lvn1972

So I'm a lvn working at a SNF for 8 months right out if school. New DON starting soon an the word at work is the are turning facility to all RN facility. Can they fire LVN because they are not an RN?? Has anyone heard of this happening?? Thx

It helps but what meds do u cover on ur weekly? Just antipsychotic, hypertensive, cardiac but what else? I have been including alot more and my charting is to in depth. I start with alert & oriented at baseline. No c/o pain or discomfort. Lungs Cta with no SOB, dyspnea, or cyanosis noted. Respirations even/unlabored. O2 sat 97% RA bs active 4 quads abd soft non tender with no distention noted. Last BM. Perrla. Hrr. Skin turgur good. Skin clean dry intact. Residents diet. Minimal asst with ambulation. Weekly meal consumption. All safety devices in place and working condition. ADL's toileting transferring and meals minimal asst. tolerating PO meds, fluids, and meals. Working with OT/pt towards goals call light within reach. Continue to monitor So is there anything I missed or can omit?? Thx

Does anyone have a sample of a weekly summary and what it consist of?

Well I have resident on 250ml/2.5hr ATB and we get trough and creatinine every 2 days and when Vanco came back 21.7 per pharmacy request we needed to hold to doses 1900 and 0700 and get a trough at 0630 prior to 2nd dose hold. If it was still over 20 then pharmacy advised q24h. But I was always told phar out trumps DR!

Question on Iv's with no certification: New grad with 2 months experience no IV cert. have 2 residents that require IV ATBs to be put on my shift. Does anyone know if I can put IV tubing together and prime line, then set flow rate, and then flush with normal saline before and after completion of ATB? Just wanting clarification since I'm new and terrible scared to lose my license! Thx for ur input! Ps sorry more info: both residents have PICC lines in so really nervous with no IV experience!