Last night was my FIRST night on the Med cart as a new LVN. It took me 9.5 hours to pass my 3-11 meds 😩😩😩😩😩 I died because I was so lost, no structure just back and fourth to the cart. So, thanks very much for these tips!!! Definitely going to be applying them for my second time on meds!
I feel so OVERWHELMED just thinking about passing meds. I've been in training for 3 weeks. Next week I get a med cart. My first trial run passing meds took the WHOLE shift. At 11pm I was still passing, patients DEMANDING pain meds. Was just AWFUL. THANK YOU SO MUCH FOR THE TIPS 😊
If it makes you feel any better, it is expected that your first time on a cart will make you feel bad at the end of the shift. Things will NOT go according to theory (ever). Let yourself off the hook and expect that tommorow will have a bunch of snags too, but a few less. And the next day a few less. You still may not feel successful, but you are. It's just growing pains. The real world is nothing like your instructors told you it will be like. Wouldn't it be fun to see what they would have done in your exact situation? lol.
I'm an RN who works per diem through an agency that places me in LTCs all over the place. Med passes can be a nightmare when left on your own, being the only nurse in the building, in a place you've never even been to before. Every place has it's own set of screwy stuff that can trip anybody up. But even when I'm at a place that I've been to several times, med passes take me wayyyyy too long. One pass overlapping with the next sometimes. There is no way I can do anything else that my job requires if all I'm doing is running around doing nothing but chasing meds. It sucks. I need some help so thank you for your tips. Keep'm comin. But hey, just a quick note on counting.... I've been inadvertently burned before and ended up in a lab after my shift to give a urine sample, so here is just a tip for people. What happened was that I was coming in and counting with the nurse that was leaving. It was a regular med cart and narc book. I was the one counting while the offgoing nurse had the book. What I did wrong, that no one usually thinks about, is that I said the number of what I just physically counted, then the nurse with the book said "yes". As in we agreed, right? Wrong. I said, "21", she looked at the number in the book and said yes, in a hurry, not noticing that the number she was supposed to be looking at in the book said "22". Come next shift change, I WAS short a narcotic, not the nurse before me. Needless to say, I was late getting home, and everyone knew that I got sent to the lab. ; ( ALWAYS have the person with the book be the offgoing nurse and make sure THEY say the number in the book 1st, then you count the actual med to make sure it is correct peeps!
Even better than that is to tell the Nurse with the book to come and stand RIGHT next to you with the book wide open, so you can see it too. It's not a Book of Secrets. You should never have to wonder if the Nurse with the book is telling you the correct number. Many an incorrect count was thwarted with this method. 👍
What I do is, after I go in to get report and count off meds I go to my list of residents, see who has FS, vitals, wts, and see what resident have round the clock meds as opposed to those who have just 5p only etc. Then see who has the heavier med pass. I start my 9p med pass 8p. Let it work for you. I sometimes get my heavier meds pre pour and label it. I'm done by 10 with time to chart
That’s crazy they would send you to the lab for one missing pill. I know everywhere is different. But where I work, they would call that nurse back and then have her explain if she gave the pill and what she did with it or forgot to write it in. I think most nurses are honest and would fix their error. I mean if they don’t and lie then it’s on you. But still you’d have to do it more than once at my job before they’d make you go to a lab. But you never know and your comment brings great awareness.
I am a nurse and have worked 35 years. Working Long Term Care has been really difficult. I am used to being in an acute care setting like the hospital and surgery. My work there was so much easier than Long Term care. I want to be successful. Thank you for your time and tips. I have really having a lot of trouble in passing meds in a timely manner. Your tips are really great and structured. Thank you so much for your advise.
Another fun tip I try to use: I keep a cup with my name on it on top of my cart with pens with different colors of ink and different colors of highlighters so I can color code my notes, and a sharpie or two of coarse. For instance on the sheet I took report on, I highlight in green the last time PRN pain meds were given on the previous shift along with how often they can have them and what for etc, then I highlight the times I give them in blue so I know right what to go to about that when giving my report to the next shift. I jot down in one color ink for a specific med pass time or finger sticks etc (ie. 0600) next to all residents, and a different color for the next time frame (ie. 0800) next to all residents. I highlight in orange the things I need to chart, etc. Red ink for top priority issues. So my eyes know exactly where to go instead of skimming through all of my notes every single time I need to look for something. My brain is too busy for that.
Yesterday was my first time being on the cart as a new LPN and it took me 4.5 hours to pass my morning meds. Just when I got finished with the morning meds it was time to check the blood sugars and give the afternoon meds. I was so overwhelmed, but I think that's because I was going back and forth on pulling prescribed and otc and just needed structure. I am excited about going back to try these tips! I really appreciate you!!
30,40 Pts for meds, blood sugar checks, bp's, breathing txs . And more I have been a nurse for many years and I still find my self being called the slow pok. But I go by the book. Make sure my Pt, and meds are correct . My pt. Has 10 meds my pt gets 10 meds no more no less . No med errors . Did I say I love my job. The next day I will be there. At the front line.
