ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Can I be forgiven

    Everyone knows we are only human-amd humans do make mistakes....No harm was done here-but you are going to have to own it and learn from it...Jump through those hoops if you want to be a
  2. Flu epidemic?

    I would have gone to the ED Mon or Tuesday night ...if I could have gotten some morphine...But I don't think I could have gotten out of the house....I haven't been this sick in 10 yrs...I am trying to...
  3. Wound Care Standards in Nursing Homes

    Problem is that often the staff will assume that the expensive seat cushion or mattress will take the place of repositioning...I have had families insist on a nap schedule for their loved one...I am...
  4. How can I tell................

    Can you cut your hours back until you get a handle on things? A 7 day stretch is too much and your exhaustion is making everything harder....You have to work for this facility to pay for your...
  5. Did I do the right thing?

  6. Too Much OT? Any regs

    I "have" to leave prmptly at the end of my shift also....and if my relief makes a habit of coming in late I WILL make an issue out of it...You are in LTC,correct? I can't think of much that could not...
  7. Geriatrics and constipation

    That could be "The Recipe" It is a mixture of bran,apple sauce and apple juice or prune puree-whatever combo your patient prefers...You can add lemom juice and zest for flavor or apricot puree....It...
  8. Too Much OT? Any regs

    That kind of schedule can lead to abuse or a serious mistake but until that happens admin seems to turn a blind eye...I would NOT pick up her slack or cover for her
  9. They are laughing at the patients

    Yes! No one can give you what you want if you don't clearly ask for it... Tweety-uplifting big balls? may I suggest http://www.internationaljock.com/suspensories.html Men's suspensories are...
  10. They are laughing at the patients

    THis kind of attitude can be seen in everyone-cna's,lpn's,rn's and on to some supervisors and administrators....You can report poor care and you can try to set a good example by giving your best care...
  11. Fentanyl thief

    What a shame-we have to check the resident's patch every shift and sign off on the MAR that we have done
  12. Need an answer to a common question...

    That's a difficult question.You appear to have built a solid foundation and will be well prepared for what is to come...Things will start to make more sense when when you use the basic knowledge you...
  13. Say Cheese! (they're putting in cameras)

    I like to walk towards those cameras with my finger really far up my nose...or scratching my
  14. Snow...snow and more snow!

    It is beautiful! I am in the 6 to 10 inch area.The ride to work this am was dicey and the ride in tomorrow morning will be,too.....The upside-not as many idiots out at 0 dawn 30 on the weekends.It is...
  15. Why can't people just be sick at home!? (RANT!)

    Any ED I have ever been in was a fun house...or horror show...It is all about your perspective...Luckily for the ED staff they see them come and go fast....The rest of us are stuck with them for...
  16. Lunch breaks

    I think that with team work and excellent time management you can get break in acute care...Don't be a
  17. :( sad and in need of advice

    My prayers are with you and your
  18. itchy residents

    I think she said they have ruled out everything else----this thread reminds me of my admin...If it walks like a duck and quacks like a duck...hello! I am betting it's a duck! On a 44 bed unit we ended...
  19. itchy residents

    Have an update for us,Nancy? I think that if you have ruled out everything but scabies then you have to get the facility to jump on that...Our dermatologist will now see any one with a suspicious rash...
  20. Lay it on her-IMHO you have been treated entirely INAPPROPRIATLY......Hope you feel better
  21. Tweety is in LTC and the biggest problem is staff education...generally we are talking about people with little education and great prejudices that can be very difficult to
  22. Oh girly girl! Hugs to you-----I know you must be freaked out....I can't believe your GYN did not order you home health nurses........I would find a new one after this is resolved.I think they just...
  23. itchy residents

    Scabies scrapings have a very HIGH rate of false negative-especially when performed by the nursing staff...The derm does several sites on one slide and never an actual burrow that has been...
  24. Survey Time

    One of our biggest roadblocks was the DON and ADON-every time rashes would re-occur they would start with the denial....."It's the soap" "It's the heat"" It's some family member"blah blah blah-as we...