ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

Member

  • Content

    3,844

  • Visitors

    34,380

  • Followers

    0

  • Likes

    63

All Content by ktwlpn

  1. I am a staffing coordinator looking for a mock schedule 8hr every other wkend off

    ktwlpn replied to Moonlight47's topic in General Nursing

    Are you looking for a

  2. Family issue..Thoughts?

    ktwlpn replied to jrabbit619's topic in General Students

    Awesome post.I don't even know you but I am proud of what you have

  3. Family issue..Thoughts?

    ktwlpn replied to jrabbit619's topic in General Students

    Great post.....I will only add reluctance to pursue therapy is also a symptom.No-one escapes a dysfunctional family without a few

  4. Family issue..Thoughts?

    ktwlpn replied to jrabbit619's topic in General Students

    You really should seek some counseling so you can put your past behind you.You sound co-dependent,it's not healthy.You have to change the patterning or you will be stuck in lousy friendships and...

  5. Family issue..Thoughts?

    ktwlpn replied to jrabbit619's topic in General Students

    You can choose to not allow this to shape you .....or you can let it effect you for the rest of your life.If you take that route you will have an easy "out" anytime things don't go your way.Remember "...

  6. Family issue..Thoughts?

    ktwlpn replied to jrabbit619's topic in General Students

    Don't build your own road blocks as a way to stop moving forward.It is scary....Do it.Living with three stranders will be fun.It's an opportunity to make three friends.If you don't mesh it will be...

  7. Family issue..Thoughts?

    ktwlpn replied to jrabbit619's topic in General Students

    Guilt occurs when you feel bad because you did something wrong.Parents are supposed to prepare their children to become independent adults.Don't talk yourself into feeling guilty for growing up.You...

  8. For on-call how do you ....

    ktwlpn replied to Kitty Hawk's topic in Hospice, Palliative

    That is exactly why both the local agencies I work with here in this LTC do not make on call hours overtime.The staffare scheduled off prior to and after their call weekend.They are not expected to...

  9. For on-call how do you ....

    ktwlpn replied to Kitty Hawk's topic in Hospice, Palliative

    Has not happened yet.And I am not an administrator who does not care about how the staff feels.But isn't this about the patient and their

  10. For on-call how do you ....

    ktwlpn replied to Kitty Hawk's topic in Hospice, Palliative

    I see the effect the lack of continuity has on the patient.The caliber of the on call admission staff I have worked with for the past two years don't seem to give a hoot,they are unfamiliar with the...

  11. For on-call how do you ....

    ktwlpn replied to Kitty Hawk's topic in Hospice, Palliative

    Most clients of hospices in this area are instructed to call the undertaker at TOD,the hospice physician signs the death certificate later.Most casemanagers in this area are given a day off before...

  12. For on-call how do you ....

    ktwlpn replied to Kitty Hawk's topic in Hospice, Palliative

    I don't agree,I think on call staff doing admissions is a waste of time.In my experince the case manager never seems to catch up....and The on call as neededstaff never seem to know all the p and p.f...

  13. For on-call how do you ....

    ktwlpn replied to Kitty Hawk's topic in Hospice, Palliative

    I think you just need to adjust your mindset to "on call" = working....Easier said then done I know.I have a unique position now and I am theoretically on call all night and every weekend.Have not had...

  14. For on-call how do you ....

    ktwlpn replied to Kitty Hawk's topic in Hospice, Palliative

    It am sure it is nerve wracking,really difficult to relax...Going back to that foley Cath,are you permitted to do some trouble shooting over the

  15. Will I get benefits if I'm hired full time?

    ktwlpn replied to celtickimba's topic in General Nursing

    You have learned a valuable lesson.Ask these questions during your

  16. been hired in correction facility for limited term intermittent LVN

    ktwlpn replied to JASVINDER's topic in Correctional

    The hiring process can take weeks,background checks can lengthen the process.Most places want to bring a few new hires through orientation together as well,they could be getting a group...

  17. Easter??

    ktwlpn replied to breane3's topic in General Nursing

    I don't get the difference between Easter and Christmas-seems to me you can't recognize one and not the other,they are both religious

  18. Mouth sores caused by Roxinol

    ktwlpn replied to CoffeeRTC's topic in Hospice, Palliative

    As a palliative care nurse in LTC who has been struggling to integrate palliative and hospice care within the facility I am really saddened to say I agree.It's been two years and I still have major...

  19. Is hospice on the down swing?

    ktwlpn replied to Nash3222's topic in Hospice, Palliative

    Lying in bed and staring up at the same ceiling in the bedroom where both of my parents died was too much for me.That house represented both of their long illnesses and deaths more then any "good...

  20. Alzheimer's & disruptive behaviors... Insights?

    ktwlpn replied to Turquoises's topic in LPN, LVN Corner

    I will go back in and complete the survey.I don't differentiate between the two terms because I believe they are the same."Disruptive behaviors" occur around the clock but when they increase in...

  21. Alzheimer's & disruptive behaviors... Insights?

    ktwlpn replied to Turquoises's topic in LPN, LVN Corner

    #4 and #10 did not work for me...I do not differentiate between sundowners and disruptive behaviors at night.Not sure I understand what you are asking.To me they are one and the same.I believe the...

  22. Patient's family requesting pain medication

    ktwlpn replied to quirkystar's topic in Patient Safety Issues

    The goal is preventing discomfort.When someone is actively dyingwith no intake it is appropriate to start administering comfort medications around the clock.Don't wait until the are...

  23. Compensation Suggestions

    ktwlpn replied to maccheese's topic in Wound, Ostomy, Continence

  24. About the "do not crush" medications

    ktwlpn replied to Sam. W's topic in General Nursing

    Yes,you call the doc and ask to have it changed to a liquid or a perishable

  25. Taking Patients down to the Morgue

    ktwlpn replied to cd365c's topic in Hospice, Palliative

    We take ours to the morgue if the funeral home is not coming within an hour or so.We have had troops of extended family walk with us.We have also had a few family members demand to be taken to the...