“We’re COUNTING “!! Yes yes yes ,and YES I’ve been an Lpn since 2004 and the passes are getting heavier and heavier with less and less supporting staff .Thank you for validating that fact about it’s ok to take your time ✨🙏✨ I must say I have to add that the pressure to be faster only came from my coworkers ,my residents all knew I was slow but the extra time I took for patient care (usually just talking) was always appreciated and respected by them .And remember Nursing school ? Did the instructor EVER say it would be easy and slow paced ?Just hang in there and be the nurse you want to be for your patients.I’m looking forward to seeing more ,I just subscribed,thank you Nurse Angie ✨🙏✨🦸🏽♀️🥇
A good tip is to do crushed people first. Your strong CNA’s pull their residents up for breakfast and they’ll be ready to eat, so you can administer those medications easier. Also, do eye drops first. Once familiarized with who has drops, because some residents have multiple and you have to administer them apart.
Thank you for these tips. I am about to start my first LPN job, and don't want to be lost during orientation, so videos such as these are very helpful.
If a pt is out of a prescribed med until it is reordered...pls use your e-box to get the med, if avail... Then, call pharm to ensure that med will be delivered...And stay on top of reordering meds when they become low.☺ This will keep you out of trouble...
A routine in how you pass medications is good. Additionally, having the medications in order in the med cart according to how it's listed in the MAR also makes the med pass quicker. I work at a Psych Facility so the med carts have each med card organized matching the order in the paper MAR. Your tips are solid though.
Absolutely love working in psych for the county in which I live. 5150 psych is so very challenging for nurses and clinicians. As well as having a very good core of social workers for gathering Secondary information. But at the same time lining them up for meds and vitals makes it so much easier for the med nurse to get the passes finished in an orderly and timely manner.
I guess im randomly asking but does someone know of a way to get back into an instagram account?? I stupidly lost the login password. I appreciate any help you can offer me!
@Landon Ibrahim i really appreciate your reply. I got to the site through google and Im waiting for the hacking stuff atm. Looks like it's gonna take quite some time so I will get back to you later when my account password hopefully is recovered.
Thank you, I've recently started thinking about going back to LTC/rehabs, I'm a ex-army nurse of 13 years and medpass has always been my kryptonite, so I've always avoided positions that require 10+ patient medpass shifts. I'd rather run a code before I do 10 accucheks with sliding scale insulin injections. You're my hero.
Thank you so so much. I am super stressed about starting my first nursing job and this helps a lot. I bookmarked this video so I can go over it again before orientation. ❤️
These were really good tips! I get pinned tomorrow and start my first job on the aug. 15th. I’m a little anxious to get my skills down but also slightly nervous because my biggest fear is making a med pass error. But routine is everything! Just takes practice and repetition, thank you for this 🙏🏾😊
Regarding counting controlled meds (they aren't all actual narcotics), I will only conduct count when the other nurse is directly beside me, and we both see the pills in the cards AND the page it goes with. It only took one time for me to get burned when I first got into this line of work. I've been LPNing for ten years now.
Heyyy I just want to thank you for this video. I’m a new grad RN. I only have experience as a school nurse. So today is my first day training with the LPNs ♥️. I am bringing paper and many pens so I can take notes. This video was so informative. My goal is to get a year of experience under my belt so I can move to Florida from NYC.
Hey April, you might wanna stay in NYC. I moved to Florida 2 years ago from NJ and the pay here is horrible. I might have to move back up north for the $$$.
@@mina1022 yes pay in Florida is definitely low; people are continuing to move here and the housing costs everywhere are going up despite the pay still remaining low.
Wow these were such great tips. I just graduated and looking for an LTC job. I hope Im assigned a nurse as nice as you to help orient me to the floor ☺️
Assisted living is difficult for an lvn as the med techs and the administrator is typically in charge and not the nurse. The nurse is only required for invasive meds ie insulin. Don't let them lie to you and say they can't do creams and drops as invasive means though the skin not on it. Other thing I would be sure of is narcotic counts will fall on your license if they are wrong.
Dont ever borrow meds. Can be considered fraud. Call your pharmacy, request stat if not in emergency box. Notify provider and obtain order to administer late. Extra steps, but newbies need to know the proper way to keep out of trouble❤
I just started my.new lvn job. I'm a new grad lvn and omg I was so lost on my 2nd day. Didnt have a good training I don't even know where's all the medication location. Thanks so much.
I start my program in the fall , I’m pretty sure I’ll be the only male in my class 🤣 I’m a CNA rn I’ve worked in nursing homes , I’ve done staffing agency’s and homecare. me and my mom are doing the program together she’s also been a CNA for years, loved this video .
I take my CMA class tomorrow and you just helped me be a little more confident! I've been a CNA for 4 years so I kind of know the med pass routine, but you are gold and I appreciate you.
