ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. How do LPN and RN duties differ?

    It varies from state to state.Typically here in Pa LPN's are not responsible for assessing a patient but carry out the plan of care established by the RN-us LPN's are often more task oriented.The last...
  2. I'm not a people person....

    Most days I like my cats way more then most people-especially some of my co-workers.And I have days where I don't like any one....But I manage to front
  3. patient lingo...

    I have an RN supervisor that charts " Skin scrapping obtained" every time she obtains one.....I have never tried to educate her....Life is too
  4. fractured ribs...any suggestions?

    I fractured most of the ribs down one side of my chest a couple of years ago-my doc had me on MS Contin for about 3 and a half weeks....I have NEVER hurt that bad EVER....THey don't do rib belts any...
  5. How do you deal with "patient-know-it-alls"?

    ...Good thing he decided that acid reflux was an
  6. exams

    Hi friends-we were discussing this at work today-How often do ob/gyn's "get a hand in" during a routine low risk pregnancy these days? (I mean an actual pelvic
  7. help..need info re short term memory loss

    " Coup - Contrecoup Brain Injury"----Injury from contact forces often occurs in two places - the site of the initial impact of the brain with the skull and the diametrically opposite part of the...
  8. exams

    Thanks ,jolie.That's what I meant-I was not clear....I remember my doc asking if I wanted to defer that 36 week feel.... I passed on it.... Do many docs do that? One of my co-workers claims she got a...
  9. What on earth have I got???

    I don't expect you'll be back on this thread anytime soon-sounds like the real deal to me...Nothing HURTS worse when even your eyeballs and hair hurt...I hope you rally
  10. Colon therapy and enemas.

    It's a case of an entire industry being built around a fetish chuckle...How many of us don't know patients or family members with bowel fixations? My own mom had to stock up on coffee,cigs and her...
  11. Do you wear gloves

    If I had not seen this I would not have believed it but I watched a co-worker of mine suction sans gloves last weekend..repeatedly.And there was a frigging box of gloves at her elbow.What WAS she...
  12. Withholding Treatment Of Elderly Patients

    You are right-this is one of those stages of grieving we all learned about in nursing school...It;s such a shame to see anyone stuck on any one stage but everyone goes through the stages at a...
  13. pooling of saliva in base of throat

    Sorry if I offended....I have been in nursing for many yrs and have faced these issues personally.I consider end of life issues the most important part of my job and do everything within my power to...
  14. pooling of saliva in base of throat

    I have nothing to suggest and I am sorry....How do you decide when enough is enough? Her days are filled with discomfort-they must be so long for
  15. Dood! An infected root canal sure is an emergency=especially on a weekend when you have nothing but motrin or tylenol and can't find a dentist until
  16. Withholding Treatment Of Elderly Patients

    Thanks for the clarification-could you link your web site to your profile? We could check it out....Is your mom living? Was there a DPOA?Did your dad have an advance directive?....Pneumonia as known...
  17. Withholding Treatment Of Elderly Patients

    Please forgive me-what is CAP? Is the ambulatory demented patient with a mild stroke the same person with
  18. How many board members to change a lightbulb?

    I think only RN's can change light
  19. Withholding Treatment Of Elderly Patients

    Not my crowd-the staff docs at my LTC are so into CYA that they throw all balls to the wall....2 of them are VERY into peg tubes(regardless of any advance directive-after all-if they never say the...
  20. Stupid med error

    For those people there is a wonderful thread that has been thriving for awhile-it's called "We are Christian Nurses" I think that if one wants to discuss nursing in that context then that thread is...
  21. Stupid med error

    I have made my share of errors and have seen ear gtts instilled into eyes twice...But what does being a Christian have to do with
  22. Still conscious with a BS of 24 ???

    Good LOrd! What a coincidence-I had a fs of 23 Friday afternoon....She was awake and alert and her usual fiesty self...She drank 240 cc OJ (per our policy) and when rechecked had bounced up to...
  23. Ticked off and ready to quit job!

    Your orientation schedule might be suitable for an aide with a lot of experience and your post does not tell us how much you have...At least they are scheduling you for more...Follow the chain of...
  24. Need Advice!! NO LAUGHING :p

    :chuckle Likely story-we all KNOW that you sustained those rug burns during an especially athletic session of bumping uglies...tee hee...How would you be treated at the doc's office? Well-you'd be the...
  25. Do nurses take work home?

    I often look for info regarding an unfamiliar dx or new treatments -the latest in palliative care,etc.....I sometimes print out articles that might be of interest in the LTC and share them with...