neuron

I don't consider these places good places to work. If they have shady, unresponsive human resources departments (that the facility allows) what else is the place like. My experience is they are cold, indifferent places to work.

Maybe it's your location. Some areas graduates have jobs before they graduate.

I would brush it off, because someone has to take charge over the code. If it is a medical emergency, people have to move out of the way, get the equipment without thought to their own feelings. I simply would not care what the LPN said, the child needs immediate attention and that is what is important. To the non medical personnel (teacher), I would make it a point to say it was not meant to be harmful. Easy to criticize someone when you are not responsible for the code.

Did you sign a contract? If so how many years? Besides the baked in contract of having the BSN paid for, you have to sign a contract. Is this correct?

It must be very distressing to hear that. It's wrong all the way around. You have every right to let your employer know that this is not acceptable. He smokes MJ and abuses animals. Imagine what this guy would do to children. I would make a police report and never go back.

You're entitled to your PTO. Call in, only the amount where you don't need a doctors note if that matters, whatever your policy is, get your paid time off. It's their responsibility to get the shift covered especially if you have been treated so poorly. Just say you're not feeling well (because you really aren't), and call in.

A lot of the doctors in LTC probably 100+ patients and are affiliated with many different facilities. They aren't even involved with the patient and haven't seen the patient in months.

Somebody should have addressed the wound. Whichever nurse was assigned for wound care. It sounds like a practice issue and not an abuse issue.

In Texas I've seen in home health, guns just laying on the table when you go to a patients house. But in hospitals or any health facility that I'm aware of, there is a very clear sign outside the door that prohibits carrying a gun inside a facility.

This doesn't sound like the appropriate action to take, to take this patient to the nurse station, and undress a wound. Maybe the administrator or DON was unhappy because you didn't follow the chain of command, file an incident report, etc? Not sure if you called APS that day or after you received a response from your administrator. Not that the administrator is a nurse, but if there's a problem it seems that APS was not the correct agency to call.

Not only test taking, but meet with your instructors and identify why your thinking isn't aligning with the right answers on the tests.

Sounds like an unstable work environment. They are stable patients, but when 1 fall turns into 2, and 2 wounds to 3, a patient turns into a hospice patient, the work adds up. You still have to admit, call MDs, ensure code status and send via 911.

Identify where you are going wrong. I would fix that first before attempting again.

Have you tried dialysis, psych, LTAC, agency or home health? Either that or personal physicians office.

You HAVE to know this is wrong. You are a nurse and they don't teach this in your nursing curriculum. You selected everything but this statement on nursing exams I'm sure just so you could 'pass'. Besides, you're being paid to work at a facility, so this cheap shot should stay far from your disgruntled heart. Sometimes people are blinded by their circumstances. You might have to call in rather than work with the patient. You probably wouldn't say this aloud for someone to hear I would assume.

Actually in many other states, you do not need an I.V. certification as an LVN to do IV's. In Ca, you do need an I.V. cert. So CA is more limited. Also many RNs that I know, do not think they are superior to LVNs but the opportunities for RNs are many more.

Don't go back into the medical record. It is better to get a low grade for the clinical day, a low grade on the assignment, look stupid you didn't get your work done, assignment half done, whatever, than to violate HIPAA and get kicked out. Don't do it.

Same with some other foreigners.

Study how your instructors ask questions and then train your mind to think like that.

Did the doctor not get in the same trouble for changing the cause of death?

UPDATE: Hey guys. Just wanted to update, this is late but there are MANY reasons why. OK, so after reading the replies after posting, I felt it was best to give my two weeks. So I showed up to work, I ran in to a friend and she told me the Director of Nursing was threatening to report staff to the board. I had my notice in hand. Well I put it off. Wow, was that a mistake. Yet ANOTHER instance happened of the same magnitude, as the above situation. I feel like God was giving me clues. Nasty irresponsible coworkers. I quit the job and gave two weeks notice. I feel so free now, I don't have to worry about a code and having no support. Then having the DON or administrator throw me under the bus. I am now working at the other place, same work, just friendlier people and more support. Thanks for your input. I am so much happier out of that hell hole.

Another one is being short staffed and admin knowing your short staffed. These are the people behind the scenes above the administrator, pulling the strings, 'approving' if there could be extra staff or not.

I saw the word 'impervious' on a test before, heck I've never used that word and don't know anyone who has. I don't even think a doctor uses that word (in the clinical setting). I could be wrong, but there were MANY words such as this that we don't really use that can lower your score.

a city of 500-700,00 probably would be exciting. My current town is a little over 4000. I'd say go to this city as you can go shopping, there are many jobs. Heck if there's a Walmart, then that suffices ?

Interestingly, reading comprehension is usually my weakest area (with probably 20 words on a standardized test that I've never heard of), math and science are my highest. Although we have weaknesses, this doesn't make someone a bad or lazy student or bad nurse. The statement seem pretty crass. e.g. If I have to call for help changing someone's trach dressing, it's not that I don't know how to do it, I don't want to risk pulling the trach out since I don't have that much experience. With a few more tries, I will be proficient. And without hurting the patient. This is the same nursing attitude that doesn't allow for learning in a 'challenging, skilled, knowledgeable profession'.