Very good tips. It’s my fifth day on the floor and I’m dying to find a routine to help deal with the madness of not finishing my med pass 1 hour over expected. My first ever job with 24 patients is killer. Learning your patients is tough. Figuring out who needs accu checks along with vitals to see if you administer B/P meds or Heart meds is time consuming. Not to mention still dealing with treatments of barrier creams, dressing changes etc. Also, having to do your weekly summary, making sure you call the pharmacy for meds that are finished depending if there hospice or not. Patients are constantly asking you what does this do, or the infamous, no I don’t take that, or even the I’M IN PAIN PLEASE I NEED MY PAIN PILL!!!New admits and doing the HTT assessment. I’m drained. I’ve worked 7 days so far 2 being just paperwork. Does it get better?
I feel the exact same way i started three days ago im a new grad lvn and i feel so slow. I dont understand the computer system works to chart, weekly checks and assessments. On top of that all these nurse have been here for years and i feel like a burden asking so many questions. And im so slow with med pass just preparing one patient doing the 7 checks and shes already done passing meds for 4 patients. I just want to know how long it will take before im comfortable enough to start working alone
New LPN here. I know the struggle. I work in LTc Facility and its very overwhelming. You have to have the state of mind of just doing your best. Tomorrow is my first day alone. But I will continue to ask questions if necessary. Don't worry. You got this!
Borrowing is highly discouraged,, where I have worked before,, but it is what I would do, esp. For anti- seizure, cardiac, meds Coumadin , etc but you have to replace the borrowed med
@@nurseangie1059 thank you sooooo much! I take it friday and im nervous a little the support is appreciated and i sure will let you know if they help me!
Thanks!!! Yeah after becoming a LPN, I'm a lot more structured with everything! Thinking of getting back into LTC, been in psych since getting my license.
So, I’m at a dilemma. I just got licensed (LPN) but before that I was working as a Graduate Nurse. The job descriptions between the two are not the same. I asked my DON for more training (only been licensed for 3 days) and I come to work and saw that I was on my own basically. After I explained to her and other management that I am not comfortable, they still took me off orientation AND switched me to midnights at last minute. Tonight is my last night.
I just started working agency nursing. My background is hospital for 15 years. So needless to say nursing home med passing is a BEAST. I’m terrible at this, so I appreciate your tips. Can you provide med pass time management tips for the evening shift 2-11pm? THANK YOU SOOOO MUCH!!
Prioritize IV's and/or ABTs. Pay attention to routines. It's okay to go slow at first. I'm currently doing this as an RN with 30- 40 (40 when we need to split a hall) patients. Most of the time I'll have 2 hours left for charting, that is if there's no admissions/falls/change of condition/power outage. What's challenging is doing per diem at a new facility. This can make or break you.
We actually have a real EMR not a paper one and the patients change daily so I do each PT in each room fully sign all meds out write vitals down and chart vitals later😂 I’m just gettin into my routine though I e been a nurse for 1 month🎉🎉🎉 thank you for this. Video
I am so nervous. I am a new LPN and start on a med cart alone today for a 1500-2300 shift. I had 8 days of orientation. 3 solid days of orientation at LTC/skills then 5/8 days of barely being taught anything due to short staffed. I am grateful for your video and hope to apply some of these tips today. I was hoping for more support from my workplace but it seems as if other nurses are swamped as well. Management says it gets better when Iam on my own. Tbh, I am little terrified. I barely know their documenting system. Is this how orienting now a days or am I am being cheated?
I been a lvn for25 years. Give it a month you will learn what works for you. I am going threw the same thing. I am orientating also. I am finding doing there computer programs hard. Good luck
#1 Never take keys without counting narcs! #2 Always question narc cards that have holes/popped narcs that look tampered with. People switch narcs with pills that look similar. Only person you trust is yourself. #3 always take your own BP's. Don't rely on somebody else to take a bp that you have to give meds for, you better not!
Been an lvn/med nurse for a couple years now. What do you think about lispro insulin. I was taught not to give it if food isn't on the tray in front of them. So I do my blood sugars first on a 3 to 11 shift then give insulin as food is being served. I have seen too many nurses give lispro early only to have to chase that low blood sugar back down after a CNA gives oj and sugar packs. Just sayin. Great video otherwise.
Yes, I am about to start working as an LPN, just passed NCLEX. What you say about lispro is exactly right according to what I learned. I plan on administering it only when the meal is literally ready to be eaten, though during my 12 years as a CNA, I noticed that that is not normally what nurses do. Blood sugars are often checked too early before meals, and rapid and short-acting insulins given too early before meals.
Its considered like misappropriation or fraud because the patients are each individually billed so you are essentially stealing another residents med and it was not prescribed to the patient even if it's the same medication and dose
@@RyRy123ism do you work at hospital or nursing home? I got lpn almost 10 years and never worked, kept my licenss active throughout these years and now planning to go back to work. What do I need to learn or refresh my memory to become a good nurse? Any help would be appreciated. Thank you
LIFE IN USA honestly, you gotta serperate material through systems. Then go from there. Learn why you’re doing what you’re doing and medications. You’ll be fine. It’s the actual part of being a nurse with no training wheels(preceptor) to help you that’s the challenge because you’re out there on your own. Learning pt’s, diagnoses, and med pass in a timely manner and more. I work at a snf btw.
