Sapphy

I find it funny that you talk about literacy and then you make the statement "Who do we do if a child don't pass a test? Am I the only one who sees the irony in that poorly worded (illiterate) statement?

Interesting to see what some of the LPN's make in different areas. I am in Northwest PA and I teach LPN's... Starting rates around here are as low as 12 bucks an hour! My son has a friend who just got a job at Radio Shack making 15... no education necessary... LPN's are very undervalued here

What an inspiring story that gives me some real hope for my daughter. None of us want our kids to be teenage parents but if it should happen we also do not want our kids to become statistics. My daughter was 15 when my granddaughter was born. She immediately wanted to drop out of school to get a job. We informed her that her job now was to stay in school and get good grades so she could take care of that Baby. She finished high school this past May with a 3.7 GPA and is now an Engineering major at Penn State! The baby is 3 and the light of our lives. I had a baby at 19 and had to drop out of college. I was 33 when I finally got my RN. Imagine what I could have done if I had parents who were supportive like the OP had!

Thank you to those of you who have completed my survey. It is 5 days until the survey closes and I would like to get as many responses as possible! For those of you who have not, I would greatly appreciate you taking 5 minutes to answer some questions.

I worked in a rehab facility where they did team nursing. What I found, having gone there as a new grad BSN was that I was supposed to be the team leader with an LPN who had more experience in her little finger than I had in my whole brain, and one possibly two aids who usually had been in the healthcare field longer than me as well. There were days that everything ran smoothly. LPN passed the meds, I did the assessments and the treatments and dealt with the docs. But with 20 patients, it became that the LPN was just the med passer and I was just the treatment nurse. We were lucky if we even got a second to touch base during the day. So we would see this.... I am wrapping a patient's legs from toe to knee with ace wraps and the LPN is giving the patient their Lasix... those are two pieces of a puzzle that you want to know both of... but if we didn't even get a second to talk... see where I am going with this? Also, on occasion there would be some resentment on both of our parts. I was ultimately responsible... but this LPN who had been in practice for 30 years has to answer to me who has been out of school six months? This poor nurse felt undervalued and underappreciated and I don't blame her. While I felt overwhelmed and terrified that I was going to make the incorrect, uninformed decision. Now, as an educator in an LPN program, what I have learned from the whole thing is that LPN's as a general rule ARE undervalued. My students leave our program more prepared to practice clinically than I ever was coming out of a BSN program? Why? Because while I was toiling away in underwater basket weaving to get some silly elective credits, these amazing people are taking care of patients! My students start clinical 3 weeks into the program and are hands on from then on out. So I have now totally gone off topic to say give LPN's the respect they deserve lol... but what I was trying to get at is that team nursing can work very well if you have the right team and the right support from administration. What I experience was administration trying to pit the RN's against the PN's and it just opened up an ugly can of worms.

Please help me with this!! I have come so far and I don't want to blow it by not getting enough responses!! It is only 18 questions!! :) Thank you so much!

Introduction:You are invited to participate in a research project being conducted by a researcher from Western Governors University. Mrs. Karyn J Hodgins is conducting research to determine if nurses who are employed at private sector facilities are adequately prepared to provide comprehensive veteran centered care. Description of the project:The purpose of this research is to determine if there is adequate education being provided to nursing staff in the private sector regarding the care of veterans at non-VA facilities. The research will be a survey with simple questions that is posted on a website that is for nurses and nursing students. There is no classroom participation required. The participant will be asked to click on a hyperlink within a message board that will take them to a survey with simple questions. The researcher asks that the survey be answered to completion To complete the survey, click the link below https://allnurses.com/academic-nursing-research/msn-capstone-veteran-889990.html#post7627924

Yes, What the above user posted is true. However, my program has back ups in place just in case we are sick. But we use them very sparingly. Most nurses I know will call in dead before they call in sick anyway lol. Because we are a contact hour program, we use alternate assignments if for some reason we have to call off. Or I will call another instructor and trade days with them. I do have to do some work at home though. I didn't mention that in my first post. But I am also working on my Master's at home as well. Overall, I have a lot more time with my family than I had when I had to work swing shifts on the floor and weekends/holidays.

I teach full time in a Practical Nursing program and I will tell you that I put in 40 plus hours a week. That being said, I have more time with my family now that I ever did as a staff nurse. Mostly I work straight days with no weekends, and nice breaks at the holidays. We are unusual in that we are in class year round. So I do not get summers off. But overall, I am glad that I changed.

