A.dela

As happy as I am for you to be 19 in the ADN program (I was 20 when I got my nursing license) you have a lot of growing up to do. Everything you do as an adult will stay on record (DUI's/MIP's etc.) And it WILL affect your licensing/hiring process. The state will background check you and every possible employer will background check you, and not to mention potential for surprise drug screenings where ever you do get employed. I'm saying this out of tough love because I'm sure you're very excited to become a nurse: Suck it up, take responsibility for your mistakes, and ditch the "high life" until you can find more responsible friends that won't hinder your future. Don't blame the peer pressure, take responsibility for allowing yourself to get wrapped up in that social life. AND for the love of all things holy, PLEASE call a cab next time! Drinking and driving is the WORST thing you can possibly do because it's preventable!

Right. Thats the plan after my husband is finished with his doctorates. I know several LN's that are ADONs and that may be something I'd be interested in pursuing (given if the opportunity presents itself)

This is great advice! Yes I'm working on helping my CNA'S as much as possible, once I figure out their routine I will help out more :) thank you! This often gets overlooked and it's a great reminder to hear it from someone else

ABSOLUTELY!!! thank you for this!!!

Haha "salty". And yes I take pride in the care I provide. I love being a nurse. Like I stated earlier, all the mangement is new as well. And just as an update, it just so happened they decided to have an in service yesterday and accepted volunteers to take the time to start improving protocols (basically the way we chart them and communicate them). Me and a couple of other nurses decided to take on the challenges and focus on different things that needed updating. No one else volunteered so we did. I'm a new hire, not a new nurse so I wouldn't say I'm not qualified-there's a reason I was hired in the first place :) I'm sure I'll need help along the way, but I'm definitely taking this opportunity to make a change in these resident's lives :) that's what nursing is all about ---and if you absolutely must know why I took this job and not the others that were offered to me, it's because working at a top-notch facility is not the purpose of being a nurse. The purpose is to provide the best care possible because everybody deserves it, even in a lower end facility. The purpose is to make a difference in their lives, and it's my goal to provide my residents with the same quality care that they would recieve anywhere else

Was a charge nurse for SNF, I'm doing somewhat the same thing here. I believe in providing high quality care and I'm used to typically 20-30 residents with high acuity. So when I came in to this, it makes me feel so bad for the residents because even something like 2 hour repositioning can greatly affect their outlook. Like I said, all of these nurses truly mean well, I just don't think the previous managers provided them the resources to allow them to put their critical thinking skills at the forefront of the care they provide. I used to work in a rural area so we HAD to get creative with resources. It would be great to get creative with the rest of the team.

I'm not a new nurse, I'm just new to this facility, which is why I notice these things are missing. I have several years of experience as a charge nurse

Thank you. Ya thats exactly what I want to avoid because I find patient care is much better when every one works together, and coming off as superior would cause a rff (even though I'm not superior by any means, my coworkers are genuinely great people and I look up to them). But I am really concerned for the BM monitoring specifically soccer many of them are on chronic pain management/aging proccess **I would however like to jump into more for a management role eventually and be involved with protocol changes, I'm not even sure what this job would be called and it most likely doesn't exsist, but how would you bring that up? Again, not trying to be misunderstood and have the DON think I'm implying she sucks at her job or anything like that

So I am a new hire at a new job. They recently started going through a change in management and many of the nurses stayed with the company. Some have been there for 3+ years and love it there. Im enjoying my job and coworkers, however, I'm finding that because many of these nurses have been working there as their first and only nursing job, they don't have the experience to make 'good' nursing care into a 'well rounded and exceptional' nursing care provided. They're missing minor details that could turn into big LTC issues like contracture care schedules, turn schedules, oral care schedules, NO BM lists ....things I am used to receiving in report and rather I'm getting a only outline of what I should need to know before starting my shift. So my question is: How can a new hire like me jump in, start taking charge, and start turning this place around? I don't want to seem like a know-it-all and deter EVERYONE from wanting to work with me, but I'm also very adamant about prevention and patient advocacy.

You're ALLOWING your husband to have possessive control over you. You need to think deeply about what you're allowing him to do and what you're allowing yourself to fall into. That is the beginning of an abusive relationship if it isn't already. Please stay safe

Simple, you call the ordering physician/PA/CNP and request they clarify

I wasn't aware that working from home was an option for LPN/LVN's but I'll definitely start some research. Thank you!

The one thing my teachers drilled into our minds as students: "Never ever take credit for giving something if you didn't prepare it or administer it yourself". Sorry but I'd have to agree with your new director. Your nursing license requires you to CYA. A note should have been written "patient's mother continues to insist on preparing and administering formula to patient. Teaching provided to mother that mixing formula with whole milk is contraindicated as formula is for milk allergy, mother verbalized/did not verbalize understanding..."

Hi there. I have been an LPN for 3 years, almost 4. I was diagnosed last year with Chiari Malformation which resulted in a suboccipital craniectomy/c1 laminectomy. 1 week later I went back to my part time clinic job, but quit a few months later bease I feel I rushed back into it. I haven't been nursing for the past 4 months. I no longer feel confident in my ability to be a nurse, I no longer feel confident in my ability to be a good co-worker, and I'm struggling to find a path that will allow me to be a nurse without having multiple paints so I can focus on just one at a time. Obviously, my cognition is "foggy". Yu can say I'm A&O×4 with occasional confusion. I live in California and I am hoping you all can provide answers that I may have not yet thought of. I need to be able to afford my monthly student loan bill especially that I'm still a relatively new nurse.