Elektra6 ASN, BSN, RN

Home Health, PDN, LTC, subacute

Former LPN, now RN

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All Content by Elektra6

  1. Elektra6

    Bayada

    Bayada is the first homecare agency I've worked with. I've been working with them for about 5 months now. They are very professional in all ways. My training was excellent. They let me have a lot...
  2. Elektra6

    LPN Employment Poll

    Home health care (shift
  3. Went somewhere with my patient and his primary nurse yesterday. I was scheduled early, she came in 2 1/2 hours later. I wound up working 3 unpaid OT hours. Now they want me to go out with them...
  4. Elektra6

    Home Health Nursing?

    I do shift work, 8-12 hours in the home with a client. Pagandeva2000's comments are accurate regarding the pros and cons of being in a client's home. I like it. It's slower paced than long-term...
  5. Elektra6

    how many carry liability insurance???

    I bought it as a student ($25) and have carried it for the past 2 years. I think it's worth it. Like the Commuter said, they will pay for an attorney to defend your license in front of the
  6. As an older LPN (in my 30s) when I went to school, I had no prior experience in the healthcare field either other than being a medical transcriptionist. I also had a college degree which nobody paid...
  7. Elektra6

    Narc count question

    A nurse who'd been burned taught me to count the bingo cards at the start of my shift being careful to look at the SHEETS as well. I don't care if it takes longer. Although she was burned by a nurse...
  8. Elektra6

    Visits vs. Shift work?

    I do shift work 8 or 12hr with one patient. We start a nurse's note form when we get on shift. It has spaces for VS, diet, assessments, etc. There is a space for a narrative note. We usually...
  9. Thought I smelled it on the patient before, but it's a big family with lots of the patient's friends coming in and out, it could have been brought by them. The nurses on the case for years have never...
  10. Elektra6

    Suspect HH patient is using marijuana!

    I wasn't thinking about turning him in to the police or anything, I am concerned about my license. I think I will ignore it for now, but will inform the agency and ask to leave this case if I come...
  11. Yeah, I gained weight during nursing school, all day sitting in classroom didn't make up for the clinicals. I DID lose it back when I worked in
  12. Elektra6

    My first week as an LPN.

    That's great to hear! I found it helpful when I started in LTC to have mentors; my supervisor, co-workers, managers. They all took an interest in me being sucessful. Don't be afraid to ask if you...
  13. Elektra6

    Help With Job Search

    Good advice from dconnors, that's how I got my first job, walking in a place recommended to me. They didn't even have a permanent spot for me, I was a floater, but still worked 32 hours a week. You...
  14. I meant reinforce/strengthen the wafer on a NEW appliance. Although, I have been tempted to reinforce the old one just to prevent changing her bed/pajamas
  15. Elektra6

    Difficult to learn clinical skills??

    In LTC I often had to give upwards of 15 insulin shots a day, plus B-12's, Lovenox, Sandostatin and psych drugs. I still hate giving IM injections, especially on the elderly. The first few times are...
  16. Elektra6

    LVN/LPN what can you do in your state???

    I received a handy sheet from my company on this for NJ. There may be a discrepancy between what the state allows and what your facility allows. In NJ we cannot reinsert a G-tube (but a parent can...
  17. I do this in homecare using clean technique as well. I don't like it, but that's what they have been doing (with MD approval) for years. I think in a hospital it should be sterile. Always err on...
  18. We used them on 1 or 2 patients out of 60. In my opinion, it is a better option than falling out of a wheelchair because they bent over to pick something up off the floor or bent down to tie their...
  19. Had a patient in LTC with this. She leaked no matter what we did. Reinforce around the edges with Tegaderm, cut it into strips. I used to check her q. 2 hours. Also, with some bags you can hook...
  20. Elektra6

    Home Health Nursing as a new graduate-any advice?

    When I graduated I was offered a position in home health. I took a position in a LTC facility for a year instead. Now I work in home health and I'm glad I had that year in the nursing home. But, I...
  21. Elektra6

    I'm new will this get better?

    Yes, I started in LTC and it does get better! If you work the same cart/same residents you will know which ones to do first and can prioritize your time better. For example: It might make sense to...
  22. Elektra6

    Recommended Books?

    I loved (and still use) the incredibly quick series. About $20 each, they sell them in Barnes & Noble and Borders. They are pocket-sized and are great for clinicals, studying outside of school...
  23. Yes, and they all told me to come back when I passed the
  24. Elektra6

    lpn orientation

    I was lucky in my SNF. They gave me 5 weeks full-time with the same nurse (she was excellent). 4 weeks day shift, 1 week 3-11. Their philosophy was new nurses won't be successful without a good...
  25. Elektra6

    Graduated from a vocational school?

    I waited a year to go to a local vocational school. I felt the wait was worth it because the program had been running for over 20 years, I had good recommendations from nurses who had been through...