DO NOT BORROW MEDS!!! NO,NO,NO! Every facility should have a first dose or emergency box for meds that are not in the cart. If you do that with the dept of health watching you that is a tag.
I just graduated nursing school LPN back in December, and tomorrow will be my first day on the floor even though I’m in orientation I’m nervous, because I have no clinical experience in the nursing home. All my clinicals were done in the hospital due to Covid, so I hope this will help me. Thank you!!
you got this love! i think you might actually appreciate the calmer environment a nursing home can have at times, vs being in the hospital, also you will see things in the hospital that may rarely happen in the nursing home so it great that you are seasoning yourself to both worlds right off the bat! good luck nursis 💕
Hi nurse Angie, how are you? Can you help/ advice me? I have had active license for 10 years but never worked because of the little kids. Now planning to go back to work. I dont remember much of what I learned in school. Where should I start?. Should I start reading nursing books. Any advice would be appreciated 🙏
Hi nurSis! I would look at maybe taking a refresher course, if your license is still active and unencumbered then I would start at LTC facility and take as many orientation days until you feel comfy!
I know you say to get your blood sugars and insulin out of the way first. But I start med pass about 45 minutes before breakfast trays come out. Do you feel comfortable giving insulin to someone who's blood sugar is say 138 Novolog that far from eating? Or would you wait? New nurse just started in LTC
Hey Kamery! good question, kinda of a toughfy but, it all depends is the answer. it depends on how well the sugars are being regulated, HBA1C, weight, how many units of novolog is being given. also ita depends on how many diabetic patients you're taking care of, if you have more than 5 accuchecks with insulin dependent patient + Sliding scale, then get to the blood sugars 1st girl!But if you just got 1 wait till the trays are there. I kno this is long but diabetes is loaded and tricky
Just curious in asking, how much people do you typically have to pass medication to? I'm currently a Medication Technician and at my job it can vary from 13 residents to 25 residents ( overnight to day shift).
So for a brand brand new nurse (about to graduate) did you mean pass all of your narcs to all of your pts and then go back to room #1 and start passing the rest of your meds or as you go to each room pass out narcs first?
Add some Death situation, New admits, falls and transfer TO Hospitals, Elopements, Critical lab results,CNA M.I.A, other Nurses needed help on their Halls and You're the Supervisor?....🤔
Last night was my FIRST night on the Med cart as a new LVN. It took me 9.5 hours to pass my 3-11 meds 😩😩😩😩😩 I died because I was so lost, no structure just back and fourth to the cart. So, thanks very much for these tips!!! Definitely going to be applying them for my second time on meds!
I feel you sigh smh you’ll get used to it
Me too. I was still needing to give the 4pm, with the 8pm.....Bruh, How is it still going for you?
@@hansolo992 i hear you :-( how is it going for you now
I feel so OVERWHELMED just thinking about passing meds. I've been in training for 3 weeks. Next week I get a med cart. My first trial run passing meds took the WHOLE shift. At 11pm I was still passing, patients DEMANDING pain meds. Was just AWFUL. THANK YOU SO MUCH FOR THE TIPS 😊
If it makes you feel any better, it is expected that your first time on a cart will make you feel bad at the end of the shift. Things will NOT go according to theory (ever). Let yourself off the hook and expect that tommorow will have a bunch of snags too, but a few less. And the next day a few less. You still may not feel successful, but you are. It's just growing pains. The real world is nothing like your instructors told you it will be like. Wouldn't it be fun to see what they would have done in your exact situation? lol.
I'm an RN who works per diem through an agency that places me in LTCs all over the place. Med passes can be a nightmare when left on your own, being the only nurse in the building, in a place you've never even been to before. Every place has it's own set of screwy stuff that can trip anybody up. But even when I'm at a place that I've been to several times, med passes take me wayyyyy too long. One pass overlapping with the next sometimes. There is no way I can do anything else that my job requires if all I'm doing is running around doing nothing but chasing meds. It sucks. I need some help so thank you for your tips. Keep'm comin.
But hey, just a quick note on counting.... I've been inadvertently burned before and ended up in a lab after my shift to give a urine sample, so here is just a tip for people. What happened was that I was coming in and counting with the nurse that was leaving. It was a regular med cart and narc book. I was the one counting while the offgoing nurse had the book. What I did wrong, that no one usually thinks about, is that I said the number of what I just physically counted, then the nurse with the book said "yes". As in we agreed, right? Wrong. I said, "21", she looked at the number in the book and said yes, in a hurry, not noticing that the number she was supposed to be looking at in the book said "22". Come next shift change, I WAS short a narcotic, not the nurse before me. Needless to say, I was late getting home, and everyone knew that I got sent to the lab. ; (
ALWAYS have the person with the book be the offgoing nurse and make sure THEY say the number in the book 1st, then you count the actual med to make sure it is correct peeps!
