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pink2blue1 specializes in Med-Surg.

I'm Shannon, 43 yo mom of 3.

pink2blue1's Latest Activity

  1. I just wanted to say one more thing....Just because a person has RN behind their name, vs. LVN/LPN, it doesn't mean that they are automatically a "better" or more competent nurse. I have worked with plenty of RN's who could make your head spin! Most recently an RN got terminated for charting she did a dressing change when infact she didn't. For 3 days in a row! Just saying, beyond the degree we hold, we are all nurses. Yes, the RN has more education than the LVN. I do have an associates degree, it just doesn't happen to be an ADN. So to hear comments like when the **** hits the fan it's the RN's ass hanging kind of bother me. I am accountable for my own actions, and do not expect anyone else to be accountable for me. As we all should be.
  2. Yeah, What state are you in? I am in California and I CAN do IV's, BUT I had to pay for and go to a class to become IV therapy and BLood withdrawal certified.
  3. pink2blue1

    LPN starting pay $26.50!

    I've been an LVN in California for 3.5 years and that is EXACTLY what I make NOW. I started at 18.50.
  4. I also think things differ by state. I am in California (I am an LVN) and I can take a physicians order and I can note my own orders and do my own chart checks. I am also held accountable for my own actions. Yes, the RN covers my IV pushes and IV piggy backs. But I am given my own assignment of 5 patients. (I work in acute care) I cannot hang ANY antibiotics IV, no meds. Just maintenance IV's. I cannot do anything with central lines or PICC's other than change the PICC dressing. I CAN hange blood, but again I am in California and I am IV therapy and blood withdrawal certified. and I NEVER complain to the RN';s about doing the brunt of the work. We all work equally hard. I help out when needed, just as they help me. We work as a team. Truthfully, we do. Maybe it is because the Charge tends to cover me? I make a list of my piggy backs and pushes. As for the S**T hitting the fan, when things go wrong in my hospital, it's the one person who is in charge of the patients care who gets it, and if that happens to be me, the LVN, the RN does not get in trouble. I can say this with confidence because I was recently written up for something, and the RN covering me did not get put on the incident report! One was that I gave a pt with a blood sugar of 68, apple juice (her request) and she was fine. But per the MD he wanted her to have an amp of D50. When I told the charge RN (supposedly the RN covering me) that the pt was 68 she said "did you give juice" told her I was giving some now. Later in report I noticed the MD order for D50 under 80. Well by then the patient was fine. I tokld Charge RN that I should have given D50 (Which I cannot give because its IV push) and she said "Well too late now" But I got written up for violating the hospital's emergency hypoglycemic protocol. Second write up was the day I came back to work after a 4 month medical leave of absence. I was ON orientation working directly under an RN. I acknowledged a medication wrong (Pharmacy had input it wrong) Initially I was told I only acknowledged the order, later in my write up I was told I had given it. According to the Union, I can't be written up for something while orienting under the RN. The RN never got talked to about this either. That being said, I don[t want the RN to get talked to, It was my mistake. Not hers. So again, different facilities, different policies. Being an LVN is not so bad ;-) But I am working on my RN :-)
  5. I am an LVN in California/ I work in Acute care on a surgical floor. I work independently with my own group of 5 patients, but the Charge Nurse, who is an RN always, covers me for the IV stuff I cannot do. In California I can hang blood transfusions and blood products. I CANNOT do and Initial assessment, I cannot hang IV meds, I cannot do IV pushes. I AM allowed to flush a peripheral IV site with saline, but nothing else. I am IV therapy and Blood withdrawal certified, something we do in California. So I can withdrawal blood, start and maintain IV sites and hang maintenance bags of fluid and eletrolytes. I cannot hang medications such as antibiotics etc. Anything piggy back the RN does for me. If I had it to do over, I might have gone straight to RN, however this is the route that worked best for me at the time. I was a CNA for 4 years and then graduated and passed my LVN boards. I am currently in a BSN bridge program working on my RN. I am told that a BSN does NOT make anymore pay than an ADN at my facility. I AM allowed to note my own orders, co-sign boluses and syringe changes on PCA's. Also within our scope, hospital policy and procedure can dictate what the LVN can do as well. FOr instance according to my scope and since I am IV certififed, the state of california says I can hang potassium up to 40meq, but our hospital policy says I cannot administer potassium protocol. All in all, I love being a nurse, but I am going for my RN. It will just be easier, and more pay. Right now as an LVN I am making 26.50. As an RN it will be a jump.
  6. pink2blue1

    Is It Bad To Ask For Help When Caring For a Heavy Patient?

    There is NOTHING wrong with asking for help when it comes to moving, rolling, transfering heavy patients. Its a matter of safety for you and for them. If you try to move someone who is too hard for you to do alone, you could end up with a back injury. Its too bad your instructor doesn't see it this way.
  7. pink2blue1

    A little freaked out......

