ComeTogether LPN

ComeTogether has 8 years experience as a LPN and specializes in Keeping my head above water.

ComeTogether's Latest Activity

1. 

   I'm gonna puke

   ComeTogether replied to ComeTogether's topic in Management

   Well, I am still standing and I've actually grown quite a bit. Can't say I'd have said yes going in if I knew then what I know now, but I also love what I do. Usually.
2. 

   Massachusetts salary ADON

   ComeTogether replied to Green-eyedNurse's topic in LTC Directors

   Well I would certainly hope so
3. 

   I’m in trouble with DSD at work and it’s killing me that I could be fired

   ComeTogether replied to uniteddemclub's topic in New Nurse

   THIS THIS THIS
4. 

   Double Briefing

   ComeTogether replied to CuriousCNA's topic in General Nursing

   Right. Im talking about the peeps on 80mg of Lasix who still get changed q2 or more but will literally float away if they don't have something to absorb when the floodgates open. Side by side, not one on top of the other. To be fair, it's pr...
5. 

   Need guidance from seasoned leaders

   ComeTogether replied to ComeTogether's topic in Geriatric

   You're missing the point. It's just one job. You just get an assistant to help you do the aspects of it that don't require a license. If there are enough CNAs, by all means - you do you. If you feel you should be better compensated for the work t...
6. 

   Need guidance from seasoned leaders

   ComeTogether replied to ComeTogether's topic in Geriatric

   THIS. It is the NURSE's job. ALL OF IT. The CNAs help with nursing tasks that don't require a license. Hence why nurses delegate and prioritize based on the needs of the unit at the time. I loathe the phrase "CNA work". Its ALL nursi...
7. 

   Need guidance from seasoned leaders

   ComeTogether replied to ComeTogether's topic in Geriatric

   She actually WAS fired about a year ago, then got a lawyer - corporate made us take her back because our attny said she'd win if she sued. Not enough of a paper trail (most of it happened prior to my role change) About a week after I wrote thi...
8. 

   Need guidance from seasoned leaders

   ComeTogether replied to ComeTogether's topic in Geriatric

   Last time I checked patient care was in the job description of a nurse. I'd never expect my nurses to forgo their primary responsibilities but I absolutely expect them to help when they have time, especially when it directly affects the outcome...
9. 

   Anyone encountered this before?

   ComeTogether replied to Della4's topic in General Nursing

   Right, but clarification order notes are cut and dry. Order clarification: melatonin 3mg P.O. at HS PRN etc. No need to elaborate or use the word error or anything else. Sure; you can - but in my experience it’s a bad idea.
10. 

    Need guidance from seasoned leaders

    ComeTogether posted a topic in Geriatric

    I manage a short term/mixed unit with an amazing team for the most part I have one problem nurse who just isn’t meant for this population. I can’t even get into how wrong this nurse is without getting red in the face my pri...
11. 

    Anyone encountered this before?

    ComeTogether replied to Della4's topic in General Nursing

    I think that you may be over documenting. You have to be really careful what you’re saying in a note - often times you don’t really need to say anything, or you just need to keep it very, very simple.
12. 

    The Staff RN’s Role in Nursing Homes

    ComeTogether replied to Queen Tiye's topic in LTC Directors

    The gods honest truth is absolutely nothing different is expected; all staff nurses at my workplace have the same job description as do the charge nurses. It isn’t until you get to the level of ADON/DON that there’s a difference in scope.
13. 

    Floor Staff Pre Pulling Medications

    ComeTogether replied to NurseEe1's topic in LTC Directors

    Cold day in hell before I administer anything I didn’t prepare or see prepared.
14. 

    Nurses notes on lab results ?

    ComeTogether replied to downsouthlaff's topic in Geriatric

    Less is more, for sure. The exception would be grossly abnormal results or other reasosn which are obvious to the reader “Critical hemoglobin of 5.3; NP notified - NNO” essentially means “when this patient goes out later via 911 you can’t...
15. 

    Arranging med cart chronologically?

    ComeTogether replied to AmandaBeaverhausen's topic in Geriatric

    I think a facility I did clinical at used this method. IDK; I guess it depends on how many meds they have all together. If it’s 30+ then, yeah - but I can see this being problematic ish.