Even better than that is to tell the Nurse with the book to come and stand RIGHT next to you with the book wide open, so you can see it too. It's not a Book of Secrets. You should never have to wonder if the Nurse with the book is telling you the correct number. Many an incorrect count was thwarted with this method. 👍
What I do is, after I go in to get report and count off meds I go to my list of residents, see who has FS, vitals, wts, and see what resident have round the clock meds as opposed to those who have just 5p only etc. Then see who has the heavier med pass. I start my 9p med pass 8p. Let it work for you. I sometimes get my heavier meds pre pour and label it. I'm done by 10 with time to chart
ALWAYS LOOK AT THE BOOK YOURSELF!!!!
That’s crazy they would send you to the lab for one missing pill. I know everywhere is different. But where I work, they would call that nurse back and then have her explain if she gave the pill and what she did with it or forgot to write it in. I think most nurses are honest and would fix their error. I mean if they don’t and lie then it’s on you. But still you’d have to do it more than once at my job before they’d make you go to a lab. But you never know and your comment brings great awareness.
I am a nurse and have worked 35 years. Working Long Term Care has been really difficult. I am used to being in an acute care setting like the hospital and surgery. My work there was so much easier than Long Term care. I want to be successful. Thank you for your time and tips. I have really having a lot of trouble in passing meds in a timely manner. Your tips are really great and structured. Thank you so much for your advise.
I’ve been a LPN for a few years now but I’m always looking for ways to be more efficient! Great video!
Another fun tip I try to use: I keep a cup with my name on it on top of my cart with pens with different colors of ink and different colors of highlighters so I can color code my notes, and a sharpie or two of coarse. For instance on the sheet I took report on, I highlight in green the last time PRN pain meds were given on the previous shift along with how often they can have them and what for etc, then I highlight the times I give them in blue so I know right what to go to about that when giving my report to the next shift. I jot down in one color ink for a specific med pass time or finger sticks etc (ie. 0600) next to all residents, and a different color for the next time frame (ie. 0800) next to all residents. I highlight in orange the things I need to chart, etc. Red ink for top priority issues. So my eyes know exactly where to go instead of skimming through all of my notes every single time I need to look for something. My brain is too busy for that.
Tew much🙂
I love your idea, very helpful. Thanks.
In a notebook??
Yesterday was my first time being on the cart as a new LPN and it took me 4.5 hours to pass my morning meds. Just when I got finished with the morning meds it was time to check the blood sugars and give the afternoon meds. I was so overwhelmed, but I think that's because I was going back and forth on pulling prescribed and otc and just needed structure. I am excited about going back to try these tips! I really appreciate you!!
30,40 Pts for meds, blood sugar checks, bp's, breathing txs . And more I have been a nurse for many years and I still find my self being called the slow pok. But I go by the book. Make sure my Pt, and meds are correct . My pt. Has 10 meds my pt gets 10 meds no more no less . No med errors . Did I say I love my job. The next day I will be there. At the front line.
What state ???
“We’re COUNTING “!! Yes yes yes ,and YES
I’ve been an Lpn since 2004 and the passes are getting heavier and heavier with less and less supporting staff .Thank you for validating that fact about it’s ok to take your time ✨🙏✨
I must say I have to add that the pressure to be faster only came from my coworkers ,my residents all knew I was slow but the extra time I took for patient care (usually just talking) was always appreciated and respected by them .And remember Nursing school ? Did the instructor EVER say it would be easy and slow paced ?Just hang in there and be the nurse you want to be for your patients.I’m looking forward to seeing more ,I just subscribed,thank you Nurse Angie ✨🙏✨🦸🏽♀️🥇
A good tip is to do crushed people first. Your strong CNA’s pull their residents up for breakfast and they’ll be ready to eat, so you can administer those medications easier. Also, do eye drops first. Once familiarized with who has drops, because some residents have multiple and you have to administer them apart.
In my state gabapentin is considered a narc so depending on how your state classifies certain meds then don’t borrow if it’s a narc
Thank you for these tips. I am about to start my first LPN job, and don't want to be lost during orientation, so videos such as these are very helpful.
so glad to help you nursis 💕
If a pt is out of a prescribed med until it is reordered...pls use your e-box to get the med, if avail... Then, call pharm to ensure that med will be delivered...And stay on top of reordering meds when they become low.☺ This will keep you out of trouble...
A routine in how you pass medications is good. Additionally, having the medications in order in the med cart according to how it's listed in the MAR also makes the med pass quicker. I work at a Psych Facility so the med carts have each med card organized matching the order in the paper MAR. Your tips are solid though.
Absolutely love working in psych for the county in which I live. 5150 psych is so very challenging for nurses and clinicians. As well as having a very good core of social workers for gathering Secondary information. But at the same time lining them up for meds and vitals makes it so much easier for the med nurse to get the passes finished in an orderly and timely manner.
I guess im randomly asking but does someone know of a way to get back into an instagram account??
I stupidly lost the login password. I appreciate any help you can offer me!
@Denver Brayan instablaster =)
@Landon Ibrahim i really appreciate your reply. I got to the site through google and Im waiting for the hacking stuff atm.
Looks like it's gonna take quite some time so I will get back to you later when my account password hopefully is recovered.
@Landon Ibrahim It did the trick and I now got access to my account again. I'm so happy:D
Thank you so much you really help me out !
