LPN01112005

My employer has stated they will not pay over-time, but all that meant was that we were not to work a minute over. I refuse to work off the clock, and I have been paid time and a half for the few minutes I've had to work over in order to get the job ...

Gives PRN narcotics to residents who rarely/never c/o pain when other nurses are assigned to them Gives PRN's at every opportunity....say q4hr to residents that NEVER have to have them that often when others are caring for them Let's it be known to o...

Try to calm down. If you didn't take the meds, then you'll breeze through the investigation. Like a previous poster said, just because the pharmacy notified you, doesn't mean you are the suspect. They just have to notify and you happened to be the pe...

Although the first person to address the wounds should have been the admitting nurse, the fact that she or he didn't do it, does not let any subsequent nurse off the hook. I am the Wound Care Coordinator for a LTC facility. I would have written up ...

Actually, signing the MAR and TAR after the med pass and treatments IS the problem. If the nurses would sign the MAR and TAR as the give the meds and do the tx. then holes wouldn't even be an issue. At our facility, believe it or not, there are a fe...

At our facility, the med order goes on the MAR at the time the order is noted. Meds are taken from the Emergency drug box on each unit for the doses that will be due before the nightly pharmacy delivery. If the order is for a med not readily availabl...

There are opportunities for RN's in LTC other than being the medication nurse. So, once you've gotten the hang of LTC, you could move into another position such as ADON, Unit Manager or MDS Coordinator or Wound Coordinator. I went to LTC fresh out of...

Can an on-call nurse be forced to work as a CNA? My administrator is demanding that the on-call staff (I am part of the on call rotation) fill in as CNA's. This is not about me thinking I'm better than the CNA's, but the fact is, I'm not a CNA and ...

Ok, I did it. I worked as a CNA last evening/night with a resident load of 17 due to another unexpected CNA call out. I was also the supervisor on duty. I was able to get everyone changed, toileted and put to bed without any injuries to myself or t...

To be clear, I have worked in the hospital med surg unit. We were "total care", there were no CNA's, so the nurses did work as a team to provide all the care necessary to care for the patients. However, what I'm referring to here is a LTC setting wh...

Natural nails only and they must be trimmed. This is an infection control issue. Polish is ok as long as it isn't chipped.

I just took a job on a "Busy but Doable" Unit. HA HA HA. It is only doable if you skip meds that some nurses consider too time consuming like med pass, eye gtts, nasal spray, colace, propass and neb tx. I was actually oriented to my unit by an age...

This is just a case of the supply clerk falling down on the job and nobody stepping up to intervene. Have your clinical instructor "ask" the charge nurse on duty where she might find thermometer probe covers. This may be all it takes to have someon...

My experience has been a better base rate for LTC, but it is a harder more physically demanding job than the hospital. My hospital shift diff. was better than LTC's, but the base rate was a couple dollars less. All in all, it evened out to about th...

7 what? med omissions? I'm confused. You can't be effective with your med pass until you are using your MAR as you go along. Once you get the hang of your med pass, and have a routine going then you can skim over your MAR at the beginning of your s...

PN graduates cannot work as "graduate nurses" at my facility, and that may be true for any GA facility, I'm not sure. They do hire Graduate Nurse Techs who have graduated RN school and awaiting NCLEX, and they are basically buddying with a licensend...

Med errors are serious and you will continue to make them if you are doing med pass by a cheat sheet. You MUST use your MAR. It sounds to me like you just need to "start over" doing it the right way. Sure, it'll take a bit longer, but after a whil...

GA LPN here. I was certified through my hospital and I do my own IV pushes with the exception of some cardiac drugs that are normally only given in the Unit or on the Step down Unit. I receive certification pay so I'm not doing a job that I'm not g...

I may take some heat for saying this, but I've worked LTC before on nights with no RN charge and I wouldn't do it again for all the money in the world. I am now in the hospital working right along side RN's doing basically the same job (In GA LPN's ...

Hospital based LPN here. I am IV certified, so I do start my own IV's and push my own IV meds. Direct patient care wise, the three things I can't do is initial admission assessments, start and adjust heparin gtts, or spike blood products. I can and...

Here's my most recent experience: A fresh post-op (BKA), 2 Murphy gtts, a second day post hip replacement, and a 89 year old post fem-pop that took a sudden turn for the worse and died within 3 hours of the beginning of my shift. Between the frequent...

We are a 12 hour shift facility. There are very, very few nurses who work 5 8's. It's tiresome while I'm on my three days, but I do enjoy the 4 days off afterward. If I could find a facility that would let me work 5 8's in a row, I'd prefer it, bu...

I had a similar cheat sheet to ITsurvivor06 when I first worked LTC. It was a valuable tool to keep me organized. However, you MUST check your MAR's before each shift and have your MAR on your cart, or there will be a new med that you could miss. ...

Started out 11-7 in LTC. It wasn't bad, I enjoyed the work and I really enjoyed 11-7, BUT the schedule was killing me. We only got every third weekend off: Sat and Sun. Other weeks we got split days off, say Mon and Friday or Tues and Sat. Never ...

I work on a post surgical unit and we have no unlicensed personnel on our floor. In fact, there are very few in our facility...mostly in ED. Our usual patient load is 4-5. We do it all. We have RN's and LPN's on our floor and we do the same job. I...