LPN9200

LPN9200

Geriatrics

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All Content by LPN9200

  1. Oh goodness, I have a few good ones. I was written up last Summer because I just arrived on the unit (10 minutes prior To my shift and not clocked in yet.) with my hair down. I had a HORRIBLE headache and was saving throwing it up until the...
  2. So, I feel like I’m in a grey area in a situation and I genuinely am unsure on my course of action. Bare with me and please don’t be too critical. I’m truly trying to do what’s right. Say you have a family member who routinely speaks about blatant...
  3. Filing a report as a mandated reporter

    Thank you all. I made a report today. I just wanted to make sure I was doing the right thing and not helping to blow a situation out of proportion!
  4. I had a lady a few weeks ago who frequently would ask for me whether I was there or not because she believed I was the only nurse capable of giving her meds. One night she rings for them and I was about to take them in when she asked the aide in help...
  5. What Is the Problem???

    Prior to taking on a traveling gig, I worked in a facility where my RN charge handled just about everything from calling physicians to entering orders and rounding. As well as a huge chunk of our assessments. I was a spoiled brat to be honest. I was ...
  6. Patients Say the Darnedest Things

    I had a patient who loved to give his nurses and CNA creative nicknames. I went through several before he officially decided on mine. One of the first he gave me was "boomerang" he would yell that from his room to get my attention for anything he nee...
  7. Maxim healthcare

    I'm about to begin my first assignment in Denver with Maxim. I've seen some posts on this forum regarding them but they all seem older. Has anyone on here traveled with them recently? If so, what was/has been your experience with them?
  8. LPN LTC Horror Story

    I suppose that's fairly standard, at least from what I've experienced. It also depends on the doctor/necessity of the order on whether or not we write our own verbals and have them sign later. If it's something that we know a resident needs and the d...
  9. Medications from home

    What are your policies/procedures for receiving medications from a resident's home (particularly narcotics)? I've always worked in places that typically refuse to accept them but will if in a pinch and they are unable to be obtained from our emergenc...
  10. Admission Skin Assessments

    I too work on a skilled/rehab unit and Our skin assessment is supposed to be done by the RN charge nurse assigned to the unit when the admission gets there. It's part of their initial assessment. Although, depending on the RN, the LPNs will do the sk...
  11. I've been an LPN for roughly a year and a new issue has recently came up for me that I'm unsure of. I work LTC and have several patients on hospice although they are still seemingly a ways away from death which seemed to be the case with one of my pa...
  12. I totally agree with them not being mutually exclusive and I agree with certain treatments during hospice especially if it can keep them comfortable or is unrelated or indirectly related to the condition that warnted hospice. The family just pushed f...
  13. The hospice agency that they went through is excellent at providing end of life education for both patient and family. Not to mention that this particular patient's Daughter was a former LPN herself and Son in law was a physician. I think to me that ...
  14. My patient did ultimately pass this evening on my shift. Family was present at the time of passing but still fighting any and all comfort medications up until her passing. They did permit me to give the lowest dose of morphine about 2 hours prior to ...
  15. She did have PRN Roxinol ordered From 0.25ml q1 hour upwards to 1ml q1 hour for dyspnea and pain. Family stated they wanted comfort measures but has been fighting hospice every step of the way. Example; wanting to aggressively treat infections (VRE, ...
  16. Help with brand new CNA

    I have approached management after a meeting we had where she asked input on the new CNAs working my hall. At that point I had mentioned possibly placing her back on orientation or scheduling her with one of my strongest CNAs to learn from but my DON...
  17. Help with brand new CNA

    I'm new to a facility and a new ISH nurse. Recently our facility graduated some new CNAs and one has come to work full time on my hallway. She'a a great girl who is excellent with the residents. The only problem is that she is exceptionally slow. She...
  18. Attention nurse bullies... and victims!!

    I believe I've been on both ends. The most recent place I was employed was the single definition of a toxic workplace. I began fresh out of nursing school. I like to believe that I am genuinely a nice person, but a fault of mine has been that sometim...
  19. Mine was fairly recent. I worked at a large nursing home with a large dementia unit where I was the primary nurse on second shift. One night we received an emergency admission of a lady in her 60's coming from the ER due to her husband who was her ca...
  20. I work in a not so desirable LTC facility in PA. We are "overly" friendly with DOH for numerous reasons. I had not realized the extent of just how poor of a facility it was until I was drawn in by the pay and conned into a year contract (I have curre...
  21. questioning state reporting regulations

    I thought it all interactions had to be reported as well, but over the course of the last maybe 2 months there has probably been 9 or so alone. (I no longer work over there except casually when needed so I don't have an exact number) none of these ha...
  22. I'm a relatively new nurse (about a year in). Fresh out of school I applied and got offered a job at a facility that we had done clinicals at. It is excellent money but it's taking a toll on my mental (and physical) health. I find myself getting abso...
  23. How do you deal with a toxic workplace?

    Thank you all so much for your advice. I really appreciate you all taking the time to respond to my little whine fest. I recently got offered a FT position at our hospital (which is ideally where I wanted to be) and I begin in a week and a half. I re...
  24. How do you deal with a toxic workplace?

    I'm definitely in the process of leaving. I've lined up multiple interviews but I obviously can't leave my current work place until I've found another job. I try to just keep to myself and do my job but sometimes I feel like that leaves a target on m...
  25. LPN working as a CNA?

    First off, I've been a lurker on here since I began nursing school but recently became a member. I graduated this summer and quickly took my NCLEX and got licensed in August. Prior to becoming an LPN I worked as a CNA/Med tech for 3, almost 4 years a...