ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. huber needle

    ktwlpn replied to spma1234's topic in Geriatric, LTC

    Regarding end of life care in LTC-we have not needed to resort to IV access for comfort meds in the past couple of years.We start around the clock bilingual mso4 and titrate aggressively for...

  2. What is this condition called in bariatric patients?

    ktwlpn replied to 0.adamantite's topic in General Nursing

    Good thought process BUT he was dead.Like The parrot in the Monty Python

  3. huber needle

    ktwlpn replied to spma1234's topic in Geriatric, LTC

    >> I am not going to address the Huber needle re-insertion. It's clear you are badly in need some end of life education. Comfort measures for an actively dying patient do NOT include...

  4. Please share bad experiences as a new nurse

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

    It helps to concentrate on the GOOD moments,moments in which you really made a difference to a patient or their loved ones.That helps maintain a positive attitude and keeps you in

  5. this book

    ktwlpn replied to Red Kryptonite's topic in LPN, LVN Students

    Doesn't it drive you crazy? E-books are notorious for poor editing as well,I have been known to bolt out of the bed and

  6. Influenza Precautions

    ktwlpn replied to NurseQT's topic in Geriatric, LTC

    Oh,yeah,the two headed monster.....And ours are both the loudest Monday morning quarterbacks ever.Neither ever offer a kind or encouraging word.Three admits on a single unit in 7 hours?Oh,well-"that's...

  7. Influenza Precautions

    ktwlpn replied to NurseQT's topic in Geriatric, LTC

    I just love when social services in LTC tries to run the place....good

  8. Do Male Nurses Get More Respect?

    ktwlpn replied to Nurse Beth's topic in General Nursing

    I have seen a few older physicians give newer male nurses immediate trust and espect,the same docs who give all new female nurses a raft of crap until they prove themselves.I have also suspected a few...

  9. Melting down at Work

    ktwlpn replied to BlinkyPinky's topic in Health, Stress Management

    We working moms often tend to overcompensate with things instead of time,I did it,too.A teacher and a friend had to lovingly clue me in to the facts of life years ago.I grew up pretty poor.I started...

  10. Melting down at Work

    ktwlpn replied to BlinkyPinky's topic in Health, Stress Management

    You could probably go pool at a few places,maybe with an agency,work less hours and make more then you are now.As for hospice-high burn out due to the work itself and the never ending push for the...

  11. Melting down at Work

    ktwlpn replied to BlinkyPinky's topic in Health, Stress Management

    You know what you need to do-every one of your children can earn their own spending money. This is a great teachable moment for your family, take advantage of it.Kids are egocentric-they have to be...

  12. Melting down at Work

    ktwlpn replied to BlinkyPinky's topic in Health, Stress Management

    I second that- both menopause and depression can make you feel like you just can't cope!Get thee to thy

  13. Melting down at Work

    ktwlpn replied to BlinkyPinky's topic in Health, Stress Management

    Maybe a visit to your PCP is in order,that much stress is not good.Your brain chemistry gets out of whack.I am a big believer in anti depressants,you sound like you have a situational

  14. SNF/LTC Nurses: Info needed

    ktwlpn replied to babaloo8's topic in Wound, Ostomy, Continence

    I am using my Kindle today and the auto correct is

  15. SNF/LTC Nurses: Info needed

    ktwlpn replied to babaloo8's topic in Wound, Ostomy, Continence

    We have excellent ratios for nursing homes in this area.The larger units staffed with two nurses usually have three Monday through Friday.When a resident is admitted with a wound vac in the unit...

  16. Hospice symptom management medication list

    ktwlpn replied to Nursemichellern's topic in Hospice, Palliative

    Our basic orders are as follows-mso4 5mg q 1 hour prn,lorazepam 0.5mg q4 prn,atropine ophthalmic drops-two gets q1 hour prn,Tylenol suppository prn.Then we adjust from there,when they enter the dying...

  17. SNF/LTC Nurses: Info needed

    ktwlpn replied to babaloo8's topic in Wound, Ostomy, Continence

    I work in a 265 bed facility,we have a very low number of wounds .As of this minute we don't have any greater then stage 2.The size of our units varies from 22 beds with one nurse to 45 beds with two...

  18. Terminal Agitation

    ktwlpn replied to bluegeegoo2's topic in Geriatric, LTC

    That's it,then,her spirit was

  19. Not Being Respected as a CNA

    ktwlpn replied to Dani2389's topic in Medical Assistant, CNA/MA

    I worked as an aide for years.I have also worked in hospitals,nursing homes and private duty home care as a nurse.Believe me,we ALL know what it is like to care for 8,16,46 sick or infirm people and...

  20. Pointers Wanted! Help with frequent flyers!

    ktwlpn replied to Massmagic's topic in School

    Maybe I misunderstood the OP,isn't she talking about frequent flyers-kids who are not really sick?Make the office a not very pleasant place to be for those

  21. Hospice patient requests to smoke

    ktwlpn replied to eatenalive365's topic in Hospice, Palliative

    We always get PT,OT and ST evals on all of our admissions.We take our hospice residents on a case by case basis.Obviously this guy is not very close to end of life,the hospice agency would likely...

  22. Pointers Wanted! Help with frequent flyers!

    ktwlpn replied to Massmagic's topic in School

    Start making them do their class work in your

  23. Patient sitters are human too

    ktwlpn replied to boxermomma822's topic in Health, Stress Management

    Where I work a sitter is assigned to a resident who needs "one to one".That is exactly what the order says...Not "two to one".That is inappropriate,unsafe and I would refuse to do

  24. Not Being Respected as a CNA

    ktwlpn replied to Dani2389's topic in Medical Assistant, CNA/MA

    You must see as a cna in a large busy teaching hospital your "feelings" just are not going to be anyone's focus.You are there to complete certain tasks and you can certainly take pride in a job well...

  25. speeding ticket will i get hired?

    ktwlpn replied to yajaira21's topic in General Nursing

    Actually I just made that up,I'm pretty good,aren't