lpn1313

lpn1313

Skilled nursing@ LTC

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All Content by lpn1313

  1. It's Eval Time!! Why we're unable to score all "excellent" ratings

    lpn1313 replied to UM Review RN's topic in General Nursing

    I recently was given an evaluation that was prefaced with "I had you rated as 'excellent' but I had to change it because we are only allowed to have a certain number of 'excellent' evals in the...

  2. Sending Patients to the Hospital

    lpn1313 replied to *Pepper*'s topic in Geriatric, LTC

    If someone falls at my facility, both the lpn and rn assess before moving resident. If they have no s/s of injury, up they go. If then they c/o pain unable to wt. bear, out they go. If they hit...

  3. Poll: What size angiocath do you usually use to start an IV?

    lpn1313 replied to mikethern's topic in General Nursing

    I usually get 22 or 24, only because by the time I'm doing an IV, these little old folks have really itty bitty dehydrated veins that go BOOM if anything larger goes in. I also prefer the shortest...

  4. things you wish you could tell the doctor

    lpn1313 replied to celery's topic in General Nursing

    I'm not sure what to do. What do you think? "I'm flattered that you respect my opinion, but you went to Med school, YOU make the decision. I'm not licinsed to perscribe." Were you the one who let...

  5. Nursing Home Rehab Units

    lpn1313 replied to TheCommuter's topic in Geriatric, LTC

    Wow, I guess I'm lucky. I work on a 27 bed rehab at a LTC facility. 4 of those beds are stable long term patients. I have a second nurse that works 9-5 ( I work 7-7). At least 2-3 STNA's and an...

  6. Chole with a t-tube?

    lpn1313 posted a topic in General Nursing

    Just a quick question. On the rehab unit I work, we have two patients with recent choles that both have t-tubes. Is this normal? I don't remember seeing this before, but it's been a while since...

  7. Need help with abbreviations!

    lpn1313 replied to Luvelyone's topic in General Nursing

    PACU=post anesthesia care

  8. Textbook of Nursing-1902!!!!

    lpn1313 replied to zumalong's topic in General Nursing

    Common sense:uhoh3: , I think I'm in trouble I've been called many things- even tempered is not one of them! . YES! I'm convinced that you have to be able to hold and use at least 10 things at...

  9. Meds...Where to Start

    lpn1313 replied to msdobson's topic in LPN, LVN Corner

    For now, start with drug classifications. For example antihypertensives, antidepressants, antibiotics. And my personal favorite, anti anxiety(please pass the ativan...thank you.) Those are the big...

  10. my paper on my patient...can someone help me with it?

    lpn1313 replied to Janinern84's topic in Nursing Student Assistance

    Is this a good assessment? Mr. P was admitted to Heartland of Mentor on because I discovered from documentation in the chart that he was there for therapy due to a recent CVA. He was transferred from...

  11. Frustrated (Rant)

    lpn1313 replied to nursesaideBen's topic in LPN, LVN Students

    Ben, you're crazy. Enjoy it while you can because they'll soon be shoving so many facts into your head it'll be spinning. :chuckle Seriously, if you're feeling unchallenged, there's no problem with...

  12. Foley caths as g tubes

    lpn1313 posted a topic in Geriatric, LTC

    Okay here's the problem. "Annie" removeed her peg tube a few days ago. The doc said that we should just use a foley cath as a g tube. No problem, it's less traumatic if she pulls it out again. Our...

  13. ok to use names in charting?

    lpn1313 replied to liswbbrn's topic in General Nursing

    I was taught never to use the name of a staff member in charting. Using a name opens that person up to legal action if (heaven forbid) something were to happen to that

  14. 12N Sleeping During Break

    lpn1313 replied to MEDRQST's topic in Patient Safety Issues

    Not only are your 30 minute unpaid lunches your own, but (and I'm quoting management here) "If you choose to sleep on your lunch, take your pillows and blankets down to laundry when you're going back...

  15. Foley caths as g tubes

    lpn1313 replied to lpn1313's topic in Geriatric, LTC

    Do those need to be surgically placed or can they be inserted at the

  16. your very own personal crusade

    lpn1313 replied to goats'r'us's topic in General Nursing

    I have to agree with all of these- adults use depends and clothing protectors not diapers and bibs. Shave your men...but don't forget the women! Some of them don't like wearing a goatee. Clean the...

  17. Most common LTC meds - help with a list please:)

    lpn1313 replied to MamaCheese's topic in Geriatric, LTC

    Lisinopril, lopressor, glucophage, cardizem, avandia, risperdal, zoloft, trazadone, and of course- everyone's favorite drug ATIVAN

  18. New Meaning for LPN and RN (not a debate)

    lpn1313 replied to NurCrystal22's topic in LPN to RN

    I'm proud to be a "Little Pretty Nurse"

  19. Did I jump the gun?

    lpn1313 replied to estrogen's topic in Geriatric, LTC

    Absolutely you did the right thing! You had a fall with both a head injury and a hip injury. If that happened where I work, the patient would be 911'd out the door as fast as possible. And since...

  20. sacral wound dressing help

    lpn1313 replied to lpn1313's topic in Wound, Ostomy, Continence

    It's about 3.5 cm round, stage 2 about .3 cm depth. We've got some new tissue growth around the edges, but the center has developed an area of black eschar. The idea of a collection bag has been...

  21. Irritating residents

    lpn1313 replied to night owl's topic in Geriatric, LTC

    I have a resident that refers to every staff member as her servant. "You are here to serve me" has got to be her favorite line. Her second favorite... " I don't know why I'm here, this place is...

  22. Calling the coroner when hospice patients die?

    lpn1313 replied to Blackcat99's topic in Hospice, Palliative

    The only reasons we call the coroner: 1. The resident is in the facility less than 24 hours 2. There has been a fracture within the last year. I have had to call the coroner for a hospice patient,...

  23. Do your on-call nurses come in if short?

    lpn1313 replied to Shell5's topic in Geriatric, LTC

    Doesn't that mean when one nurse says to the supervisor "You better go on call the floor nurse and ask her to stay over!" :chuckle No, we don't have on calls, usually the nurse on the floor gets the...

  24. What's Your Best Nursing Ghost Story?

    lpn1313 replied to steffck's topic in General Nursing

    We have a gentleman that we call the inspector. He appears at the end of the long hall (our wings are L shaped). He carries a clipboard in his hand. When he shows up a resident usually dies within...

  25. Problem with doc/ dying patient-kinda long

    lpn1313 posted a topic in Geriatric, LTC

    Well, here's the situation: Resident is mottled to groin on one leg, to the upper thigh an the other- for three days. Nonresponsive, bp down, apical high, resps in the 30's with O2 on, no po intake...