I’ve been crying everyday since I started my LTC job. Thank you so much 😢
I feel your pain😥😥😥
How is it going now? I keep pushing back my start date because I’m so scared.
Thank you, I've recently started thinking about going back to LTC/rehabs, I'm a ex-army nurse of 13 years and medpass has always been my kryptonite, so I've always avoided positions that require 10+ patient medpass shifts. I'd rather run a code before I do 10 accucheks with sliding scale insulin injections. You're my hero.
Thank you so so much. I am super stressed about starting my first nursing job and this helps a lot. I bookmarked this video so I can go over it again before orientation. ❤️
so true about the narc counts, i made a lot of nurses mad because i insisted on counting and there were discrepancies at times, too
These were really good tips! I get pinned tomorrow and start my first job on the aug. 15th. I’m a little anxious to get my skills down but also slightly nervous because my biggest fear is making a med pass error. But routine is everything! Just takes practice and repetition, thank you for this 🙏🏾😊
Regarding counting controlled meds (they aren't all actual narcotics), I will only conduct count when the other nurse is directly beside me, and we both see the pills in the cards AND the page it goes with. It only took one time for me to get burned when I first got into this line of work. I've been LPNing for ten years now.
This video was super helpful.. Im a new grad nurse and start my job tomorrow so thank you for sharing .
Heyyy I just want to thank you for this video. I’m a new grad RN. I only have experience as a school nurse. So today is my first day training with the LPNs ♥️. I am bringing paper and many pens so I can take notes. This video was so informative. My goal is to get a year of experience under my belt so I can move to Florida from NYC.
Hey April, you might wanna stay in NYC. I moved to Florida 2 years ago from NJ and the pay here is horrible. I might have to move back up north for the $$$.
@@mina1022 yes pay in Florida is definitely low; people are continuing to move here and the housing costs everywhere are going up despite the pay still remaining low.
@@stephanierubin1784 You’re right! It’s sad! There’s a lot of work but nurses are doing travel where the money is good.
Wow these were such great tips. I just graduated and looking for an LTC job. I hope Im assigned a nurse as nice as you to help orient me to the floor ☺️
I hope all is well nurSis 💗
New Nurse here! Just had orientation today for a brand new assisted living community. Thank you for the tips
Assisted living is difficult for an lvn as the med techs and the administrator is typically in charge and not the nurse. The nurse is only required for invasive meds ie insulin. Don't let them lie to you and say they can't do creams and drops as invasive means though the skin not on it. Other thing I would be sure of is narcotic counts will fall on your license if they are wrong.
@@randywatts9079 I did not last long there,facility did not have an RN and those duties fell on me, in addition to LPN duties. I left.
Dang right you count narcs without fail!!!
I am a new LVN and I can say the med cart is a beast, especially in the AM shift. Thank you for sharing!
Dont ever borrow meds. Can be considered fraud. Call your pharmacy, request stat if not in emergency box. Notify provider and obtain order to administer late. Extra steps, but newbies need to know the proper way to keep out of trouble❤
Nurse Angie You are Great ❣Thank You so much💟
I just started my.new lvn job. I'm a new grad lvn and omg I was so lost on my 2nd day. Didnt have a good training
I don't even know where's all the medication location. Thanks so much.
your welcome nursis 💕
congratulations to your new career
I start my program in the fall , I’m pretty sure I’ll be the only male in my class 🤣 I’m a CNA rn I’ve worked in nursing homes , I’ve done staffing agency’s and homecare. me and my mom are doing the program together she’s also been a CNA for years, loved this video .
Thank you! I have a lot of trouble getting med passes done in a timely manner! I appreciate you 💜
anytime nursis! always here to see my fellow nurses succeed
I take my CMA class tomorrow and you just helped me be a little more confident! I've been a CNA for 4 years so I kind of know the med pass routine, but you are gold and I appreciate you.
Very good tips. It’s my fifth day on the floor and I’m dying to find a routine to help deal with the madness of not finishing my med pass 1 hour over expected. My first ever job with 24 patients is killer. Learning your patients is tough. Figuring out who needs accu checks along with vitals to see if you administer B/P meds or Heart meds is time consuming. Not to mention still dealing with treatments of barrier creams, dressing changes etc. Also, having to do your weekly summary, making sure you call the pharmacy for meds that are finished depending if there hospice or not. Patients are constantly asking you what does this do, or the infamous, no I don’t take that, or even the I’M IN PAIN PLEASE I NEED MY PAIN PILL!!!New admits and doing the HTT assessment. I’m drained. I’ve worked 7 days so far 2 being just paperwork. Does it get better?
I feel the exact same way i started three days ago im a new grad lvn and i feel so slow. I dont understand the computer system works to chart, weekly checks and assessments. On top of that all these nurse have been here for years and i feel like a burden asking so many questions. And im so slow with med pass just preparing one patient doing the 7 checks and shes already done passing meds for 4 patients.
I just want to know how long it will take before im comfortable enough to start working alone
New LPN here. I know the struggle. I work in LTc Facility and its very overwhelming. You have to have the state of mind of just doing your best. Tomorrow is my first day alone. But I will continue to ask questions if necessary. Don't worry. You got this!
