ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Shift Warfare BS - vent/advice? (long/sorry)

    But what happens when certain staff are chronically
  2. Shift Warfare BS - vent/advice? (long/sorry)

    I know you are thinking " ain't nobody got time for that!!!" But it truly does work and in the beginning it will really only take a few minutes of your time.Once you turn the task over to the cna's...
  3. Shift Warfare BS - vent/advice? (long/sorry)

    Take a few minutes and round with one of your cna's every day prior to the end of your shift.Rotate the duty amongst them,have them fix the messes you are finding.You will soon see patterns emerge and...
  4. Regarding chronic tardiness

    In my book that is the definition of coming and going as you please.Consider the co-worker you are relieving and who may have a prior obligation.Does that matter to you if she is anxious,not knowing...
  5. Regarding chronic tardiness

    What kind of position can one have where they can come and go as they please and have no issues with co-workers or customers?Maybe CEO 's can but anyone who is part of a TEAM needs to make...
  6. Do you have to do bedside nursing

    What in the world drew you to nursing ??? Is this a joke? FYI, People are mean everywhere and getting meaner especially when dealing with someone who seems incompetent...This happens everywhere...
  7. Regarding chronic tardiness

    Part of our problem in America today is our wish to diagnose or label everything and it starts in kindergarten.I am sure this tardiness thing happens with people with ADD/ADHD but I am NOT convinced...
  8. "There are no victims,only volunteers".In the future when a peer or superior speaks to you in an inappropriate manner address the issue at that
  9. (IN)Appropriate Dress

    I cringe when I see any professional dressed inappropriately.The NP's at my family practice office and those where my husband is a patient seem to dress appropriately,ditto for the NP's at the LTC...
  10. What would you have done?

    What were you supposed to do,sit on
  11. HIPAA violation? What to do?

    I have had questions on exams just as ridiculous and that was the
  12. Regarding chronic tardiness

    Chronic health issues may qualify an employee for FMLA which can be taken intermittently .People with significant disabilities may also be protected.I am not talking about those people.I am still not...
  13. Black and Job Hunting

    That is shameful.I wish you luck.I pray for the day when such things as skin color,religious affiliation and sexual orientation no longer
  14. Do you have advanced health care directives?

    YES....a copy is on file at my PCP's
  15. HIPAA violation? What to do?

    Follow your employers policy and
  16. Regarding chronic tardiness

    In this modern world where everything runs on a schedule I guess you have to try harder to show up on time.With mod cons like cell phones I am thinking it would be easier then ever to set timers for...
  17. Regarding chronic tardiness

    Not very effective if the unit manager does not follow through with progressive
  18. Who's responsibility is it.........

    This is the biggest issue with assisted living,IMHO.AL's are not regulated like LTC's are.Many will accept residents they are ill equipped to care for just because the resident has money.As soon as...
  19. Regarding chronic tardiness

    I am not convinced .I guess it could be a symptom of some personality disorder,it really makes a strong statement.To me it says " my time and activities are way more important then yours" and " I will...
  20. Regarding chronic tardiness

    Do you believe it is some kind of disorder that can't be helped? I have a few in my family and also work with a particular nurse with this issue.Apparently she just has a different set of rules then...
  21. I don't agree with her delivery of the message,as originally written it sounded like you just decided to dress a wound the way you wanted to instead of following the written order.....When someone...
  22. Maybe you should focus on the message here first and the deliverysecond.You can't just decide to not follow a written order.....If you did not agree with the order you should have consulted the wound...
  23. huber needle

    I hope if happens with an end of life patient you refrain from try I g to ft fluids on board.Most hospice agencies will offer assistance even before the admission is completed.You can call them and...
  24. What is this condition called in bariatric patients?

    I know,I was ignoring the facts to make my feeble attempt at humor.If you are not familiar with Monty Python look up The Parrot sketch on you
  25. Influenza Precautions

    Yes! It's almost a badge of honor for ours to admit people into STR pending LTC for us to get maximum $$$ but many were unable to participate in therapy due to end stage diseases,they tanked quickly...