ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. palliative meds

    ktwlpn replied to Kissy1818's topic in Hospice, Palliative

    It might help for you to keep reminding yourself it's not about your fears,feelings,thoughts.Each family(in an ideal situation) has been given the tools they need by the team.How they use them through...

  2. palliative meds

    ktwlpn replied to Kissy1818's topic in Hospice, Palliative

    We use lorazepam -S/L . In the past year we have been able to obtain good symptom control through end of life for all of our residents without having to go to more invasive routes of

  3. Impossible to work correctly

    ktwlpn replied to Subclavian Steel's topic in Geriatric, LTC

    BUT (not stating YOU do,M.A.N.) don't rely on that. I've seen too many nurses get burned.You will get into a zone...it just takes

  4. Yesterday was weird

    ktwlpn replied to MECO28's topic in Patient, Colleague Relations

  5. Any nurses that have worked hospital AND nursing home?

    ktwlpn replied to manch's topic in Geriatric, LTC

    You have quite a LONG list of "will nots"..... I've worked in a number of settings for several different organizations.Each has it's own mission statement and work culture.You really can't paint them...

  6. Brainstorm with me.......

    ktwlpn replied to loveschoolnursing's topic in School

    We taught our son that attending school was his "job" and he seldom missed a day. That's how you teach your child a good work ethic. You go to shool/work even when are not "feeling it" I would stress...

  7. Have you ever been assualted by a patient?

    ktwlpn replied to pfeliks's topic in Hospice, Palliative

    You did everything you could, an unpredictable resident like that could kill a staff member or peer.He belongs in an LTC dementia unit or a dementia care facility.He is not going to be appropriate for...

  8. Lpn or RN

    ktwlpn replied to britmansf18's topic in Geriatric, LTC

    Why not ask the DONs and ADONs in their forum? They should be able to give you good

  9. Yesterday was weird

    ktwlpn replied to MECO28's topic in Patient, Colleague Relations

    " beaded pubic extensions" That takes va-jingling to a whole new

  10. Long Acting Insulins

    ktwlpn replied to pink-e-g's topic in Patient Medications

    It's important for you to get to know insulins,it's one of the most common meds in LTC.You need to know their onset and peak action,how (if) they can be mixed,etc.Make yourself a few index cards for...

  11. Negotiating the Holiday Off

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

    I never "asked" for a holiday off. We are scheduled to work every other major holiday, I gladly do my share. My family celebrates after my shift or another day. When my son was a toddler he never knew...

  12. MDS coordinator

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

    We have an MDS team of LPN's,the dept head is an RN.I don't believe any of them have received any type of certification. It's not an easy position to find in my area,good luck with your

  13. Charge nurses double standards

    ktwlpn replied to passive sambo's topic in Geriatric, LTC

    I 've worked with both CNAs and nurses similar to what you describe. In my experience they ALWAYS got what was coming to them. When I was less experienced I was manipulated a time or two by this type...

  14. LPN in need..

    ktwlpn replied to LBrown7400's topic in LPN, LVN Corner

    Sorry you are going through this. I recommend you don't discuss this publically and get yourself a

  15. Ever accepted a job you knew was a mistake?

    ktwlpn replied to Lucky724's topic in Nursing Career

    Sure did....and HATED IT. Luckily for me it was a PRN position. I worked the initial 5 shifts of orientation I had agreed to.I knew I made a mistake when no-one else showed up to work with me on my...

  16. The topper of all toppers!!!!!

    ktwlpn replied to lumbarpain's topic in Geriatric, LTC

    When we deal with problems like this we have to medically clear a resident before we can pursue a psych admission.The often go out for the full work up and 9 times out of 10 have a UTI. Our docs don't...

  17. What's the funniest most unusual baby name?

    ktwlpn replied to nirvana1's topic in Nursing Humor

    I know-I watch the Food Network---apparently she does

  18. A question for a friend!!

    ktwlpn replied to dannygurl84's topic in General Nursing

    I'm not sure any of us comprehended the OP's true meaning of the post,I'm sorry if that's the case.Maybe we are all in the wrong.The sentence structure and grammar was tricky. OP, Let me be the...

  19. A question for a friend!!

    ktwlpn replied to dannygurl84's topic in General Nursing

    Yowza!!! It smells like fraud to me and YES, that is stealing from us ALL.I have worked with plenty of people who got caught lying on grant apps and had to pay it all

  20. Curious to know why Jahi thread was closed?

    ktwlpn replied to RNIBCLC's topic in Nursing News

    I'm not hesitant to voice my opinion and even if it's an unpopular one I'll stand by it. However I mistakenly believed the girl was trached but breathing on her own,that is what lead me to believe...

  21. Say what...?

    ktwlpn replied to kidzcare's topic in School

  22. What's the funniest most unusual baby name?

    ktwlpn replied to nirvana1's topic in Nursing Humor

    I work with a cna who is due in January,her little girl will be named "Umami".I asked her if she knew if it meant anything, she said "I made it up-just like the sound of

  23. Im Pagan and a Hospice Nurse....

    ktwlpn replied to SaylahStarr's topic in Hospice, Palliative

    You could always be 5 minutes late to staff meetings....or... While others are praying to their gods I join them and pray to my own,I don't have a problem with that. In a new setting I don't think...

  24. Lessons on why not to "Assume" things.

    ktwlpn replied to TigerxLiLy's topic in Geriatric, LTC

    Well,if she gets her "miracle" and returns to the LTC I hope someone speaks to the family about comfort care.It's time to have that

  25. MVI tablet

    ktwlpn replied to NurseAgatha's topic in Geriatric, LTC

    I don't believe you would say something like that to a resident's family....As I said,if frequent refusals are occurring we ask the doc to review and possibly d/c the med. We are not going to make an...