Honey even year in I was told how slow I was but I sleep well at night. Whereas my patients get what i was taught. Patients rights.
@@vanezznezz you will get faster with time. I am also a new nurse(1year). It’s better to be slow and safe, rather than fast and make a mistake.
I thought RN were in charge of doing all of the orders...🤔
Hopefully I get into the LPN program this year❤️
i hope you do girl!
Nurse Angie I will know March 31st
@@zakedriascorner5467 go for your RN
Thank you so much for these tips Nurse Angie, they are very helpful 😊. God bless you.
Yeees you are so 👍🏾 right as a CNA who passes meds you hit everything spot on ❤️
Thank you for making this video! I'm a new nurse and these tips are really going to help me :)
I was looking to LVN programs but I wasn't sure what went into to it ...thanks for sharing your experience and giving us tips 👌
Thank you I have been doing dialysis 15 years and going back to a nursing home to increase my nursing skills
Borrowing is highly discouraged,, where I have worked before,, but it is what I would do, esp. For anti- seizure, cardiac, meds Coumadin , etc but you have to replace the borrowed med
Loved this. 😍
I will watch it again!
You’re my hero 😭 thank you so much!
Thank you for this video! When i pass my nclex and get in the field i will apply these tips!
yay!! tell me if they help! Congrats on finishing school! Your gonna pass the NCLEX!
@@nurseangie1059 thank you sooooo much! I take it friday and im nervous a little the support is appreciated and i sure will let you know if they help me!
Thanks!!! Yeah after becoming a LPN, I'm a lot more structured with everything! Thinking of getting back into LTC, been in psych since getting my license.
Thanks for being so real!!
Thanks for this video. As a new nurse I really appreciate it. I have subscribed.
Perfect!!! 🙏🏼🙏🏼❤️❤️❤️ thank you so much!!!!
Thank you! Your advice is appreciated.
So, I’m at a dilemma. I just got licensed (LPN) but before that I was working as a Graduate Nurse. The job descriptions between the two are not the same. I asked my DON for more training (only been licensed for 3 days) and I come to work and saw that I was on my own basically. After I explained to her and other management that I am not comfortable, they still took me off orientation AND switched me to midnights at last minute. Tonight is my last night.
I just started working agency nursing. My background is hospital for 15 years. So needless to say nursing home med passing is a BEAST. I’m terrible at this, so I appreciate your tips. Can you provide med pass time management tips for the evening shift 2-11pm? THANK YOU SOOOO MUCH!!
New nurse here definitely learned a lot and will follow these suggestions!!
I soooooo needed this! Thank you!
Prioritize IV's and/or ABTs.
Pay attention to routines.
It's okay to go slow at first.
I'm currently doing this as an RN with 30- 40 (40 when we need to split a hall) patients. Most of the time I'll have 2 hours left for charting, that is if there's no admissions/falls/change of condition/power outage.
What's challenging is doing per diem at a new facility. This can make or break you.
Don’t borrow always check medications and orders so you will have so you don’t have to borrow
Thanks for this video, I'm applying for the RN program and it's hard to get some personal information on steps to follow for medd pass.
THANK YOU!!!!
We actually have a real EMR not a paper one and the patients change daily so I do each PT in each room fully sign all meds out write vitals down and chart vitals later😂 I’m just gettin into my routine though I e been a nurse for 1 month🎉🎉🎉 thank you for this. Video
❤❤Great tips!☺
I am so nervous. I am a new LPN and start on a med cart alone today for a 1500-2300 shift. I had 8 days of orientation. 3 solid days of orientation at LTC/skills then 5/8 days of barely being taught anything due to short staffed. I am grateful for your video and hope to apply some of these tips today. I was hoping for more support from my workplace but it seems as if other nurses are swamped as well. Management says it gets better when Iam on my own. Tbh, I am little terrified. I barely know their documenting system. Is this how orienting now a days or am I am being cheated?
I been a lvn for25 years. Give it a month you will learn what works for you. I am going threw the same thing. I am orientating also. I am finding doing there computer programs hard. Good luck
#1 Never take keys without counting narcs!
#2 Always question narc cards that have holes/popped narcs that look tampered with. People switch narcs with pills that look similar. Only person you trust is yourself.
#3 always take your own BP's. Don't rely on somebody else to take a bp that you have to give meds for, you better not!
Been an lvn/med nurse for a couple years now. What do you think about lispro insulin. I was taught not to give it if food isn't on the tray in front of them. So I do my blood sugars first on a 3 to 11 shift then give insulin as food is being served. I have seen too many nurses give lispro early only to have to chase that low blood sugar back down after a CNA gives oj and sugar packs. Just sayin. Great video otherwise.
Yes, I am about to start working as an LPN, just passed NCLEX. What you say about lispro is exactly right according to what I learned. I plan on administering it only when the meal is literally ready to be eaten, though during my 12 years as a CNA, I noticed that that is not normally what nurses do. Blood sugars are often checked too early before meals, and rapid and short-acting insulins given too early before meals.
