Latest Likes For ktwlpn

Latest Likes For ktwlpn

ktwlpn 21,158 Views

Joined Aug 17, '00. Posts: 4,684 (32% Liked) Likes: 4,767

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  • Jun 24

    I find it difficult to believe this hospital did not discharge patients like mad prior to the storm and offer staff a mattress in an empty room

  • Jun 22

    To be clear- My advice to anyone in a position where they will be drug tested..... Just DON'T.And if you can't then you clearly have an issue you need to deal with.

  • Jun 19

    Quote from feelix
    Update: I wrote the original post on April 28. Today is June 11.
    The patient is alive and well today. We had to hatch an elaborate plot to extricate her from the 'care home' she was dumped into by her family and left by hospice to die.
    She had cared for her 4 kids and hubby till she herself became disabled. The moment she became disabled herself, everybody dumped her.
    Suffices to say, when she arrived at the hospital they said her kidneys were shutting down. After two days of hydration kidneys started producing urine, she is tolerating tube feeds after a bowel program was initiated. She was transferred to an LTACH, from where she would be sent to a nursing home.
    Poor soul.

  • Jun 17

    Quote from Jensmom7
    Back the truck up for just a minute.

    OP said the patient was imminent. Patients who are actively dying are not in a position to make decisions.
    Actually the OP stated there were NO signs or symptoms of actively dying.In that case a bowel regimen needs to be ordered.We need more information here,if the patient is "not tolerating the tube feeding" is it because they are transitioning or full of stool ? If the patient is moving into end of life then at least check recreation and take action if they are full of feces.

  • Jun 16

    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)

  • Jun 12

    It's taken me close to thirty years to learn to shut my mouth and listen to the message.It's a hard but valuable lesson to learn.Good Luck.

  • Jun 12

    It's taken me close to thirty years to learn to shut my mouth and listen to the message.It's a hard but valuable lesson to learn.Good Luck.

  • Jun 12

    It's taken me close to thirty years to learn to shut my mouth and listen to the message.It's a hard but valuable lesson to learn.Good Luck.

  • Jun 9

    Was just wondering if you read the great information given to you on this thread.The greatest difference between a CNA and a nurse has been perfectly illustrated.You just don't know what you don't know.Every patient has his or her unique cultural,religious,generational beliefs.A nurse knows that and honors it.

  • Jun 9

    Quote from Barbie8808
    I'm back ktwlpn, thanks for waiting! About thirty minutes ago before my computer died, I promise you I wrote out the longest reply in reference to your statements about the difference between a nurse and tech in regards to respecting patients cultural and religious preferences. lmaooo But fortunately for you my computer did die so the world will never know how ignorant I think your comments are. I suggest you do a little research to find out how much education Certified nursing assistants receive about topics such as ethics, cultural, and religious preferences before you make a silly assumptions. No one is Holding a patient down with out their consent to give them a Brazilian wax - at least not me. For a incontinent patient I think it is a good idea to trim pubic hair so I can clean them properly instead of the hair holding a strong odor or a poop ball being lost amongst the madness. If I'm starting an iv I prefer not to stick someone aimlessly because thick corse hair on their arms. If the patient does not want me to do it I wont do it. Thank you for your patience in waiting for my response! I hope I have answered all of your questions, if not I know you know where the reply button is.
    I worked as an aide for years,The facility I work in now is a recognized trading and certification center in my state.I know the curriculum.I never delved into the argument surrounding your scope of practice.A monkey can be trained to perform pretty complicated procedures.End.
    You can spout that you are aware of the generational,cultural norms of hygiene and call me "ignorant" for pointing out that aspect of the issue but in your comments you clearly continue to leave the impression you'll continue to do whatever you think is "a good idea".Your immaturity shines through your posts.
    I have worked with plenty of cna's and a few nurses with the same "it's all about me and what I think is right" attitude through the years.They are long gone from my current workplace-let go for making gross errors in judgement
    I have performed my share of incontinence care,is there anything worse than a wrinkled,saggy old scrotum that sat in bm for hours due to dementia and violent resistance to care? Nothing here that plenty of soap,water and wash clothes can't fix.Should we shave heads because hair gets tangled and greasy? What happens if you nick the skin down there? You set a sequalae of events in motion that you can not control and you just don't get it.You really don't seem to care.

  • Jun 9

    [QUOTE=GadgetRN71;9071035

    I stay away from pubes,lol.[/QUOTE]
    Words to live by.....Still waiting for the OP to acknowledge she has read the responses.Want to hear her opinion on cultural,generational hygiene practices....

  • Jun 9

    Where is the snowflake pot stirring smiley? Didn't someone make that awhile ago? Still waiting for the OP to come back but I suspect a hit and run.

  • Jun 9

    Quote
    OK this is long post, and we all have been going on and on about this lol... Basically everyone has their own opinion, and they are all valid. We aren't always going to agree with each other, but cutting one patients pubes (with a purpose) isn't going to get someone fired or their license taken away....[/QUOTE]
    Tell that to the two CNA's I know who were fired for that.And I know another who cut a woman's filthy ,matted hair in the hospital and was fired and still another who shaved an Amish man's beard who also lost her job.....

  • Jun 7

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

  • Jun 5

    Quote from rsw1960
    Hey!

    I am helping a friend of mine whose mother is in the moderate phase of ALZ. She's having difficulty swallowing and often simply doesn't want to take her pills altogether. I've looked over her medlist and identified those meds that can be safely crushed.

    My question is what, in your experience, are the best foods and liquids to mask the taste of the meds. For other health reasons- they avoid giving her sugary sweets like applesauce, pudding, and ice cream so I'm looking for alternatives to those.


    Thanks so much
    Please encourage your friend to seek some support from organizations like the Alzheimer's association.She needs education as well.Why would she choose to deprive her mother of foods food pleasure when she has a terminal disease?


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