Latest Likes For ktwlpn

Latest Likes For ktwlpn

ktwlpn 22,233 Views

Joined Aug 17, '00. Posts: 4,689 (32% Liked) Likes: 4,788

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  • Aug 25

    I've had numerous cases of family members dropping off the demented spouses of the patient both in LTC and acute care. They go to work all day, shopping,to a wedding-you name it. Never left a sandwich ,either. Took care of an elderly gentleman who's wife was still living with the daughter and she was more cognitively impaired then our resident, the husband. The daughter had to keep someone home so she could keep the house. She would drop her mother off most weekends, incontinent to boot. The resident would feed her half his tray. It was sad. It didn't take long before the Office of Aging was called. They both lived out their days with us. Their daughter was seldom seen.

    I'm sure many of you have probably observed or participated in a code on a visitor. Not fun. And you knew it was coming-that's the worst part.

    One of the worst families I knew had a LOL in acute care, she had been living with a grandchild who was robbing her blind, including her pain meds. By the time she was admitted and the Office of Aging became involved she weighed 62 lbs. The whole clan camped out around the hospital. We were reported for "doing our nails at the nurse's station" one day-we were reading the telemetry strips. I guess they thought the calipers were some kind of manicuring tool. The little lady was so filthy on admission, she smelled so bad, her finger and toe nails looked like Pringles-horrible.The crap that had grown in her mouth on and under her dentures was horrific. -The family reported us because they wanted us to wash her hair. It was so matted it had to be cut off-it came off in one piece.

  • Aug 16

    CCRN6514,RNQUOTE) "He used to be a blood, but now he's a crip"-- [/QUOTE] Is spit out my Sunday morning Bloody Mary on that one...Winning the internet,OMG,that's too funny (in a twisted,tragic way,people like that don't belong in traditional LTC but where can they go)

  • Aug 13

    Also check your facility policy-ours prohibits personal equipment like your pulse odometer,automatic B/ P cuffs,thermometers.People buy second hand junk on eBay,fail to maintain and calibrate,etc. and our admin feels the accuracy of the data collected is questionable.

  • Aug 12

    Quote from RNdynamic
    Many older people fill their pockets with pot pourri in order to improve how they smell.
    In what flipping country is THIS behavior common?

  • Aug 7

    Also check your facility policy-ours prohibits personal equipment like your pulse odometer,automatic B/ P cuffs,thermometers.People buy second hand junk on eBay,fail to maintain and calibrate,etc. and our admin feels the accuracy of the data collected is questionable.

  • Aug 6

    Yes,worth the investment.Take the online practice exam as well(it was not free,but worth it)

  • Aug 5

    Am not sure why this seems to happen so much but I prepare family members for this all the time.

  • Jul 31

    The OP is also an ADN and as we know that is limiting his options. (not trying to start a flame war-I'm an LPN and I know how that limits me)

  • Jul 31

    Before middle and upper white class kids started dying no-one really much cared.

  • Jul 19

    Fistfight between visiting family members!Back before private rooms were the norm I was working a busy med surgery unit.The hospital was bursting at the seams.In one of my rooms I had two women,one was post op TAH and the other was close to a hundred.And a DNR.She died.The entire family just had to gather at the bedside for an impromptu wake.My post op and her hubby were giving them privacy and sitting down the hall in the chapel...I had two TURPs with CBI and was running my buns off all shift.Apparently some of the old ladies children and grandchildren were 5hours away.The husband of my post op got into a fist fight with a grandson of the old lady.Security came,my supervisor came.There was no other bed for the post op.We ended up moving the old lady to one of the exam rooms.She was still there at the end of the shift....

  • Jul 15

    BOur policy and procedure states all are pulled.A central line is not the type of access used in embalming.They use giant trocars,as big as my thumb

  • Jul 13

    Quote from NurseNicolexo
    I started a job as the DOC at an assisted living facility and I am trying to get my CNA's to start charting (they only have been writing in a communication book little notes to each other but nothing on legal documents). I just need help or advice on the best way to teach them how to write progress notes since none of them have any experience charting!
    Thanks!
    Try to limit them to graphs,flow sheets or "fill in the blank from these choices" via electronic charting.No offense meant to any cna's on the board,I worked as one for years.
    You would NOT believe the narrative notes our unlicensed staff have entered in the electronic medical record.Opens a big can of worms.Our admin had to stop it." Resident sitting on bed looking bad".No follow up,nothing reported to the nurse.

  • Jul 12

    BOur policy and procedure states all are pulled.A central line is not the type of access used in embalming.They use giant trocars,as big as my thumb

  • Jul 10

    BOur policy and procedure states all are pulled.A central line is not the type of access used in embalming.They use giant trocars,as big as my thumb

  • Jul 10

    Quote from NurseNicolexo
    I started a job as the DOC at an assisted living facility and I am trying to get my CNA's to start charting (they only have been writing in a communication book little notes to each other but nothing on legal documents). I just need help or advice on the best way to teach them how to write progress notes since none of them have any experience charting!
    Thanks!
    Try to limit them to graphs,flow sheets or "fill in the blank from these choices" via electronic charting.No offense meant to any cna's on the board,I worked as one for years.
    You would NOT believe the narrative notes our unlicensed staff have entered in the electronic medical record.Opens a big can of worms.Our admin had to stop it." Resident sitting on bed looking bad".No follow up,nothing reported to the nurse.


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