lmccrn62 MSN, RN

Pain, critical care, administration, med

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All Content by lmccrn62

  1. lmccrn62

    Adult Gerontology NP Exam

    I was looking to purchase the Barkley exam study guide and CDs used. If anyone is selling the 2014 version for a very reasonable price please contact me at [email protected] Thank
  2. lmccrn62

    NP in Nursing Home/SNF

    I am talking about nursing practice from the staff
  3. lmccrn62

    APN lisenced in PA can I work in NJ?

    You have to have a NJ APN
  4. lmccrn62

    NP in Nursing Home/SNF

    I work Monday -Friday. No weekends or holidays. I take call 2 week nights every week and one weekend a month. I do go to 2 other facilities but only as needed to help out. Biggest issue is that you...
  5. lmccrn62

    My LTC nightmare continues.......

    9. I hate when the residents want to go to the bathroom or be changed and they are ignored. Nurses don't do any ADLs and only the assigned aide will care for them. It's never anyone's job and staff...
  6. lmccrn62

    My LTC nightmare continues.......

    I am a Nurse Practitioner who works in a Nursing Home. My job is to decrease readmissions....what a joke. I spend half of my long day just trying to make sure my residents are not in danger. What is...
  7. lmccrn62

    Help with case studies

    He has ecchymosis to his eye? Does he have a head injury? Should you suspect that? What color is the urine? Is it
  8. I am having a hard time understanding your thinking. First you don't see any difference between the different RN degrees...but yet you would consider lying about having a BSN. I would strongly suggest...
  9. lmccrn62

    Evidence-Based Practice Paper Topic

    How about using trendelenberg in patients that are hypotensive. Or installing air to determine NGT
  10. lmccrn62

    Help me with compassion fatigue

    What type of unit do you work in? It is very frustrating when patients ring on the dot for pain meds. Better pain management would decrease those behaviors. Adding a long acting and using the q4h as...
  11. Really??? I have never heard of a NP program for non nurses. Got to do it the good old fashion way. We wonder why there are physicians that don't support the NP
  12. lmccrn62

    Fired for following orders

    As a PCT you need to know the scope of your practice with your training specific to the job you perform. I cannot imagine a nurse delegating that job and the nurse should be disciplined. But cannot...
  13. lmccrn62

    failed nursing school

    Never helps to lie. If you get caught whether now or down the road you will end up paying the price for lying. I agree you need to analyze your situation and what your issues are. If home is too much...
  14. lmccrn62

    RN LTC

    I am sorry but LTC needs better oversight and the same expectations as hospitals. Medicare expects facilities to reduce readmissions. How can that be when staffing is poor expects nurses to be...
  15. lmccrn62

    NP in Nursing Home/SNF

    I am an NP and work in a long term and subacute facility. I am employed by a MD but work full time. I see all his residents but respond to acute issues for any resident. I do a lot to decrease...
  16. lmccrn62

    Pain meds

    Why doesn't he have a PCA for his pain
  17. How about attitudes of healthcare providers in patients who are seeking pain relief in the
  18. I am the happiest I have been in years in my career. It took me a long time but no
  19. lmccrn62

    Piggy Back IV order with no fluid order?

    You can just give through IV tubing as an intermittent infusion without a KVO. Keep in mind that additional fluids in patients may be
  20. I am a APN in a subacute/LTC and have a administrator that thinks he is a expert in all aspects of clinical care despite being a non medical person. I have been advocating for a resident who I feel...
  21. Call the labor board they will investigate. If found this practice happens they can be fined and have to pay back
  22. lmccrn62

    Unrealistic expectations of nurses.

    I have been a nurse for 30 yrs. bedside, management and now as a NP. While I love being a nurse, it's not easy at any level. Our practice is dictated by HCAHPS, CMS, JC, DOH, insurance companies and...
  23. lmccrn62

    Pain Management in the ER

    Benadryl and phenegran are not used to treat pain. The literature shows that pain is very often under treated and certain ethnic back ground wait much longer than others to receive anything for their...
  24. We aren't expected to know everything. It's learning how to put it together. It comes with time. I would bring reference books to clinical so I could look things
  25. My guess would be that you are charting under that persons