lmccrn62 MSN, RN

lmccrn62 is a MSN, RN and specializes in Pain, critical care, administration, med.

Latest Activity

1. 

   Help! UTIs in LTC

   lmccrn62 replied to RNAndi's topic in General Nursing

   Educate physicians to decrease treating a urine culture deemed positive. If no fever or elevated serum WBC just increase po fluids and monitor. There is specific CDC criteria to diagnose a
2. 

   Reporting unsafe care

   lmccrn62 posted a topic in Geriatric, LTC

   Has anyone reported to the state unsafe care about a facility you work in? What did you report and did you do anonymously? Did any figure out you report? What types of things did you
3. 

   Thrown From the Tower!!

   lmccrn62 replied to pcaldea's topic in Patient, Colleague Relations

   I am sorry but you have a job and expectations of that job. Bosses don't care about your personal issues they are managing staff. If everyone was late for various reasons no one would show up. If you...
4. 

   Would you report possible diversion?

   lmccrn62 replied to Emergent's topic in General Nursing

   I have done it. The hardest thing to do but the right thing to
5. 

   Treating asymptomatic bacteriuria

   lmccrn62 replied to Hi2Jenn's topic in Nurse Practitioners, NP

   This is a daily occurrence in the facility I am in. I have them increase fluids and I may order some labs. I don't treat anyone for UTI unless they meet criteria. I do the same thing for URI unless...
6. 

   Need help!!! Long term care NP

   lmccrn62 posted a topic in Nurse Practitioners, NP

   I currently work as a NP in LTC. Since I have been there I noticed a very reactive environment versus proactive. I watch staff and administration put out fires everyday. Despite any recommendations to...
7. 

   Pregnant and asking pts to wear masks

   lmccrn62 replied to steffyh's topic in Nurse Practitioners, NP

   Really??? I would suggest taking leave till after you deliver. Working in a retail clinic I would think the majority of what you see are sick
8. 

   Med surg

   lmccrn62 replied to RNSSIP's topic in Pediatric

   Don't fret! Your first job will make you feel like a student....as you can't learn everything in nursing school. You will feel like this for the first year you work. That is expected and normal. Look...
9. 

   Working at SNF/LTC

   lmccrn62 replied to justjosy's topic in Nursing Career

   Are you a RN or LPN? I always thought its a good place to start. 1. Find out as much as you can about the facility. What is their reputation? 2. What will be your role? Long term or subacute. Nurse...
10. 

    Sitting for AANP boards

    lmccrn62 replied to yramasco's topic in Student Nurse Practitioner

    Best advice when taking the test. Is to answer the question they are asking! Don't read into it. I have done the Adult and the Adult Gerontology both AANP and passed both with little studying. You can...
11. 

    Unpaid orientation LTC

    lmccrn62 replied to Cwyan's topic in Geriatric, LTC

    Work is work. If they want you to work for free I would
12. 

    Nursing home NPs

    lmccrn62 posted a topic in Nurse Practitioners, NP

    I have a question for NPs in the nursing homes. Have you been asked to write orders for giving a resident a certain amount of fluids every shift? Let me start of by saying that this is because the...
13. 

    Need help with Nursing Diagnosis (cervical Spondylosis)

    lmccrn62 replied to koban4max81's topic in General Students

    You need to consider the medical, social, etc, diagnoses/problems to develop the nursing diagnoses. Students yes are learning so for them to be so fancy with their "own/diagnosis Its not that cut and...
14. 

    Need help with Nursing Diagnosis (cervical Spondylosis)

    lmccrn62 replied to koban4max81's topic in General Students

    Did you consider her other diagnoses? If the patient is having surgery that will be important. It always isn't the most obvious. Have to look at the whole patient. As your gain more experience you...
15. 

    Collaborative/Practice agreements

    lmccrn62 replied to skemick's topic in Nurse Practitioners, NP

    I would call the BON. I am pretty sure you need an agreement with each