ArlyleRN

Although you have already had your interview. These tips will help others: 1. Dress professionally: Natural hair color, zero jewelry except wedding ring, cover up all tattoos, no strong perfume, natural makeup, short nails, and conservative attire. 2. If you smoke, make sure that you don't light up before the interview. 3. Do not chew gum during the interview. 4. Only say positive things about your past experiences i.e. "I have learned so much while being a CNA at The Little Hospital of Horrors." 5. If they ask you what you dislike most about your healthcare journey so far, then tell them that you only dislike the fact that you are severely limited because of your lack of an LPN education and appreciate the opportunity to earn such an honorable degree. 6. Use the word opportunity a lot. "Every experience so far has provided me an opportunity to learn as I contribute to the client meeting their healthcare objectives." 7. Speak like a professional, even if the interviewer does not. 8. Do not flaunt your youth, but rather express how you can devote all of your time and energy to becoming the best possible LPN that you can be. 9. What is your 5 year plan? Whatever it is, you have to make the LPN degree an integral aspect of it and not just a stepping stone to becoming a Real Nurse. 10. Practice interviewing with a friend who will throw you some real curve balls.

Just when I thought I was out of this thread..... Whoever gave you this scenario should be slapped with a full colostomy bag. Questions like these leave out so many confounding variables that it just irritates the living out of me. Humor me for a moment: 1. Blood Sugar of 420 and the kid won't get up? Did anyone even try? The pH has to be 7.0 or less. 2. Potassium of 5.2? Good, we have some wiggle room in case some idiot screws him up with an insulin drip (SubQ is just as good). 3. Seriously, metabolic acidosis and you don't even get to know the entire ABGs? Did anyone ever tell you that pediatric DKA is classified according to pH level and bicarbonate level? 4. Rapid breathing is a VERY early sign. I still can't believe the kid is unconscious. 5. What is the level of ketones: 80? 6. If this is DKA, then the kid is lucky. Usually DKA presents with Blood glucose of a lot more than 420 mg/dl. Maybe the kid is high. I mean with the blood sugar of 420

I have a Littman, actually I have two They come in a box, much like a shoe With them I can hear, within their bounds Both lubb and dubb, those cute little heart sounds I am not a doctor, nor will I ever claim to be When you need a caring hand, my face you'll see A woman who can carry, much more than a purse Educated and proud, best recognize Joy, I am a Nurse

So, I guess now you will try to convince us that cosmology and cosmetology are different subjects as well?

My Apologies

That's what I thought. I took one semester of organic and it was cruel and brutal, and I did excellent in inorganic I & II. Darn carbon-based organisms.

Don't you mean Rutting for her....

Promoted to Chief Nursing Officer.

This is going to be fun

I read some of your earlier posts. Something does not add up, I wonder if maybe one of those deer got you........

"If this doesn't work out, then there's always the pole"

I need to know more. But Kayexalate enema.....definitely not. How did you arrive at the diagnosis of Metabolic acidosis? What are the ABGs? What are the OTHER lab values? V/S? What do the pupils look like? I would ask the doc for an order to give a little bit of SubQ insulin, start some fluids and try to get the kid into the ICU ASAP. With the rapid breathing, the patient is in the early stages of Metabolic Acidosis. If you said Kussmaul's respirations, then that would be an Oh **** moment where we stick in an ETT and throw the kid on a vent right then and there. Everyone is so quick to want to start a theoretical Insulin drip on a patient with a glucose above 250, but it may not be called for. In fact, you can make the K+ levels plummet and then you got some real problems. If you apply strict textbook solutions to everyday problems, then people will die. How about some history? Eating disorder, non-compliant diabetic, or vulnerable population? Alcohol intoxication, suspected antifreeze ingestion, or starvation? To emphasize- I ABSOLUTELY MUST KNOW THE ABGs. Specifically pH and BiCarb

I have several response to that statement: 1. How much are you getting paid to say that? 2. Is Administration willing to give up their bonus and share it with non-exempt employees? 3. Do you volunteer your time? 4. Is Administration willing to be transparent in regard to total compensation and insurance packages, including stock options? 5. You realize that modern nurses expect equitable compensation, right? And then I bust out in a rap... If you wanna me to be workin' today let me tell ya brother, I'm gonna get paid Oh why, did I get this degree.......

You should document accordingly. I suggest something like the following: "That family fired this nurse although this nurse did everything for that family that this nurse could do. That family has requested that nurse and this nurse has informed that nurse they are to become this nurse for that family. This nurse has signed off on that family and report given to that nurse for that family. Legal nurse consultant notified by this nurse and has warned this nurse to beware because that family may hire a PI. This nurse suspects that family of singling out this nurse for wearing a mask as result of this nurse declining the flu shot, which is not mandatory, but is highly encouraged if this nurse is to continue to be gainfully employed. Will continue to monitor."

If you give a patient a pill, then they will want a drink of water. If you give a patient a drink of water, then they will want a bedpan If you give a patient a bedpan, then they will want ..........

1926: MD on floor. Asks if anyone minds if TV is changed to the football game. Orders timeout.......but football team on TV does not respond. MD slams fist on patient's chest as football team fumbles the ball. Patient expels phone previously lodged in patient's throat. Collective sigh and :madface:noted. Will continue to ...umm...monitor

We had to go the basement and get them. Not readily available and frowned upon. I wish I had recorded the Educators and Administrators telling us that gloves were demeaning to the patient and were not really necessary. Good thing that MRSA, VRE, and CDIFF were not easily transmitted back then. Can you imagine what it would be like today if they were? :no:

1859: Observed patient's chest wall go up and then go down....second time in three minutes. Will mention this to oncoming shift.....maybe

"This nurse" is okay to use so long as "This Nurse" refers to "This Nurse" entering the notation and not "This Nurse" sitting beside me or "This Nurse" standing in front of me, or god forbid "This Nurse" looking over my shoulder.

1848: Patient found to be logged on to AlllNurses. This nurse, while looking over patient's shoulder, observed patient posting as OP on thread titled "This is what happens when the nurse becomes the patient". This nurse voided (just a little), high-fived patient, and then walked out of room to give report to the next shift. Will continue to monitor via app.

Yes, do not be "that" float-pool nurse that always complains about getting "pulled" when you do not get to work your favorite floor. Do not complain that you always get the "bad" team. I was a prn, float, agency, and contract nurse for years. I always expected to have a rough team because every night I got a team for the first time. The nurses with the "easy" teams have had multiple days to get their team straightened out. By a "few" years, I hope you mean at least 5 years. You really need to know what you are doing and should be a valuable resource. Good luck to you.

1. Are you a medication aide? If so, then you are allowed to pass meds. If not, then I am confused. 2. Was the MD notified of the error? 3. The way the issue is to be resolved (giving a lower dose the next day) does not sound ethical or legal.

RE: Narcotics- TJC is not who you should be worried about. Your BON and the DEA is who you should be worried about. As soon as you take a narcotic and put it into a baggie, it becomes diversion. That narcotic needs to stay within your sight/control at all times. Believe it or not, you can be charged with trafficking. As far as the other meds, you are breaking so many of your hospital's established policies and procedures that you are considered negligent. If they have a Pyxis, then they are most certain to have established a protocol (P&P) in which only one patient's meds are to be pulled at any given time. Those meds are to be immediately given to said patient after the rights have been verified and the meds have been scanned. Actually, there are so many things wrong with this scenario, that I would seriously advise you to stop this practice immediately and (if asked why) explain the reasoning to your supervisor .