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smartypants22

smartypants22 LVN

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smartypants22 has 5 years experience as a LVN.

smartypants22's Latest Activity

  1. Some background on this patient- I only work Thursday evenings and the patient has nurses 6 days a week, used to be 7, but the nurse scheduled for Sunday is on an extended vacation as she is scared to work during the Pandemic. Mom doesn't want the office to send an unknown nurse as she doesn't trust anyone new during this time either. I have other patients that I go see on Monday, Tuesday, Wednesday, and Saturday. I have filled in on some Sundays for the above patient, but then the office called me saying mom went over on her hours so I stopped filling in on Sunday. Well on Saturday night, around 11:00 pm, mom texts me saying she has an emergency Sunday and needs me to come. I didn't come Sunday and I replied back saying I was busy on Sunday. What would you do in this situation?
  2. smartypants22

    Resident's family wanted to discharge AMA at 10:00 PM Sunday night!

    Another thing I want to add is this particular resident was placed on contact isolation for having infected wounds.
  3. smartypants22

    Resident's family wanted to discharge AMA at 10:00 PM Sunday night!

    He wanted to leave too, he wasn't happy with his care and being left in bed all day since he didn't have a wheelchair. Rehab therapy is supposed to provide the wheelchair, but I don't know what happened during the week. The doctor that was responsible for him comes to the facility since he's actually the medical director, I think he comes at least once a week, but the resident had missed him since he was admitted Wednesday.
  4. Let me give you some background on this situation: I have been working at my LTC for about 5 months now, doing only weekend double shifts 6AM-10PM. The 10-6 nurse doesn't come on time because she has another job and I have had to wait for her to come. Also recently we got a new DON and she's been making some changes, mainly wanting my unit to become a medicare unit, having residents come in and out. Now this past weekend, a new resident came in during the week, being transferred from a hospital during the week. He was a bilateral below knee amputee, but he planned on being at the LTC short term and going home when his therapy was finished. Sunday night, I finished my shift and was doing some computer charting while waiting for my relief to come. I thought something was fishy when this particular resident had his daughters come to visit him at 10:00. They rang the call light to his room, so I went to see what was going on. That's when they told me that they wanted him out of there. Apparently during the week, he had not been visited by his doctor even though the doctor was supposed to remove the dressing from his hip surgery, and he also had not had therapy. The daughters were not happy with his care. I didn't know what to do and luckily my weekend supervisor was still there so I went to her office and she got the necessary paperwork. The daughters said the hospital had transferred him to the nursing home without her permission, though the reason was because the doctor he had at the hospital practices at the nursing home. There was no talking them out of it so they signed the paper work, they also wanted me to remove his catheter, so I did that as well. To top it all off, since he didn't have a wheelchair, they wanted to get a wheelchair to take him out. There were no available wheelchairs at that time! All the wheelchairs belong to a resident, so they had to borrow a wheelchair. They finally got him out at 11:30PM. What frustrates me about all this is that they chose to come so late at night on a weekend. I mean, who does that when they had all day to do this?
  5. smartypants22

    Private Duty wish: computers!

    My agency supplies iPads, tablets or laptops in the families' homes. If the household has an ipad or tablet, then there is also a keyboard with it. We also can chart online from home if we didn't finish during the shift.
  6. smartypants22

    Fleas!

    They sprayed for fleas over once weekend, then one of the nurses brought a powder he bought from Amazon to try to get them all. Unfortunately, there's still a few fleas hanging around. We/they can't do anything more because the mom is going to have her baby next week. I get a few bites, but they fade away in my days off.
  7. smartypants22

    Am I a bad nurse?

    Yes! I'm in Houston, TX. We're probably working for the same agency.
  8. smartypants22

    Am I a bad nurse?

    You all say that new grads should not be in PDN, but the parents of the child are not licensed themselves and yet, they are perfectly capable of taking care of their child on their own, especially when nursing isn't available for the child. You all act like new grads are incompetent. The agency wouldn't hire new grads if they couldn't handle it. I guess I could break the contract, they just take money from orientation pay out of the last check. I don't want to leave until I have at least 6 months experience under my belt.
  9. smartypants22

    Fleas!

    I can't leave this case. Fortunately the patient has not gotten bit from what I can see. Since the little girl has nurses 24/7, all the nurses have gotten bit.
  10. smartypants22

    Am I a bad nurse?

    So I got a new patient a 4 year old little girl, who is non-mobile and has a trach and g-button. So far it's going good since the little girl hasn't gotten sick. She just sleeps most of the time which makes my job really easy. Family is ok. Mom is pregnant with her boyfriend's baby, I just don't like the boyfriend because he curses a lot, and even curses and yells at the 5 year old little boy who is the mom's, but not his (but the boy calls him daddy). I just try to ignore that though. They also have 2 cats that have fleas and I've gotten bit everywhere. Fortunately my patient has not gotten bit by the fleas since the nurses try to keep the cats away.
  11. smartypants22

    Fleas!

    I just started a new case, been on it for 2 weeks. The household has two cats, and the cats have fleas! I've gotten flea bites everywhere on my back, arms and legs! What would you all do in this situation?
  12. smartypants22

    Lvn coleman college

    You need to finish those prereqs, or be in the process of finishing them. It was a good program, but I feel they didn't prepare me to work as an LVN as much as they could have, but I think now it's changed.
  13. smartypants22

    Lvn coleman college

    queen217, I'll send you a PM.
  14. smartypants22

    Am I a bad nurse?

    I got another patient, but he was a 15 year old that couldn't walk. Mom wasn't very helpful either. Because this patient couldn't walk, I had a hard time trying to get up because he wouldn't stand for me even though I tried and I'm not very strong either. I had to give him up and now I am going to try another a patient and this will be my last chance to prove that I can make it as a nurse in PDN.
  15. smartypants22

    Am I a bad nurse?

    I know, I shouldn't have accepted it, but I was getting desperate because no one would call me for a job. Thank you for all your advice everyone. I'm going to keep at it.
  16. smartypants22

    Am I a bad nurse?

    Thank you, the thing is the agency made me sign a contract to stay with them for a year, so I'm locked into that contract until next year.