    Been an LVN for 3.5 years on a med-surg floor. I work on a busy floor that has post surgical patients. We see a lot ofdifferent surgeries. This past weekend was no different. I worked Sunday and took care of a patient who was my age (43), and who had come in through the ER with cholecystitis. He went for a lap chole last Saturday night. I came on Sunday morning. The patient was on a dilaudid PCA, and not getting any relief. He was able to get bolus every 4 hours. I called the surgeon and he changed the dose to 0.6 every 10 mins and a 2mg bolus every 2 hours instead of every 4. He just seemed to never really be able to have pain control, until later in the day. He also complained of a lot of pain and his abdomen was distended. Pretty normal stuff we see after surgery. He got up and walked the halls once and did fine. Then the next hour he got up and walked, but I was in another room. I came out of my other room to find him in a chair being pushed back to his room. He finally fell askeep, and was taking in clears with no nausea. Yesterday morning (Monday) I had him again. I came in to find that over night his fluids had been increased to 200cc/hr, his PCA had been changed from Dilaudid ot Morphine with a basal. He was getting 15 mg of morphine an hour. Around 9AM the patient asked me to please call the Dr and have the basal removed, which we did. He got back into bed. He looked ok in the morning. Vitals stable, no more nausea, pain better, but just kept saying he was dizzy. Then he was asking for his xoepenex inhaler. He didn't sound wheezy, just diminished. Not wet. Nothing. I told him that the Pulmonologist was aware and was coming in. (This guy had called 2 Dr's on his own on Sunday) he as being very nasty with us. Anyways, I told the charge (As I have to report to the RN) I went to lunch, and when I came back the pulmonolgist was on the phone, and the charge was talking to him. I went to the patient room and he looked like crap! He was definitely having trouble breathing. He was jaundiced and scared me! The CNA had gotten vitals at 1pm and his bp was 103/60. I went in and took vitals and his BP was 60's/50's!! I stayed with the patient, the pulm. Dr wanted him transfered to the ICU. The patients wife was like...>WE NEED TO GO NOW. I told her, we don't have a bed yet, I am not leaving his side until the bed comes available and the ICU RN is here. His BP remained in the same range for 40 minute and then drop to 40/33, right before we left. His HR was in the 110-120 range. We gave him plasmanate to gravity. One Dr was calling saying decrease fluids to 100, the other called and said put them back to 200. He had gone into acute renal failure, and his bili was rising fast. He was dx'd with pancreatitis the day before. He just took a HUGE nosedive. as of the time I left last night, he had gone for chest CT, and some other tests. This morning my friend texted me from work and said HE DIED! This morning! I am freaking out. I also found out, that when they took out his gallbladder, IT WAS FINE! I am so scared....I keep thinking, did I do something wrong?? Did I miss something because he was being a jerk to us? I did everything I should have done. His bili level went from 5.1 to 11.8 in 5 hours time! his BUN and creat were way elevated and his amylase and lipase were elevated (2000 and 800). This poor guy, he had 2 young kids and a wife. Ugh, god. This man had to have something else going on. He had a pacemaker placed in 2005, he had COPD. was NOT a drinker or smoker. Wow. Truly one of those moments as a nurse where you did not think it was going to turnout this way.
  8. pink2blue1

    LVN before RN? Should I? Help!

    I am an LVN in California and I do work in Acute care, however when I graduated (3 years ago) There were not very many hospitals hiring LVN's (Mine included, but I was a CNA and transitioned to LVN) I truly feel that if I had not already been working at the hospital, I would not have gotten hired there. Yes there is always LTC or MD offices etc. But I wanted acute care. I have been on the same floor for 3 years and love it. I am working on my RN right now through a distance learning program. There are times that I wish I had gone straight for my RN, but I am SO glad I did this when I did, or I still would not be graduated from the RN program by now. At least I have been working and gaining experience. I do get frustrated from time to time. It is hard for me to take direct admits, or ER patients for admission because the Charge Nurse has to do my admission assessment, since LVN's cannot do an initial assessment. I can also no longer take patients from surgery who have had dura-morph or have continuous epidurals. I cannot do IV push meds, or hang IV piggy backs and I work on a post surgical floor where 95% of all pain meds are either IV push or PCA and most post ops have IV antibiotics running. So I do feel at times that I am a strain on the charge or other RN's who have to hang my IV antibiotics or push my IV pain/anti nausea meds. Would I do it differently if I had it to do again? No WAy! I love my job. It's all a matter of personal preference and needs at the time. I am glad I did it, I just can't get my RN fast enough!
  9. The hospital that I work at is requiring all staff to get the flu vaccine, and if we don't get it or we cannot get it due to allergy, we are going to be required to wear a mask while inside the hospital at all times. Problem is that they have already run out of the vaccine so we now have to go to a cvs pharmacy with our badge if we want the vaccine. Are other hospitals requiring employees to wear masks while in the hospital? Can they legally make us do this? What about visitors etc.
  10. pink2blue1

