the phone to silence the doorbell and, yes, I admit it, set it back down with more than a little sense of frustration. After I hit the button to let the woman in, she turned and said "Oh I didn't know you were busy"...... WHAT??????????????????????? Sheesh!!!!!!!!!!!