lpn1313

lpn1313

Skilled nursing@ LTC

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All Content by lpn1313

  1. sacral wound dressing help

    lpn1313 posted a topic in Wound, Ostomy, Continence

    I have a pt. who has a pressure ulcer perhaps 3-5 mm above the orifice. Anyone have suggestions as to how we can place a dressing here without it becoming full of stool? Pt. is inc. of both bowel and...

  2. Drainage help

    lpn1313 posted a topic in General Nursing

    Need help with a situation here. I have a pt who is draining copious amounts of serous fluid from his arm. The problem is, we can't seem to find anything that will conatin the drainage. Right now...

  3. Drainage help

    lpn1313 replied to lpn1313's topic in General Nursing

    Thanks for the suggestions. Unfortunately, there is no open area that's draining, it's all just seeping out of his pores. I took the maxipad idea and modified it since i didn't think this fellow...

  4. you know you are in for trouble when.....

    lpn1313 replied to ktwlpn's topic in General Nursing

    When their paperwork looks bad, they roll in looking worse, and there's no DNR form in sight. (Back to the hospital with you) When said patient is assigned to the one doc who's notorious for not...

  5. you know you are in for trouble when.....

    lpn1313 replied to ktwlpn's topic in General Nursing

    You try to do initial assessment and ask family to step out of room. "No, I think I'll stay and watch." EEWW. Husband/daughter/son/PIA tells you "They can only swallow one pill at a time, and can't...

  6. meeting with the hospital attorney next week

    lpn1313 replied to tavalon's topic in Ob/Gyn

    I would say

  7. What things do your family members do that drive the nurse in you nuts?

    lpn1313 replied to blondy2061h's topic in General Nursing

    THEM: Your grandmother went in for another 2 units of blood ME: Why? What's causing her to loose blood? THEM: I don't know. The doctor just said she needed them. I realize that gramma's 92, but if...

  8. Kitty litter as an order

    lpn1313 replied to ShayRN's topic in General Nursing

    I've seen brewed coffee grounds used before. That helps

  9. Med cart challenges

    lpn1313 replied to Quailfeathers's topic in General Nursing

    I am such a med cart neat freak that I couldn't even start working on a cart like that without reorganizing it! I agree with NurseKatie08, take the time to organize it. It may put you a bit behind,...

  10. nonsterile gloves to do wet-dry packing? This according to a doc!

    lpn1313 replied to chenoaspirit's topic in General Nursing

    I'm with the clean glove club. Although I'd be a little more concerned about the doc that orders wet to dry dressing changes- But then I've never had a doc that does dressing

  11. How Many Staff Nurses Have Internet Access?

    lpn1313 replied to rninformatics's topic in Nursing Informatics

    I'm in LTC, and we were just given computer access about 3 months ago. There are restrictions on site access, and big brother corporate can track who goes where. We usually use google or ask for...

  12. end of month changeover-

    lpn1313 posted a topic in General Nursing

    After having just finished possibly the longest chaneover thus far for me, I have a questions. Anybody use an in house computer based MAR? Our pharmacy offers emars, but also uses the scanner...

  13. Alcoholism: disease or choice?

    lpn1313 replied to HonestRN's topic in Addictions

    Disease. Sit through a few AA meetings and tell me that anyone would choose that way of life. Congrats to all who have managed to stay sober, one day at a time. I don't know if I would have the...

  14. Phsycian Refusal to write med orders

    lpn1313 replied to Luv Nursing's topic in LTC: Directors, Assistant

    Tell him he's not writing orders for the LTC. All hospital orders must be verified by the LTC doc taking over the care of the resident. They write the orders, not him. They also can and do change...

  15. Just one persons opinion

    lpn1313 replied to dauschundlover's topic in General Nursing

    My favorite go-to person has been a nurse for 30+ years. I'd never want to lose all that valuable experience! Just because we have a newer way of doing things doesn't mean it's

  16. Just for fun :Ideal LTC

    lpn1313 replied to hippylady7211's topic in Geriatric, LTC

    I never want to hear 'That's not in the budget' when I ask for something that will help my residents. I want incontinent briefs that don't make the wearer have bubble butt. I want families that come...

  17. Found something intersting.

    lpn1313 replied to StrwbryblndRN's topic in General Nursing

    I've seen that show- it makes me feel like my house isn't that bad after all. Never had a problem eating and watching at the same time,

  18. Fire!

    lpn1313 replied to nightmare's topic in Geriatric, LTC

    WE evacuate above, below, and next to fire location. Then we sit behind the eight hour fire proof doors for the fire dept. to get there from down the street. Probably the only thing the builders did...

  19. The Names are changing

    lpn1313 replied to egglady's topic in Geriatric, LTC

    Marys and Anns here. But then we have a large catholic population, so those names are always

  20. Would working for Hospice help me?

    lpn1313 replied to TashaLPN2006RN2012's topic in Online Distance Learning

    Tasha- There's no reason why you couldn't go into the hospitals to work. I know that up here in NE Ohio lpn's are still working in the hospitals. If you want something that will help with putting...

  21. I'm gonna sue you

    lpn1313 replied to jessiern's topic in General Nursing

    Our patients favorite line lately seems to be "I'm going to call administration." I guess they don't realize that we document every threat that comes out of their AxO mouths. It doesn't hold up too...

  22. Know What I Hate About Patient Care?

    lpn1313 replied to IndySkies's topic in General Nursing

    After spending an entire day of-sit at computer to chart, call light goes off, log off and answer light-sit at computer to chart, call light goes off, log off and answer light- I wholheartedly

  23. Gatorade in the Elderly

    lpn1313 replied to michael79's topic in General Nursing

    We have it at our facility, but it only gets pulled out when we have GI bug outbreaks. Then everyone who has the bug gets the gatorade. Otherwise, we usually don't give it

  24. am I going to be in trouble?

    lpn1313 replied to Ms.RN's topic in General Nursing

    I have heard of surveyors calling nurses at home. But the calls were made with the facility's knowledge, and the nusre in question only worked

  25. Regina writes another column

    lpn1313 posted a topic in General Nursing

    Regina Brett wrote another column, this time about the responses she got from her column last week....