    Nurse-to-CNA ratio

    I'm not an RN, I am an LVN but on our floor, they base the number of CNA's we get on the number of patients we have on the floor. They call it the staffing matrix, which none of us have ever seen, For instance we aren't supposed to even get one CNA until we hit 18 patients. The CNA takes 10-12 patients and does baths, vitals and helps answer lights. Our CNA's only work 8 hour shifts. We have 30 beds on our unit and at the very most, we only have 2 CNA's. Ever. Period. End of story. The Nurse to patient ratio on my floor is 5:1. So the CNA could very well be working with 2-3 nurses and more if she's the only CNA on the floor. We have been fighting very hard to get our CNA's back to 12's AND to get one on nights. the night shift have NO CNA's at all. All the CNA's at our hospital work 7am-3pm. It kind of really sucks. I work on a busy Surgical floor. But all the Med-Surg units are staffed this way. The Tele nurses are 4:1 but the CNA's are staffed the same as Med-Surg. In DOU I believe they get 1 CNA and they have 12 beds, and oncology is the same. Oncology and DOU are 3:1, but if someone is getting Chemo, I believe they go to 2:1. I think. Not sure if our ICU/CCU even get CNA's but I don't think they do. Back when I was a new CNA, 7 years ago, we worked in pairs with a Nurse. There would be 1 nurse and 1 CNA with 6-8 patients. We would have 3 CNA's and we had CNA's all night long, so there was 24 hour coverage by CNA's and licensed nurses.
  11. I graduated from Nursing School at 39, and I am now 42 and pursuing my BSN. I had known I wanted to be a nurse in my 30's, but never had the guts or time to go back to school. I was the mom of 2 and my husband owned a business. I decided to go back to school and take my CNA courses and work as a CNA while finishing pre-reqs for the ADN program. When I was 2 courses away and in my A&P class I ended up getting pregnant and losing the baby and my grandmother passed also. I ended up getting pregnant again with my now 5 1/2 year old son, but I was on bed rest for most of my pregnancy and never ever went back to take my final exam (I had one academic year and never was able to return) It was then that my husband sold his business, and I was really wanting to finish my nursing program. The RN would take a long time, because now I had to take 3 more pre-reqs and each was a pre-req to the next, so it literally would have taken me 3 semesters, or 1.5 years to complete them. So.....I looked into LVN. I applied to a program before my son even turned 1. I started the program when he was just 16 months old and I graduated 16 months later. I have no been working as an LVN for 2.5 years and am pursuing my BSN through a distance learning program. RN is still my goal, and I will get there! I don't feel it's too late to start. If I did it with a husband out of work, 3 kids and working part time on the weekends as a CNA, you can. As for dealing with all the stuff it's really not that bad. I work on a busy Surgical floor. Sure people are nauseated and vomit from time to time, or I have to do bed pans and diapers, but literally, it's not that bad at all. All that stuff is nothing compared to the good feeling you get from helping someone out. I just love what I do!
  12. o the family members/friends of patients who walk out of the patients room and up to the nurses station because they need something : PLEASE use the phone to call me, that is why I put my portable number up on the white board in your room. Ugh. They are classic for saying Oh I didn't want to bother you. DUH! CALL ME it's my job to be bothered for an IV pump that has been beeping for 45 minutes and you have sat there and pushed the silent button for 45 minutes before deciding I should be bothered? Now the site is bad and I have to stick you again....DONT TOUCH THE PUMPS! Oh I could go on and on....our hospital has private rooms and allows family to stay over night.
  13. pink2blue1

    LVN's/LPN's How does coverage work on your floors???

    I have heard in California that we are governed by the board of Register Nursing. I did have to get an IV certification in order to even work as an LVN in my hospital. I would have gotten it anyways. All of the other charge nurses on my unit are fine with covering me. There are certain RN's who will not even be charge because they don't want to cover the LVN. There are only 2 LVN's on our unit. I am always willing to hlep out anyone. Especially since the charge is doing my piggy backs and pushes. I will help with PO meds, IV sticks etc if the charge cannot because she is doing something for my patients. I am working on my BSN but it most obviously is not happening fast enough! LOL!
  14. pink2blue1

    LVN's/LPN's How does coverage work on your floors???

    LOL!! I considered doing this, but I really really need my paycheck. I am afraid she would have said yes LOL!
  15. pink2blue1

    LVN's/LPN's How does coverage work on your floors???

    No, I know what my scope is and what can be assigned to me. But this charge nurse really had a problem covering me> I mean she had an attitude. USed the F word with me because one of my patients needed IV dilaudid twice the whole 12 hour shift. Said she hated being charge. Asked me when I was going to get my RN ( am currently working on it and it's really none of her business) She was just horrible. All the other charges I work with have no problems covering me. I also do not ask for any help from the RN's or the charge, other than my pushes. Anything that is IN my scope, I do independently. If I am asking for hlep it's because I can't get an IV start (I am IV certified) etc. Something that I turly need help with. So I was curious how other hospitals cover their LVN's
  16. I am an LVN in California, busy surgical floor. Been there for 7 years total (4 as a CNA, 3 as an LVN) The charge nurse covers me for my piggy backs and pushes. They tends not to give me Direct admits or ER admits because the admission assessments need to be done and I cannot do them. Just curious, because this past weekend I had a charge nurse who I have only worked with once before, and she was a real jerk about the whole thing!