Lpn1997

I have an upcoming interview for a case mgmt position with a community based company. The job ad states that the CM would "coordinate care to meet needs of medicaid patients". I have no CM experience. The ad only asked that applicants be an RN with primary care experience. I was an LPN for 10 years working part of that time in primary care but just recently graduated and became an RN. What types of questions should I ask in the interview? What should I expect from this type of job?

I was an LPN but am now an RN. Once I passed my RN boards, I never renewed my LPN license so it expired. On my resume, I have a section to list any licenses and certifications. Should I list the LPN in addition to the RN even thought the LPN has expired. I want to give myself credit in someway for the LPN. I have my job experiences as LPN listed but there's no other way to idicate WHEN I obtained my LPN other than the licenses/cert section.

I am thinking of switching jobs so I'm trying to fill out an application for another facility. It asks your starting and ending hourly salaries of your current and past jobs. I'm not sure what to put. I have my base hourly salary, then I get 25% on top of that because I don't take my hospital's benefits, then I work nights so throw in the hourly shift differential, and then I also work one weekend night which adds in the weekend hourly differential. Do I just put what my BASE salary is? I don't want to put this enormous hourly amt on there and make it look like that is what I expect from this new facility should I get the position. I know they won't pay anything near what I make since it would be an office job.

Unlike my user name suggests, I am now an RN(graduated in 5/08) but have been an LPN x10 years. Those years were spent solely in clinics: internal medicine, OB/GYN, and family practice. Now that I've gotten my RN, I am working on a 14 bed OB unit of a small hospital. I've had several people tell me how bad of a mistake I'm making by not going the med/surg route and that could ruin my chances if I ever decide to change to a more critical type of specialty that might specify needing a year of med/surg. The OB unit I am on serves as overflow for "clean"/non-infectious medical and surgical female patients so I definitely will get some experience daily with those patients not to mention the post-op c-sections, hysterectomies, etc. Having had experience in family medicine and internal medicine clinics I have had a lot of experience with different medical issues (although obviously different than hospital-type nursing) and I have had to develop critical thinking skills, time management, and prioritization. Am I really doing myself a disservice by not going to med-surg before a specialty? When I do get to a point of wanting to move to a different area, can I count my current job as time served on a medical floor since we do so much overflow? Since I am still so early in my position, I could request to transfer to a medical floor with no questions asked so I need input as to what would be best.

I don't usually annouce the fact that I am a nurse unless something isn't going right or someone isn't doing something that they should. I don't think that me being a nurse is usually relevent when I or my kids are at the doctor's office. When I was in the hospital for surgery and had to stay for 4 days, I never let on that I was a nurse until someone picked up on the fact that I was referring to my labs as H&H instead of just asking if I was anemic or whatever. This was a very busy ICU stepdown unit, and once they found out that I was a nurse, my level of care changed dramatically. I guess they assumed that I could handle my drains and Gtube on my own since they just kind of turned the whole show over to me at that point...even though I was halfway out of it on heavy pain meds and could barely move due to the surgery. All of this is meant to say that revealing that you are a nurse has its advantages, however be prepared for the possibility of having to accept more "responsibility" since some caregivers will automatically expect you to act as a nurse instead of acting as a patient. Some people announce the nursing thing just because they are still in the bragging stage.

Yes you can have children after weight loss surgery. However, after gastric bypass most doctors want you to wait anywhere from 1 year to 18months after surgery before trying to conceive. I'm not sure about the time limit with lapband, although I'm sure its around the same thing. They want to make sure the weight loss has leveled off and in the case of gastric bypass, you have to be closely monitored by a physician regarding your labs etc since there is a risk of nutritional/vitamin deficiencies that could potentially harm a fetus. I know a couple of people who have gone on to have normal healthy pregnancies after gastric bypass. Actually, gastric bypass is the reason why both were able to conceive since they both had trouble trying to get pregnant before the weight loss.

I know my experience may not be typical, but I had gastric bypass one year prior to getting the Mirena inserted. Within a month of getting the Mirena, my weight loss came to a halt completely and I still had about 50 pounds left to lose. Its been a year since I got the mirena and I still haven't lost a single pound even with exercise and the standard bariatric diet. I have actually GAINED 10 pounds. I have read up on all of this and there are LOTS of people out there who have had issues with the Mirena. Doctors (including my own) swear that it only works locally on the uterine area, but if that is the case, why do so many people have the systemic hormonal effects such as worsening PMS, weight gain, acne, ovarian cysts, and the famous "mirena crash" (that occurs shortly after its removal)? No one will ever convince me that this doesn't work systemically. Although my experience may not be typical, I think that these symptoms do occur in a lot of Mirena users. I had a $40,000 procedure to help drastically improve my health by losing weight only to have it sabatoged by the Mirena. I am scheduled to have this thing removed next week. BTW, I was one of the people who was singing its praises initially. I didn't need it for birth control purposes but to help control horrendous periods. From day one, I never had a period with the Mirena so on one hand it did its job but on the other hand it caused other problems. But.....everybody is different.

First off, let me say that this question if of a personal nature as it has to do with my Grandmother who is 80 years old and has Alzheimers. She is in a LTC facility but not in the Alzheimers unit. She is at the point that she no longer walks or talks, and the only response that she gives is an occasional laugh. Up until now she has been a great eater. However, in the last week she has not been eating at all...kinda like she doesnt know how to maneuver the pureed food in her mouth. So the speech therapist (not an employee of the facility, but one contracted by the facility)started working with her and decided to try syringe feeding since she determined that her swallowing ability is just fine. The syringe feeding went wonderful and the ST drew up an order for the MD to sign to continue the syringe feeding. All of a sudden, the LTC administrator contacts my mother (the POA for my grandmother) and tells her that syringe feeding is not allowed in their facility and the only option is for a feeding tube (which will never be utilized due to the living will already in place). My mother explained that my grandmother has not given up eating, she just has lost the ability to get the food to the back of her mouth to swallow. They are still refusing to syringe feed. I have never worked in LTC (I'm an LPN) so I'm not sure if this is a common problem so I thought I would check here. Is this not a form of neglect? My grandmother is 100% healthy otherwise, no hypertension, diabetes, etc. The only health problem she has ever had is a small skin cancer removed from her nose. Alzheimers is a terrible disease and I know there will be a point when she does lose her ability to swallow, but until then isn't there a responsibility to feed her as long as she is able? Thanks for any input.

Have you checked out Obesityhelp.com? I joined last year before I had gastric bypass and have learned a lot. There are different forums, one of which is designated for people interested in or who have already had lapband. I do remember reading where some of them had surgery in Mexico. Check it out if you haven't already.

I'm an LPN who hasn't worked in 2 years since the birth of my baby. I will be going back to school in January in a bridge program to get my RN. However, before that happens I need to take Microbiology. Does anybody know if there is a such thing as an online Micro class, and if so where I could find it? I've tried to search online, but haven't found anything. It would be wonderful if I could find one. Thanks!