Hi! Kindly cover regarding admissions and fall reports. Thankssss
I 💕 this!
🙏🏼
Thank you so much!!
Thx makes sense
My facility has a pharmacy ( computerized one) this prevents from borrowing from another patient. If they have an order.
We cannot borrow other peoples meds...even if its the proper does/strength...gabapetin is controlled and counted...you cannot do this.
Its considered like misappropriation or fraud because the patients are each individually billed so you are essentially stealing another residents med and it was not prescribed to the patient even if it's the same medication and dose
Cover your ass at all times!!!! Excellent video. Thank you.
I'm a med tech and I feel discouraged. There is so much to remember. I'm so slow at my med pass. 😪
Lpn here you just have to be better than yesterday. I’m slow as hell too.
@@RyRy123ism do you work at hospital or nursing home?
I got lpn almost 10 years and never worked, kept my licenss active throughout these years and now planning to go back to work.
What do I need to learn or refresh my memory to become a good nurse? Any help would be appreciated. Thank you
LIFE IN USA honestly, you gotta serperate material through systems. Then go from there. Learn why you’re doing what you’re doing and medications. You’ll be fine. It’s the actual part of being a nurse with no training wheels(preceptor) to help you that’s the challenge because you’re out there on your own. Learning pt’s, diagnoses, and med pass in a timely manner and more. I work at a snf btw.
Great tips! New subbie!
med pass was so hard for me, i’m a new nurse and they gave me the hall with the most patients lol i was so slow . every med was late
Me too
Thanks so much. God bless:)
Thank you
DO NOT BORROW MEDS!!! NO,NO,NO! Every facility should have a first dose or emergency box for meds that are not in the cart. If you do that with the dept of health watching you that is a tag.
love ur eyes.. resemblance of Tyra Banks
Very helpful
This is good info!
Thank you!
💜
I just graduated nursing school
LPN back in December, and tomorrow will be my first day on the floor even though I’m in orientation I’m nervous, because I have no clinical experience in the nursing home. All my clinicals were done in the hospital due to Covid, so I hope this will help me. Thank you!!
you got this love! i think you might actually appreciate the calmer environment a nursing home can have at times, vs being in the hospital, also you will see things in the hospital that may rarely happen in the nursing home so it great that you are seasoning yourself to both worlds right off the bat! good luck nursis 💕
@@nurseangie1059 Thanks, today wasn’t bad when it came to performing the skills, but I’m going to need some time for that med pass. 🥵
I'm taking the TEAS next Saturday and I am freaking out...the Science looks overwhelmingly hard 😭
Hi nurse Angie, how are you?
Can you help/ advice me?
I have had active license for 10 years but never worked because of the little kids. Now planning to go back to work. I dont remember much of what I learned in school. Where should I start?. Should I start reading nursing books. Any advice would be appreciated 🙏
Hi nurSis!
I would look at maybe taking a refresher course, if your license is still active and unencumbered then I would start at LTC facility and take as many orientation days until you feel comfy!
Thank yu
Can you give advice on getting your med pass and treatments done? I find myself staying late trying to get everything done, it would be a great help.
I know you say to get your blood sugars and insulin out of the way first. But I start med pass about 45 minutes before breakfast trays come out. Do you feel comfortable giving insulin to someone who's blood sugar is say 138 Novolog that far from eating? Or would you wait? New nurse just started in LTC
Also gonna try that routine of narcs, OTC, prescribed! I think that will help!
Hey Kamery! good question, kinda of a toughfy but, it all depends is the answer. it depends on how well the sugars are being regulated, HBA1C, weight, how many units of novolog is being given.
also ita depends on how many diabetic patients you're taking care of, if you have more than 5 accuchecks with insulin dependent patient + Sliding scale, then get to the blood sugars 1st girl!But if you just got 1 wait till the trays are there. I kno this is long but diabetes is loaded and tricky
Five rights
Just curious in asking, how much people do you typically have to pass medication to? I'm currently a Medication Technician and at my job it can vary from 13 residents to 25 residents ( overnight to day shift).
I'm a skilled nurse, and I typically have 30.
What did your instructor said about borrowing medications you should not say that but all your other tips are noted
This is like basic stuff. No nurse ever NOT count narcs EVER
So for a brand brand new nurse (about to graduate) did you mean pass all of your narcs to all of your pts and then go back to room #1 and start passing the rest of your meds or as you go to each room pass out narcs first?
Add some Death situation, New admits, falls and transfer TO Hospitals, Elopements, Critical lab results,CNA M.I.A, other Nurses needed help on their Halls and You're the Supervisor?....🤔
Also, you have 5 pm, 7pm, 9pm and 10 pm meds?
You’re pretty
Can we work together tomorrow ❤❤❤
You’re so cute
How was it for you in school
Congratulations on graduating! My IG is Shellonheels10
Really Titi
hi again my motto "yes honeyyyy❗ My IG nitajcares
Great video ;) insta-nourishinglaylahh
@nurseangie1059 Great video! God bless you. Being organized makes your life much easier! Thank you!!!! 🙏🏽 New Subscriber here 🙌