JoyfulNurseLPN

JoyfulNurseLPN

Utilization Review / Geriatrics

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All Content by JoyfulNurseLPN

  1. First job and I am in total shock!

    JoyfulNurseLPN replied to visionsbydean's topic in Patient Safety Issues

    Wow, there are all sorts of major problems here. First off, any catheter inserted not using sterile technique is a major risk factor for a nosocomial infection. SHOVING it in is also another big...

  2. The Slow Code: Justified?

    JoyfulNurseLPN replied to TheCommuter's topic in Patient Safety Issues

    heh, I jumped in really late as I've just discovered this message board, so I responded really late to the OP. I also agree, an informed decision made by a patient to be a DNR should never be gone...

  3. The Slow Code: Justified?

    JoyfulNurseLPN replied to TheCommuter's topic in Patient Safety Issues

    Oh, I absolutely agree with you Commuter. Some people think it's a dignity issue to allow someone to die peacefully where death is obviously imminent, I agree to an extent but I don't agree with...

  4. The Slow Code: Justified?

    JoyfulNurseLPN replied to TheCommuter's topic in Patient Safety Issues

    To quote the article "This clinically dead man was a full code, yet the multiple people in the room were moving with a disturbingly unhurried pace.", "A nurse with more than 20 years of experience...

  5. The Slow Code: Justified?

    JoyfulNurseLPN replied to TheCommuter's topic in Patient Safety Issues

    This article gave me chills. I have heard about ''slow codes'' before but I wrongfully assumed they were some sort of urban legend or medical myth that had existed for eons but weren't really part of...

  6. 5 months snd still haven't takin boards

    JoyfulNurseLPN replied to Nikki0727's topic in NCLEX Exam, Programs

    Hahah is your birthday 07/27? If so, mine is too! That's cool! Hope it all works out for you - remember, you got this test. You know all the info, now is just the time to go show you know it....

  7. What are your thoughts on patients who request no male nurses taking care of them?

    JoyfulNurseLPN replied to Mike A. Fungin RN's topic in Men in Nursing

    Personally I think it's best to honor the patients wishes and move on. I've had men request male caregivers, men request female caregivers, female request male caregivers and females request female...

  8. Fun answers you can use for the dumb questions we get...

    JoyfulNurseLPN replied to tenjuna's topic in Men in Nursing

    Yeah. It still happens, in response to Brandon. I used to have female and male patients refuse me to do their cares and ADL's as an aide, and when I got my license staff sometimes referred to me as...

  9. Help! I'm trying to understand this med test for employment

    JoyfulNurseLPN replied to tempestxoxo's topic in LPN, LVN Corner

    Hey Tempest, good luck on your test - I know you'll pass, they can seem intimidating but remember you've done this all before in school. First, ''General safe medication practice: management of...

  10. my first med pass

    JoyfulNurseLPN replied to trunel's topic in LPN, LVN Corner

    I was very slow at first too. You will get better as you know the meds better for each patient, but don't rely on your memory. Some patients get new meds every day. It's better to be safe than...

  11. 5 months snd still haven't takin boards

    JoyfulNurseLPN replied to Nikki0727's topic in NCLEX Exam, Programs

    As far as lab values I would study the all of the normal values for the electrolytes, red and white blood cells, liver enzymes, BUN, CRIT, vitamins (b12, D). Those seem like the ones that pop up...

  12. LVNs in California - reading PPDs?

    JoyfulNurseLPN replied to LVNmommy29's topic in LPN, LVN Corner

    I guess it depends on the protocol of the facility. Some say >5mm induration might warrant further workup. Here in NYS, an LPN cannot ''assess'' a PPD, it has to be done by an RN, although...

  13. New nurse!! Please help!!

    JoyfulNurseLPN replied to horsewildfire's topic in LPN, LVN Corner

    You absolutely can do it. I was a charge nurse who had to do 'double units' (responsible for 70 patients). That included assignments, treatments, meds for both units, mealtimes for both units in...

  14. Orienting As Charge Nurse Tomorrow Morning... I'm Freaking Out!

    JoyfulNurseLPN replied to CaliCatLVN's topic in LPN, LVN Corner

    Addendum; Any new orders coming need to be checked, double checked and verified by your precepting nurse. Transcribe them, notify the med nurse of the change and call the order into the pharmacy...

  15. Orienting As Charge Nurse Tomorrow Morning... I'm Freaking Out!

    JoyfulNurseLPN replied to CaliCatLVN's topic in LPN, LVN Corner

    Hey CaliCat, I too was oriented to charge days after my graduation, actually before I took my boards. I have to say I too was nervous and didn't think I would do well, but when I got there and met...

  16. Feeling a little overwhelmed....

    JoyfulNurseLPN replied to seanynjboy's topic in LPN, LVN Corner

    Sounds like you are doing just fine to me.

  17. Tired of being treated like we are less than a nurse because we are not RNs!!

    JoyfulNurseLPN replied to misscutiecute2010's topic in LPN, LVN Corner

    It used to really drive me crazy too. I've been told by many different people (nurses and non-nurses alike) that I was not a ''real'' nurse, and that I was a ''glorified aide''. It really used to...

  18. 5 months snd still haven't takin boards

    JoyfulNurseLPN replied to Nikki0727's topic in NCLEX Exam, Programs

    Hey Nikki, I too was really anxious about taking the test. I had heard that some of my fellow students had failed on their first attempt. I decided to just sign up with Pearson Vue and then...

  19. "bad" evaluations given by students of faculty

    JoyfulNurseLPN replied to goingback's topic in Nursing Educators, Faculty

    I agree with Whispera, that if it's a few students leaving negative feedback about your performance as an instructor it should be taken with a grain of salt. However, if you're noticing or have been...

  20. LPN returning to RN school (bridge) after 10 years, need advice!

    JoyfulNurseLPN posted a topic in General Students

    Hi All! I recently enrolled in the local community college's LPN-RN bridge program and was accepted. I have to satisfy pre-req's before I can complete the last two RN semesters. I have a moderate...

  21. LPN returning to RN school (bridge) after 10 years, need advice!

    JoyfulNurseLPN replied to JoyfulNurseLPN's topic in General Students

    Classic - Thank you so much for your insight! I've decided I'll cross those bridges when I come to them and try to take things slow, reminding myself to take one day at a time. I know I can do...

  22. Win CASH! 12th Nursing Caption Contest - $100

    JoyfulNurseLPN replied to Joe V's topic in News, Announcements

    Alright! What's this funny business I've been hearing about smallpox