Kylee Renee

You're right, I made this account when I was still in school but now should probably not blast my name out there while talking about these things do you know how to change it? I log in with Facebook so I think it just uses my Facebook name

I will receive 2 weeks in the education department at my facility, and then 6-8 weeks following a preceptor, gradually gaining more duties as my training goes on. My particular lpn program we did very very little with reading ekg's/telemetry. So I am a little nervous. But I will be sure read up on it and ask tons of questions! As for the smile, I always bring that:)

I just got hired as an LPN on a busy cardiac/telemetry unit. I just graduated school in July and have worked in an LTC facility since September. Any advice for the transition over to acute care from LTC?

How did it go Mainergirl2000? I just received a call that I am hired for a new acute care job! Yay! Best of luck to you also as a new nurse

Well, my first night didn't go quite that bad. However, it was pretty bad. Get to work and have an admit, never done one, didn't know the paperwork to fill out, assessments to do, etc. Made my first ever call to a doctor (yikes!) . Get as much as I can ( and know how to ) done until it's time for med pass. Another resident falls. Time for incident report/skin/injury assessment/ notify DON/doctor and start neuros every 15 minsx4, 30x4, etc etc. okay back to med pass that is now a little behind.. Two residents get nose bleeds at same time. And not just nose bleeds, nose waterfalls. Okay who's am I pinching first? Get all that done and get back to med pass. ADON comes in the morning wants to know why the admissions chart isn't put together. Well, sorry for being thrown into this before my training was over and not knowing how to do anything , not to mention I care more about the patient well being than paper work. Anywho, doesn't sound that bad when I write it out. And definitely not as bad as yours, but still scary for a new nurse. I am still feeling overwhelmed and like I'll never get the hang of it. I cry a lot before coming to work, while at work or while leaving because I feel ignorant or like I did something wrong / didn't do enough. But I'm trying my best and asking lots of questions. Also looking for any other opportunities there may be.

I am a newly licensed LPN working at my first job in a LTC facility. I am still a little confused on DNR orders, as I'm sure most people are. DNR obviously means do not resuscitate. And I know there are different clarifications for each patient: no medications, comfort care, no CPR, etc. But say a patient wants absolutely no measures taken to save their life. Do you call 911/hospital? Say they're a DNR with comfort measures. What do I do in the meantime until I can get them to the hospital? I'm very confused by all this. I know it also depends on the facility. But do any of you nurses have a clear and dry way of telling me what to do in these situations? Or some stories of past experiences?

My supervisor called and said I will be on my own tonight for the first time (3 days early). Was supposed to train one more night tonight I will let you all know! And thanks for the tips keep em coming ! :)

I am a new nurse who just graduated July 31st. I'm on my 4th (and last) week of orientation at my first job at a nursing home. I feel pretty decent about passing meds and doing treatments. The paper work is another story and I know it will take time to learn. I've heard it will take 1-2 years to feel comfortable as a nurse. But I'm completely terrified of being on the unit by myself for the first time (which will be in 4 days) and I'm feeling very depressed and beating myself up about everything. I work 3 twelve hour night shifts a week. A nursing home wasn't where I wanted to work but it's the only thing I could find to get my foot in the door. I feel like there's a lot I didn't learn in school and that I'm going to mess up or forget something. All the nurses are good for asking questions to but I can't help but feel sometimes like I shouldn't be asking those questions because I should already know them. I guess what I'm asking is for some words of advice and encouragement. It will get better right?

All throughout PN school, it was drilled in my head that when a client/patient falls, the first priority is checking for injuries. Every test or assignment we took that had this question was counted correct if we chose "assess for injuries". At the end of the semester we had an ATI live review instructor come and review content for NCLEX, and she was adamant that in real life and on NCLEX the answer is always check the hemodynamics of the patient before anything else, so check vitals and what not. My thinking is that you would want to assess for head injuries or bleeding, a broken leg, etc. Then do neuro checks and make sure they can move all extremities before you check vitals and get them up. My question is, what is the priority in this situation TEXTBOOK WISE, for NCLEX ( I take it monday), and what do you more experienced nurses typically do in real life for this situation? Thanks

Is percussion a frequently used assessment technique? I'm an LPN student and have not used it in clinicals, but as an LPN in practice will I ever really have to/ need to use percussion ?

Thank you. I knew I wouldn't really have a choice necessarily, but whatever jobi find I wanted to know how long it would take to find my "groove" in the place. I appreciate your feedback

Hey, all. I am an LPN student in Indiana and I have 8 weeks left of my program. As I'm studying for NCLEX and getting ready to look for jobs in 8 weeks or so, I'm getting nervous about starting my first job. I'm not really sure what job to go for in the first place. I would like a doctors office job, but the more I think about it I know I am just wanting that because it's a "safe" choice because I am scared of the hospital setting. The other part of me wants to dive right into a hospital job and learn everything there is to learn. My question is, when all of you were starting your first jobs, were you as terrified as I am and felt like you weren't ready to take on the real world as a nurse yet? How long does it take to feel comfortable out there on the floor?