Latest Likes For ktwlpn

Latest Likes For ktwlpn

ktwlpn 21,742 Views

Joined Aug 17, '00. Posts: 4,686 (32% Liked) Likes: 4,779

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  • 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.

  • Jul 9

    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 9

    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 9

    Quote from Barbie8808
    WOW! Sexual assault?!?!? Thats extreme. But lets say we took it that far, am I sexually assaulting a female patient when Im changing her diaper because I obviously have to wipe her vagina? How about when I put a condom cath on (I hope I'm allowed to do that as CNA and all lol) That mean's I have to touch the patient's penis, right? What about shaving a patient in general? I have shaven plenty of beards with and without permission just to make the the patient appear well kempt. For now on my patients will look like Santa claus before I ever pick up a razor lol
    You better not shave facial hair on an Amish man ....What are you thinking?You can be caring for a patient who has had facial hair since he was 15-shave it off and face the wrath of his wife.I've seen it happen.I am not understanding your unwillingness to understand generational and cultural norms of hygiene practices.MY body,My thicket of pubes....

  • Jul 4

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

  • 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)


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