Plagueis

Plagueis

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All Content by Plagueis

  1. BID Order Questions

    Plagueis replied to ShonaRN0522's topic in Patient Medications

    As meandragonbrett posted, 0.5 mg Haldol PRN BID was a bad order. It should have been more specific, such as every 8 or 12 hours, for instance. The MD should've been contacted for

  2. Uniforms and dress codes

    Plagueis replied to inkedRN's topic in General Nursing

    I work in LTC, and while we are required to wear scrubs, there is no specific colors/patterns that we have to abide by. My last employer gave us a uniform allowance, but my current one doesn't, and...

  3. can dieticians write physician order?

    Plagueis replied to Ms.RN's topic in General Nursing

    Dieticians where I work make recommendations, and the nurses inform the MD of the recommendations. If they are approved, the LPNs write out the orders. (I work in

  4. How many residents do you care for Per Shift?

    Plagueis replied to NCIANurse's topic in Geriatric, LTC

    I understand the rant, as I go through the same frustrations myself. Plus, I also have dining room duty to do. This takes about an hour, although rarely another nurse will split the time with me, but...

  5. family member and giving medical information

    Plagueis replied to Ms.RN's topic in Geriatric, LTC

    I've never seen any nurse actually do what you posted, but it's something that I think I should say in that situation. I know that some nurses may "know" the voice of the POA or HCP, but I don't, so I...

  6. How many residents do you care for Per Shift?

    Plagueis replied to NCIANurse's topic in Geriatric, LTC

    I'm a 3 to 11 LPN who has 30 residents to care for. (7 fingersticks and 3 G-tubes, included.) And yes, on top of passing meds and charting, I also do treatments, take off orders, fax labs, answer the...

  7. I feel like I am working at Walmart...The customer is always right!

    Plagueis replied to nlhnurse1982's topic in General Nursing

    I think part of the problem is referring to patients and residents as "customers." (Meaning, they are always right.) I also don't like the word "client,"

  8. How do you count liquid narcotics?

    Plagueis replied to Plagueis's topic in General Nursing

    Thanks to all of you who answered. I did see a bottle tonight when I was at work of a liquid narc that had measurements on the side of it. However, the lines went in 5 ml increments, but each dose of...

  9. How do you count liquid narcotics?

    Plagueis posted a topic in General Nursing

    I know that this may seem like an odd question, but this is something that wasn't covered in school, nor in orientation at my current job. I have heard of places that use unit dosing for liquids,...

  10. Incident Reports- VS six times, asking the same q's repeatedly

    Plagueis posted a topic in Geriatric, LTC

    Hi. At my workplace, we were given new incident report forms to fill out. These forms require the nurse to take vital signs six times: immediately after the incident in the supine, sitting and...

  11. Staying late to complete your work

    Plagueis replied to sunnycalifRN's topic in General Nursing

    Yes, I do stay late sometimes to finish charting, or some other type of paperwork. I'm a newer LPN, and I work in LTC. I don't stay late because of a lack of time management. I stay late sometimes...

  12. Can an LPN get a job as a CNA?

    Plagueis replied to Blackcat99's topic in General Nursing

    After I got my LPN license, I worked some shifts as a CNA at my job. Of course, I'm also currently certified as a CNA, and both expire in two years. (I'm in NJ.) I would be shocked if someone's...

  13. Feasible to get Thanksgiving and Christmas off as new RN?

    Plagueis replied to ATLbubbles's topic in General Nursing

    This year is the first time in 5 years that I've had both Thanksgiving and Christmas off. I'm off those days since I am a pool LPN. Where I worked as a CNA (the previous years), the nursing staff...

  14. Medication error

    Plagueis replied to vetvet13's topic in General Nursing

    Honestly, I have problems getting all meds passed within the 1-hour-before-1-hour-after window, and I "only" have 30 residents. If your residents have more than 3 pages of meds, fingersticks with...

  15. what do you think of this policy?

    Plagueis replied to Ms.RN's topic in Geriatric, LTC

    i was told by a couple of fellow nurses that their dons claim that if anything goes wrong from not sending a resident to the hospital, then the don will be held responsible, so the nurses who go along...

  16. what do you think of this policy?

    Plagueis replied to Ms.RN's topic in Geriatric, LTC

    What is the reasoning behind these type of policies? Is it that the facility gets charged each time a resident is sent out, so in order to save money, the DON is the final decider (in trying to reduce...

  17. Pt in meeting when time for meds/ and ID pt with no bands on

    Plagueis replied to AmericanChai's topic in General Nursing

    Well, my workplace doesn't allow us nurses to pass meds to residents in the dining room, or in physical therapy. If it's time for their meds, we have to get them from the dining room and bring them...

  18. New nurse looking for advice

    Plagueis replied to 1uvakindmom's topic in Geriatric, LTC

    No, you are not wrong. Nurses should not clock out and finish charting. You should be paid for your work. See the link below to see what the Department of Labor has to say about that, and other...

  19. Is This Discrimination?

    Plagueis replied to kemkem's topic in General Nursing

    Wow. Count me in among the others who cannot believe that a nursing home wouldn't allow employees to wear glasses (except the DON). I know that employers can make all sort of rules, but I cannot see...

  20. What happens if you find a med error on MAR/TAR?

    Plagueis posted a topic in Geriatric, LTC

    I'm asking this question because I'm learning how to do changeovers/recaps at the LTC I work at, and I'm a bit confused. I know that some newer orders can get left off the new month's MARS or TARS...

  21. Do you think this is fair compensation for orientation?

    Plagueis replied to lvnjden4ever, R.N.'s topic in General Nursing

    $30 for 6 hours of work means a wage of $5 per hour! That's less than the federal minimum wage, less than what CNAs earn around here in southern NJ (between $9 to $14 per hour), and considerably less...

  22. are you required to call DON first before calling MD?

    Plagueis replied to Ms.RN's topic in Geriatric, LTC

    My facility doesn't have this kind of policy, thank goodness. Of course, we don't have a charge nurse, manager, or supervisor on the 3 to 11 and 11 to 7 shifts, so it's really up to us LPNs to decide...

  23. $35.00/hr.!!

    Plagueis replied to Steffers's topic in LPN, LVN Corner

    Congratulations on your job and salary! You are blessed to have 16

  24. Incident Reports- VS six times, asking the same q's repeatedly

    Plagueis replied to Plagueis's topic in Geriatric, LTC

    Wow, a one-page incident report?! I can only dream of such a thing. The statement part of the report is different than before in that only the CNA assigned to the resident fills it out. It's mostly...

  25. Unreasonable family members in the nursing home?

    Plagueis replied to TreehuggerRN's topic in General Nursing

    It's frustrating to me when this happens, too. Especially when many nursing homes are short-staffed, and could use the help of a family member to feed. However, at the LTC facility where I'm at now,...