Introduction:You are invited to participate in a research project being conducted by a researcher from Western Governors University. Mrs. Karyn J Hodgins is conducting research to determine if nurses who are employed at private sector facilities are adequately prepared to provide comprehensive veteran centered care. Description of the project:The purpose of this research is to determine if there is adequate education being provided to nursing staff in the private sector regarding the care of veterans at non-VA facilities. The research will be a survey with simple questions that is posted on a website that is for nurses and nursing students. There is no classroom participation required. The participant will be asked to click on a hyperlink within a message board that will take them to a survey with simple questions. The researcher asks that the survey be answered to completion Benefits and Risks of this study:The benefits of this study to the participant will be increase of self awareness regarding the unique needs of veterans. Nurses may not even realize that there is a unique set of health problems within the veteran population. As a result, nurses will be able to ascertain the current level of awareness and possibly raise awareness within their own facilities. Confidentiality: All answers to the survey will remain confidential and will be compiled with numerical results only. There are no identifying questions within the survey itself. Your identity will never be disclosed in reports. The anonymous quantitative data contained in the research will be published. Voluntary participation and withdrawal:Participation in this survey is on a voluntary basis. If you choose to participate you are asked to complete the entire survey and to answer each question as honestly as possible. Non-participation incurs no penalties of any type. If you chose to participate in this research, you may withdraw at any time without penalty. Questions, Rights and Complaints: If you have any questions concerning this study you may respond to this post. You may also contact the researcher at any time at [email protected]. The final results will be posted on the Allnurses website for review. Consent statement: By completing this survey, I confirm that I have read and understood the information. I understand that my participation is voluntary and that I am free to withdraw at any time. To complete the survey, click the link below https://www.surveymonkey.com/s/MHQXKB6

Complete... and I will be posting my own Capstone survey in the next few weeks :) Seems there are quite a few of us WGU Leadership and management candidates on this site!

I have no trouble discussing the options with this family. But the way my DON is putting it to me... she wants me to convince this family to make him a DNR. As far as I see it, it is up to the physician to make the diagnoses and then discuss those options with the family. Also... when this man's sats are not in the 70's.... he's alert and oriented and he chose to be a full code on admission.

I have seen some specialty air mattresses (usually on people with stage IV's) that you are not supposed to put any linens on. Usually they are beds that are rented by facilities for people who are on the verge of dying from said wounds. From what you described, that is not one of those mattresses. Also we use low air pressure mattresses and work and they always have linens on them

I am The ADON in a nursing home. My DON asked me today to do something which I feel is outside of my scope of practice. Without violating HIPAA, what I can tell you is.... we have a patient who is going bad... twice we have sent him out to the ER because he is a full code. My DON wants me to talk to the family about changing his code status. I told her I felt that it was the physicians job to explain the gravity of his condition and that he should address code status with them. I actually said to her that is out of my scope. She got angry with me and said that I need to make the family understand how bad off he is. I am so not sure what to do here. I have only been in this job 5 months and the DON and the administrator are pretty tight. (The DON has only been there 6 months and she is completely unreasonable and given some of the things I have heard come out of her mouth I don't think that I would trust her clinically either.) Is there someplace that I can find information about my scope of practice in my state? I tried the Board of Nursing's website but it did not say anything about code status that I could find.

We have a pt right now who has a wound vac. She has an abdominal incision that would not close from back in August of last year. She came to us about a month ago with TPN running, and with the wound vac over this incision. There is a fistula underneath the wound vac. Our WCC Nurse has been concerned about this from the start. Wound vacs are contraindicated with a fistula and this patient is not exactly compliant. So the mess started last Sunday. I was assessing my patient, changed the dressing on the wound wac all was well. Her skin is a little irritated from months of opsite being peels from around the incision but nothing that we were terribly concerned about. A few hours later the patient calls for me because she is concerned about her drainage. It has now gone from tan/brown to a deep olive green. Nothing I have ever seen before. I promptly went to get one our experienced nurses who says that green drainage usually means pseudomonas. So I call the doc and he puts the pt NPO untill the surgeon can be consulted in the morning. The pt pitches an absolute FIT about being NPO. We took all the snacks and crap out of her room but when I went back to take her water pitcher it was empty. She has emptied it all into her own personal water bottle that I cannot take from her. Anyway, She gets to the surgeon on Monday who looks at it, says oh it is just Bile coming from her fistula nothing to worry about! While she is at this surgeon, she asks him to put her on a regular diet and he says OK. This woman has been on a limited diet in addition to her TPN for months to control the amount of gastric juices she is making. So she gets her way and gets her regular diet. So yesterday, I have this patient again. She is making so much gastric juices we changed the cannister on the vac 4 times from 5 AM to 2 PM. And her skin under the opsite is purple and raw from the acid sitting on her skin where it is leaking around the tubing. There is NOTHING we can do to stop the leaking and it is just eating her skin away. She sobs anytime we have to change the dressing because it hurts so badly and she sobs anytime she eats because the gastric juices flow like a river and leak out onto her skin. The docs refuse to address this situation. They keep playing pass the buck. I feel we are doing the patient a huge disservice with our inaction. Finally yesterday afternoon I got the doc to at least consult the ostomy nurses for some ideas. But I am willing to listen to anyideas that might be out there. I cannot just take the vac off.... she just leaks out onto her skin more, my hands feel really tied here.