ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Mr. Harry the Excessive Hair Patient

    ktwlpn replied to Barbie8808's topic in General Nursing

    Her

  2. How should this have been handled by facility?

    ktwlpn replied to LuckyLibraLPN's topic in Nursing Professionalism

    The nurse may not have lied purposely either.I had a family call me a liar when they uestioned a nurse about their loved ones "order for morphine.The nurse informed them there was no order for it and...

  3. Adjusting to EMAR

    ktwlpn replied to Adele_Michal7's topic in Geriatric, LTC

    You will LOVE it.Some Luddites did not adjust well,others did surprisingly well.We have switched systems a few times,that should have been ample training.Getting out on the floor and actually using...

  4. How should this have been handled by facility?

    ktwlpn replied to LuckyLibraLPN's topic in Nursing Professionalism

    It's rare when someone leaves like that due to a crisis but not unheard of,she was probably too " upset" to continue her shift.BUT is it possible the other nurse knew she was as not coming back and...

  5. Noncomplience and uninvolved management

    ktwlpn replied to AbigailJo's topic in Nursing Professionalism

    I get that you care about this patient but you need to learn healthy boundaries.Transferring to another case is the appropriate action but following up with visits and phone calls when you are off the...

  6. Article written by my patient's mother...heart warming

    ktwlpn replied to RNsydneygirl's topic in General Nursing

    Thanks for the update,very sad and

  7. Is it okay for RN to ask recovery patients not to swear?

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

    Anesthesia,man,dig it.Sometimes I come out of it bawling like a baby.And I don't mean a cute baby.It's that ugly crying-my face gets all oogly and quivering and looks like it's trying to crawl away...

  8. Does Death Have A Smell?

    ktwlpn replied to AngelfireRN's topic in General Nursing

    Yes,there are smells,there is also a "look" you'll learn to recognize.One of my patients worked with dogs-he says we humans have evolved so much and become dependent on our electronics that we now...

  9. Nurse's Week Gifts from Employers

    ktwlpn replied to twss2323's topic in Patient, Colleague Relations

    We celebrated nursing home week with various small treats and give always.Department heads were brow beaten into recognizing their staff however they saw fit (and paid for it-several were overheard...

  10. Are we over-reacting?

    ktwlpn replied to RainMom's topic in Geriatric, LTC

    She likely would not qualify for hospice support at this point however they can help her stay in AL until the end or the funds run out once she meets that criteria.It's a shame she laid such a burden...

  11. which is the best one?

    ktwlpn replied to John 2000's topic in Patient Education

    Are you asking these questions because English is not your first language? " Please reach up and grasp the trapeze bar" "I am going to help you sit up in the bedside with your...

  12. Are we over-reacting?

    ktwlpn replied to RainMom's topic in Geriatric, LTC

  13. Paparazzi at work?

    ktwlpn replied to Adele_Michal7's topic in Geriatric, LTC

    Oops,my bad.....Anyway it is

  14. Paparazzi at work?

    ktwlpn replied to Adele_Michal7's topic in Geriatric, LTC

    Your facility needs to write that policy asap-none of you should have your cell on your person out on the floor.Using yours to take a picture of someone violating the (yet unwritten)policy is...

  15. Nurse's Week Gifts from Employers

    ktwlpn replied to twss2323's topic in Patient, Colleague Relations

    I got the gift that keeps giving.The gift of the

  16. Is this a threat?

    ktwlpn replied to silentwolves's topic in Nurse Disabilities

    Look into your state's FMLA to determine if you qualify.Good

  17. Initial Drug Test

    ktwlpn replied to Damiapa's topic in General Nursing

    To be clear- My advice to anyone in a position where they will be drug tested..... Just DON'T.And if you can't then you clearly have an issue you need to deal

  18. Initial Drug Test

    ktwlpn replied to Damiapa's topic in General Nursing

    Was speaking to the general "you" ,not you in particular.Many resources on the web I have read and my workplace as well recommends you bring current scripts and your OTC's with you to the test site.I...

  19. Initial Drug Test

    ktwlpn replied to Damiapa's topic in General Nursing

    Agreed....

  20. Initial Drug Test

    ktwlpn replied to Damiapa's topic in General Nursing

    That's why it's recommended you bring all of your med bottles with you when you test.I still don't understand how one can vape enough marijuana to test positive but NOT realize it.Even when mixed with...

  21. Does mother know best?

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

    Really? They are gone, the rest of us are still there,what does that tell you? And speaking as a mother I will remind you the parents job is to raise a child to grow up and go away,not pave the way...

  22. Impaction question

    ktwlpn replied to feelix's topic in Hospice, Palliative

    Actually the OP stated there were NO signs or symptoms of actively dying.In that case a bowel regimen needs to be ordered.We need more information here,if the patient is "not tolerating the tube...

  23. Does mother know best?

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

    This scenario is playing out where I work.Most facilities have policies against family members working together ,this is why.You also can't have it both ways.Either you become an independent adult and...

  24. Are we over-reacting?

    ktwlpn replied to RainMom's topic in Geriatric, LTC

    I'll also agrees the use of hospice services in facilities like you are dealing with,everything the other poster said is true.A hospice agency will provide a nurse's for your mother for about an hour...

  25. Are we over-reacting?

    ktwlpn replied to RainMom's topic in Geriatric, LTC

    We are an LTC,we are non-profit.That rate is all inclusive.Physicians are required (and reimbursed by insurance companies and Medicare ) to see each resident on a monthly basis in LTC but most of ours...