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PDF Editor FAQ

Is an RN working as Charge Nurse legally culpable for the actions of an LPN who demonstrates a lack of knowledge of medications she is administering?

An RN is not legally responsible because the LPN has a license of her own. The RN is responsible for delegating the right staff member trained with the right skill set to assist that patient. The LPN has been trained in medication administration, certain treatments and such and is licensed in her or his state. She may look at the experience that nurse has, or critical thinking and such, but, since they are BOTH LICENSED NURSES, they should both know the limitations of the LPN scope of practice and assign accordingly.

How do soldiers feel about commanders who send them to high-casualty missions while the commanders themselves are safely ensconced in the base?

Unless you are in the Air Force, where you fly aeroplanes, or in the Navy, where you are onboard a ship, if an officer higher than Captain finds himself in combat, then things have gone horribly pear-shaped.Officers can be divided in three categories:Company officers - Ensigns, Second Lieutenants, First Lieutenants, Captains. They are platoon leaders, company commanders and lead men in the actual bang-bang war. They are very much grunts. In fact they are the übergrunts. They make things happen and lead in front and delegate tasks to NCOs.Regiment officers - Majors, Lieutenant Colonels and Colonels. They are battalion and regiment commanders. Their task is to supervise, plan, organize and administer. Their task is to plan and administer things, and they lead the battalions and regiments.Now here is a crucial thing. Grunts are replaceable. Any butterbar can lead a company if needed. But leading a battalion or regiment is a far more demanding task, and Majors and higher are not immediately replaceable. If the battalion or regiment commander gets incapacitated or killed, the whole unit basically gets paralyzed. So the regiment officers ought to stay out of the battle as much as possible to keep the unit functionalFlag officers - Generals and Marshalls. They are formation commanders - brigade, division, army corps, army, army group. They basically are the big bosses and administrators. They should keep themselves alive at any cost and as far from the action as possible. Losing a flag officer means usually the whole formation paralyzing.The company is the basic unit for the actual bang-bang fighting. The name - com-panis, “together-bread”, “those who eat together”, implies it; they operate together and it is the largest unit which does everything together. The battalion is much more an administrative unit than a fighting unit; while the task of a company commander (Captain) is to lead his men and women from front, that of the battalion commander (Major) is to administrate and manage his unit and decide which troops are assigned on which tasks. My own unit, engineer platoon, would belong on the HQ company of the battalion, together with signal platoon, logistics platoon, reconnaissance platoon, battalion GHQ platoon and medical platoon. The three infantry companies in the battalion are the actual fighting force of the battalion, and they bear the brunt of the battle. The platoons in HQ company are assigned on mission-based tasks and supporting tasks, not as combat units. If the whole battalion gets in firefight simultaneously, then something is really, really, wrong.Likewise, the task of the battalion commander is to administrate, organize and supervise, not to micro-manage. Things go much more smoothly when the big warlords do not risk their heads when things get hot.Needless to say, the enemy knows as well the battalion, regiment, brigade, divisional and corps commanders are the prime targets and they are the most important warlords to get neutralized. A platoon or company leader like me can be easily replaced (perhaps not an engineer, but anyway), and we are expendable; the bigger bosses aren’t. So being “safe” at camp or GHQ is an oxymoron - the enemy will attempt to send snipers, infiltrators or whatever ninja needed to snuff him.

What is the most badass thing about being a nurse?

Interesting facts about being a nurse (IMHO):1) Nurses are present at some of the most intimate moments of a person's life. Whether death, birth, or simply having a bowel movement, nurses are there, and good nurses will do everything they can to make you feel comfortable in moments you may be embarassed to share.2)Speaking of death, experienced nurses who work in hospice, palliative care, intensive care, and other branches become adept at knowing when a patient is nearing death. It may be unsettling, at times, but can also help grieving families and friends prepare for their loved one's immenent departure.3)Many nurses can discuss absolutely disgusting things while eating. Body secretions, color, texture, wounds, odors, we discuss it all while wolfing down a sandwich.4) Both suicide and cancer rates are higher among nurses than they are in the general population. There are many theories about why this happens, but nothing clear-cut. Some research links increased suicide rates in nurses to shift work, sleep loss, rotating schedules, frequent exposure to stressful/traumatic environments, and burnout. Cancer could be related to these factors, but nurses are also exposed to toxins on a daily basis at work, everything from the environmental cleaners, hand sanitizers and medicated hand soaps, to aerosolized medications and chemo-loaded bodily fluids (sweat from a patient treated for cancer can carry chemotherapy!). Short exposures wouldn't necessarily hurt someone, but nurses spend most of their professional lives surrounded by chemicals.5)Despite this grim outlook, most nurses love what they do. Nursing is a calling.6)This is a long one: Nurses can come from many different education levels!a) Licensed Practical Nurses (LPN) and Licensed Vocational Nurses (LVN) generally attend a 12-18 month program of education; they do not earn a degree for the nursing portion of their education (though they may hold other degrees). LPN/LVN education allows the successful student to sit for their nursing boards and earn the right to call themselves LPNs/LVNs. The LPN/LVN scope of practice allows them to administer some medications (no IV pushes), do focused assessments, perform nursing tasks, and more depending upon their state boards of nursing.b) Associates degree nurses attend school for at least 2 years, earn an AA or AS in nursing (ADN), and are eligible to sit for nursing boards upon graduation.c) Bachelors degree nurses spend at least four years in college, and will earn either a BS or BSN. The additional schooling generally allows for liberal arts, leadership, and research courses that may or may not be offered in ADN programs.----->Both ADN and BS/BSN nurses are eligible to sit for RN boards and call themselves RNs upon successfully passing the exam. RNs are responsible for focused and general assessments, patient advocacy, complex dressing changes, appropriate delegation of tasks, appropriate medication administration in all routes, supervision of unlicensed assistive personnel, and more.d) Advanced practice nurses (APN) include Certified Registered Nurse Anesthetists, Nurse Practictioners, Clinical Nurse Specialists, and other designations; there are many. APNs earn either a masters or clinical doctorate in their chosen specialty.e) Nurses can also earn masters and PhD's in specialty tracks including leadership, education, health informatics, and more.7) Nurses can serve in many professional roles. Public health nurses assess community needs and develop interventions to prevent disease. Home health nurses serve patients within the patients' homes. Bedside nurses may care for one intensely ill patient in critical care, or 5+ acutely ill patients on a medical/surgical ward. L&D nurses will coach women through labor, and care for both mother and baby in the post-partum period. In all fields, nurses participate in developing, conducting, evaluating, and reporting research. With the right mix of education, temperment, and interview savvy, a nurse who burns out in one department can train-up and change specialities.8) Fraudulently claiming to be a nurse is a crime. A person must graduate from a nursing program and pass either LPN or RN boards to earn the title, and then must maintain their license through continued education, completing hours working or volunteering as a nurse, and occasionally renewing their licensure. Licensure maintenance requirements depend upon each states' nursing board.So, there you have it. Some (maybe) interesting facts about nurses.

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