ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. My Fibro

    ktwlpn replied to Guest219794's topic in General Nursing

    But you can't judge every patient because if the actions of a few and that's the danger in believing in those

  2. My Fibro

    ktwlpn replied to Guest219794's topic in General Nursing

    vs " I've got THE fibro" "my cold" "my arthritis" etc....One does not say " I have the

  3. Nepotism

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    Still waiting for survey.Keeping my head down.I am privy to administrative issues and I hear some very concerning

  4. Nepotism

    ktwlpn posted a topic in Geriatric, LTC

    Rant ahead....I've worked in several LTC's and acute care facilities in this area and I can say I have never seen nepotism like I am seeing where I work now.We have a policy stating family members...

  5. Wound Vac!

    ktwlpn replied to NurseCalamity's topic in General Nursing

    Contraindicated if tendon is exposed.Only the foam goes IN the wound

  6. Pressure ulcers urgh

    ktwlpn replied to baygrl11's topic in Geriatric, LTC

    Our nurses are responsible for the weekly skin checks on shower day.Our facility is close to 300 beds.Retaining good staff is getting tougher every year.Sad to say there are more then a few who would...

  7. Pressure ulcers urgh

    ktwlpn replied to baygrl11's topic in Geriatric, LTC

    Quote=. The med cart nurses have a tag system. Each tag has a number and says "go see your nurse when you find this". These are meant for the CNAs. The nurses record tag# and time it was placed/taped...

  8. Home Hospice nursing in Philadelphia area?

    ktwlpn replied to HomeHospiceRN's topic in Hospice, Palliative

    And the Brandywine Valley is notorious for the three H's ...but it is nothing compared to

  9. I hate being a CNA

    ktwlpn replied to *K($$'s topic in Medical Assistant, CNA/MA

    It also helps you to become comfortable with those intimate tasks.As a nurse you can multi-task and fly through an assessment while completing a bed

  10. Home Hospice nursing in Philadelphia area?

    ktwlpn replied to HomeHospiceRN's topic in Hospice, Palliative

    Most are going to BSN in this area(southeastern Pa).Lots of openings .But there are so many hospice agencies trying to stay afloat in the market that they are constantly expanding their territories...

  11. New hospice for my home HD pt

    ktwlpn replied to GeauxNursing's topic in Hospice, Palliative

    An RN case manager can visit from once a week to daily depending upon the client's needs.The visit can be anywhere from an hour to 90 mins but again this depends on the needs of the client.They may...

  12. Esme Needs Your Prayers

    ktwlpn replied to ixchel's topic in General Nursing

    Thinking of

  13. First Nursing Job....

    ktwlpn replied to NurseCalamity's topic in General Nursing

    I thought you were rocking it there...I would think being a stand out nurse would be very

  14. Transferring dependent pt

    ktwlpn replied to cracklingkraken's topic in Nursing Student Assistance

    A mechanical lift such as a Sara lift might be available.Don't endanger your health or your

  15. Starting my new job!

    ktwlpn replied to 8*P23J's topic in First Year After Licensure

    Congrats!Since you don't want to hear how you will often be more mentally and physically exhausted then you have ever been before..or you will drive home in tears on a regular basis...or feel totally...

  16. New Nurse Rocking it!

    ktwlpn replied to NurseCalamity's topic in Geriatric, LTC

  17. New Nurse Rocking it!

    ktwlpn replied to NurseCalamity's topic in Geriatric, LTC

    Perhaps the CNA failed to report this change she claims she observed "several days ago".It's very common for inexperienced nurses to become victims of manipulation by certain CNA's.Some like to split...

  18. Nurses Diverting Narcotics.

    ktwlpn replied to NurseCalamity's topic in General Nursing

    It's the nature of

  19. Nurses Diverting Narcotics.

    ktwlpn replied to NurseCalamity's topic in General Nursing

    Taking meds prescribed for their

  20. Doing No Harm

    ktwlpn replied to WereBadger's topic in General Students

    A large percentage of elderly nursing home residents are colonized(asymptomatic baceteriauria) Our physicians don't treat with antibiotics in the absence of a number of symptoms.We push fluids for a...

  21. Doing No Harm

    ktwlpn replied to WereBadger's topic in General Students

    That's per the Joint commission.If this occurred in long term care we have a different set of

  22. Nurses Diverting Narcotics.

    ktwlpn replied to NurseCalamity's topic in General Nursing

    I like the smart ones....You know the ones,whenever they feel the net tightening at work they " get hurt" and somehow end up in the emergency room.Everyone else's drug screen comes back negative and...

  23. Doing No Harm

    ktwlpn replied to WereBadger's topic in General Students

    Certainly is something to discuss with your instructor.In long term care this would be considered abuse.We would pre-medicate if not contraindicated,try a clean catch or treat a suspected UTI if...

  24. I hate being a CNA

    ktwlpn replied to *K($$'s topic in Medical Assistant, CNA/MA

    If you are "doing nothing to help" dying patients you are doing it wrong.Plenty to be done including symptom management,comfort measures both pharmaceutical and non-pharmaceutical and support of the...

  25. Getting rid of that cigarette smell

    ktwlpn replied to chopwood carrywater's topic in Hospice, Palliative

    Maybe try some odor neutralizes in your car?They have jars of solid and semi solid unscented ones.I wonder if they would remove the doors from you in the closed car.....Definitly visit non-smokers...