ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Crystal Ball! What's Hospice's Future Look Like

    ktwlpn replied to QEOLAdvocate's topic in Hospice, Palliative

    The hospice agencies we are working with in the LTC are generally not available when we contact them (and we know how to contact them) They both have major staffing issues. They have made big promises...

  2. Crystal Ball! What's Hospice's Future Look Like

    ktwlpn replied to QEOLAdvocate's topic in Hospice, Palliative

    We do need the input even if many of us don't like to admit it. I do appreciate the extra support they provide the resident and family but many of my co-workers are not on the same page. We (myself...

  3. Crystal Ball! What's Hospice's Future Look Like

    ktwlpn replied to QEOLAdvocate's topic in Hospice, Palliative

    I think it will no longer be covered in LTC in the near

  4. Excessive mouth secretions

    ktwlpn replied to phedrn's topic in Critical Care

    What meds is the patient on? Would something like transderm scop be (scopolamine patch) be

  5. Residents that need constant supervision

    ktwlpn replied to Anne36's topic in Geriatric, LTC

    We assign 1 :1 for residents who are physically or sexually aggressive towards peers, high elopement risks in the general population (we have secure units but often residents on other units will...

  6. pt received the wrong blood

    ktwlpn replied to ohmeowzer RN's topic in Patient Safety Issues

    That's a scary thing-lay people seem to take transfusions pretty lightly. I'm in LTC and we have number of folks with various types of anemia who have refused further invasive testing to determine the...

  7. "Please pray for me to pass"...?

    ktwlpn replied to RNsRWe's topic in Spirituality, Religion

    No Bentley but a Mercedes Benz for sure, maybe a color tv,too. (RIP Janice Joplin) I always thought if someone failed the boards a few times it was "God's" way of saving an untold number of patients...

  8. Dealing with dementia residents

    ktwlpn replied to hayley87breanne's topic in Geriatric, LTC

    I would love to hear more of the OP's story but it looks like another "hit and

  9. No meds on 11-7

    ktwlpn replied to TigerxLiLy's topic in Geriatric, LTC

    The time period between meals is regulated. Can't remember the details but I know breakfast has to be within a certain number of hours after dinner, snacks have to be offered at hs....Someone dreams...

  10. Devastated on First Write Up

    ktwlpn replied to RNtoThe3rd's topic in Patient Safety Issues

    QUOTE>>> When you look at next year's performance evaluation, you are going to see a big fat red marking about how I'm unsafe with patient blood. But you know what you are not going to see?...

  11. Abducted Nurse

    ktwlpn replied to classicdame's topic in General Nursing

    If you are referring to the case in Philly she is a certified nursing assistant.I think she was saved because the law was smarter then her

  12. Can nurses use medical marijuana?

    ktwlpn replied to melisgood's topic in Activism, Healthcare

    How is a hit or two at bedtime as a sleep aide and treatment for chronic pain going to impair me in the morning? I have taken cold medicine that made me miserable the next day. MJ has a comparatively...

  13. Stick It Out For 6 Months So I Can Transfer??

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

    I would continue working there while looking for another job. If something desirable comes up before the 6 months I would go for it. I am not so sure any place in the corporation would be a better...

  14. Nursing Perception of Medication Errors

    ktwlpn replied to pbuggli's topic in Patient Safety Issues

    I want to know how it made you feel. -Horrified,beat myself up over it for days. Did you report it? Immediately If so, why? We needed to take the appropriate action to save the...

  15. Confused HS Student

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

    The difference between a nursing program and high school is this-YOU WANT TO BE THERE...The entrabce exam will point out your weaknesses. I am lousy with math, had NO idea how much would be involved...

  16. Dealing with dementia residents

    ktwlpn replied to hayley87breanne's topic in Geriatric, LTC

    As others have pointed out -you can't "reason" with someone whose "reasoner" is

  17. Smelly nursing home what to do?

    ktwlpn replied to middleagednurse's topic in Geriatric, LTC

    Concentrated urine smells strongly as well, they never drink enough fluids. LOL on the potted plants! Don't forget "bad aim". We are now locking all of our visitors bathrooms-we will soon know who is...

  18. Smelly nursing home what to do?

    ktwlpn replied to middleagednurse's topic in Geriatric, LTC

    And good luck walking in as a new hire and fixing that in a small and likely chronically understaffed facility. If you succeed you'll be a super hero. I would run from that place as fast as...

  19. Dealing with dementia residents

    ktwlpn replied to hayley87breanne's topic in Geriatric, LTC

    Since we were not there we don't know if this was "fair" or not. You may have been loud, bordering on verbally abusive and disrespectful to the resident. I suspect there is more to the story....

  20. Altered Mental Status- a surprise diagnosis

    ktwlpn replied to Stcroix's topic in General Nursing

    Before my husband and I got married I had him believing he had to submit to a rectal exam along with the blood

  21. Nursing home phenomenon/ What's this?

    ktwlpn replied to Juliet310's topic in Geriatric, LTC

    It's NOT a current trend.I do see a fewer number of end stage elderly residents with artificial feedings. It's a big change from 25 years ago. Also our culture moved away from housing the extended a...

  22. Are handguns allowed at work?

    ktwlpn replied to TexasGal1964's topic in Nursing Professionalism

    No cell phone.no weaponry on our persons while on duty. This thread made me LOL! The bodies would have covered the floor today if I was

  23. DNR HELP

    ktwlpn replied to Kylee Renee's topic in General Nursing

    This is why advance life care planning is so important. The number of people who don't know the difference between "full code" "DNR" is astounding. Everyone thinks they know what a code is and they...

  24. RN Detained and Quarantined As Ebola Hysteria Reaches a New Low

    ktwlpn replied to MissyWrite's topic in Disaster Preparation

    This is exactly why we won't be able to contain it in this country. Read how these people are managed overseas. We won't stand for an enforced quarantine, being forced to care for our own ill loved...

  25. Nursing jobs with animals

    ktwlpn replied to ncgirl77's topic in General Nursing

    Have you considered becoming a dog trainer specializing in certified therapy pets? There are hundreds of certification programs across the country.. As others have stated therapy pets are common in...