What do you enjoy most about your director of nursing career?

What do you enjoy most about being a director of nursing? What do you dislike the most? Is it challenging? Are there many opportunities to learn and advance?

What keeps you at your job?

Trying to make a differnce in every residents life and seeing a smile when I do

Let me ask you what you would expect your staff R.N. to do in the following circumstances.Id like to benefit from your experience.

My two concerns as a new employee of a nursing home are:
1.Chest pain.

2.Respiratory distress.

I wonder if anyone out there would like to tackle the following scenarios.

Scenario A.

You are the charge nurse (lpn), at the rehab unit of a nursing home.

You are at he nursing station and the alarm goes of for room 25.You go to the room and the resident says he is experiencing very bad chest pain.

You are alone. What should the LPN do?

Scenario B.

You respond to a resident that says he cannot breathe. The resident is sitting up and gasping for air. He has no order for any respiratory med. There is no order for nebulizer either.

What should the LPN do?

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Rudy Rudy in Union, New Jersey said: Let me ask you what you would expect your staff R.N. to do in the following circumstances.Id like to benefit from your experience.

My two concerns as a new employee of a nursing home are:
1.Chest pain.

2.Respiratory distress.

I wonder if anyone out there would like to tackle the following scenarios.

Scenario A.

You are the charge nurse (lpn), at the rehab unit of a nursing home.

You are at he nursing station and the alarm goes of for room 25.You go to the room and the resident says he is experiencing very bad chest pain.

You are alone. What should the LPN do?

Scenario B.

You respond to a resident that says he cannot breathe. The resident is sitting up and gasping for air. He has no order for any respiratory med. There is no order for nebulizer either.

What should the LPN do?

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Get vital signs...call for an RN supervisor....if not available you have no choice but to transport to the ER.

Rudy Rudy in Union, New Jersey said: Let me ask you what you would expect your staff R.N. to do in the following circumstances.Id like to benefit from your experience.

My two concerns as a new employee of a nursing home are:
1.Chest pain.

2.Respiratory distress.

I wonder if anyone out there would like to tackle the following scenarios.

Scenario A.

You are the charge nurse (lpn), at the rehab unit of a nursing home.

You are at he nursing station and the alarm goes of for room 25.You go to the room and the resident says he is experiencing very bad chest pain.

You are alone. What should the LPN do?

Scenario B.

You respond to a resident that says he cannot breathe. The resident is sitting up and gasping for air. He has no order for any respiratory med. There is no order for nebulizer either.

What should the LPN do?

Was this comment helpful? Yes / No Reply - Report abuse

sam said: Get vital signs...call for an RN supervisor....if not available you have no choice but to transport to the ER.

ABC's baby!! You are CPR certified, right? First you call for help for someone to bring the crash cart oxygen and apply it while having the victim sit or lie down. Delegate one person to dial 911, while another person finds the RN, and you be prepared to follow through with CPR if indicated. Don't leave the patient alone. Find out their code status(check chart), in case they go into cardiac arrest. don't waste time finding the RN to determine if they should go to the ER or not..just send them...better safe than sorry. I'd rather be fired for calling an ambulance too many times than listening to some bean-counting mgmt type and put my license on the line! Send 'em!! DC