nurseguy213

nurseguy213 LVN

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All Content by nurseguy213

  1. LVN private or gov job

    I've been an LVN since 2012, worked homehealth, school nurse, sub-acute and now skilled nursing. I've been offered a LVN job with the county in corrections, full benefits and all. Recruiter said it's a 7 step position, and with my experience they sai...
  2. This is a RANT

    True story Day Shift... Super RN: Are you giving the BP meds? LVN: Yes Super RN: Then why are the morning BPs so high? LVN: Those are taken before the meds are given. Super RN: But if you are giving them, why are the BPs...
  3. SNF CNA ratio and abandonment

    Bottom line, the staffing ratios in places that are NOT considered hospitals suck and is unsafe. I think the people making these decisions don't have family and friends that go through waiting for the 1 CNA caring for 10 patients. If a patient goes #...
  4. Days off

    I guess this is a rant. Even before COVID, there have been staff shortages. I know I only work 8 hrs 5 days a week, but we have average 26 pts in skilled nursing, mix of long term and rehab. I've gone 2 weeks with no day off and the workday does not ...
  5. Accusations are demoralizing :-(

    Working as an LPN w/ long and short term patients I report to a Supervising RN, when ABN labs come in or a COC happens, sometimes I get told we, the LPN's, are not passing the meds or making sure the patient gets fluids, it's not an accusation outrig...
  6. LVN to patient ratio California

    I've been trying to look this up and all I get are numbers like 2.4 hours per patient. So here's the question. In a nursing home, short-term rehab (physical therapy), how many patients can an LVN have for med pass? I've seen an average of 25 max 30, ...
  7. Changing jobs.

    Not sure if this belongs here but, what do you do when a better job opportunity arises? Being recommended by a peer to new, better paying job was great. I have no problems with my current job. The new jobs needs me right away and the new schedule is ...
  8. Abusive families

    LPN here, working in a subacute. One of the family members of a resident is there daily. No one likes her because she's rude, like when a custodian passed by and then out of his earshot, but next to me, she called him a Pendejo, for no reason. I was ...
  9. Abusive families

    Thanks for the feedback. I did talk to someone else not involved in nursing, she said to remain professional. I think she told someone else and they politely told the family member because she was suddenly polite the next day.
  10. VIP Residents. In the wing I work in, 90% are comatose or unable to make decisions or care for themselves. Some of these residents have family members that are there daily, some a few times a day. Some are there to care for their loved, they allow us...
  11. Staff attacked by resident

    At the facility I work in, we have residents that have been through strokes or heart attacks with varying degrees of alertness. One of our residents attacks the staff when being changed or fed. Having brought this up to supervisors, we've been told t...
  12. TB Chest X-Ray

    I got exposed to TB and have been positive since 2006. My employer at the time told me that I now need to take chest x-rays because the skin test will always be positive. I've had yearly chest x-rays a requirement for work since then. I'ts 2018 and I...
  13. ADRN aka 2 year RN

    I've been an LVN since 2012. I was pre-med years ago but only finished 3 years of college because I ended up with a great career in entertainment production. After the layoffs and economic disasters, I was laid off in 2010 and had to go through a for...
  14. HIPAA violation?

    I work in a sub-acute facility. The resident in question is alert but can no longer communicate. A direct family member who is the responsible party, asked us not to give information to a friend of the resident. That friend though is allowed to visit...
  15. Comatose/TBI patients

    I work with mostly comatose or patients whose TBI is severe enough that they cannot care for themselves. My concern is actually how to help my CNAs. We work in teams and care for 10 to 12 patients. My concern is with family members, from 1500 to 1530...
  16. Comatose/TBI patients

    It's just 1 or 2 families our of the 40 patients we have, and boy they are loud. Some are nice and approach me and say, I'm sorry my loved one needs to be cleaned again, I see the CNA is busy, please let them know. I wish they were all that understan...
  17. Comatose/TBI patients

    All our patients are checked at least Q2 hours, we change them 2 or 3 times a shift. I think the family knows they are being unreasonable, they don't complain to me or my charge nurse, just take it out on the poor CNA, if they had a case I think they...
  18. Comatose/TBI patients

    Yes they find ways.
  19. Comatose/TBI patients

    You are correct, there is a schedule and my CNAs follow it, otherwise I'd be on them about it. I don't think it's fair that a couple of families want all our attention on their loved ones, we're caring for everyone else in our assigned rooms too. The...
  20. OT and Holiday pay caring for LTC

    I currently work with LTC patients who live on their own in kinda like a group home. The nursing services provided to them include LVN/CNA and RN visits. They are all quadriplegics, some are vent/trach, others still have trachs and some don't. The ag...
  21. When to stop wound vac

    Wound opened on the back, parallel above the waist after staples removed. It was less than .5cm deep and 7cm and 3cm at the widest. After 3 weeks it's now closed and filled with granulation, no drainage, just hairline opening where the edges have not...
  22. First LVN Job

    I'm a new grad, all clinical experience, I live in So Cali. I work extended care 3days 12hours, 1 pt SCI 24/7 vent. I do meds, wound care/treatments, ADLs, cook and laundry. In Cali do I get overtime if I go over 40hrs in a week? Or is extended care ...
  23. First LVN Job

    Forgot to add I'm paid $18hr