ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Advice for a new grad on sending patients out to ER?

    ktwlpn replied to Cynnie24's topic in Geriatric, LTC

    >>>>I am worried that a patient will end up being sent to the ER by the next nurse because I missed something and that I will be to blame because I delayed treatment. It would be very hard...

  2. Thomas Eric Duncan and Hipaa

    ktwlpn replied to smartnurse1982's topic in HIPAA Challenges

    I don't think anyone will try to kill him,it sounds like the Ebola will take care of

  3. what are the conservatee rights in SNF?

    ktwlpn replied to tankee's topic in Geriatric, LTC

    isn't it frustrating when you are practically standing on your head to encourage a resident to accept a med or tx and someone accuses you of using excessive force? It's a thankless

  4. So dietitians can now write orders: Denial of rights.

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

    I think the OP is concerned over some orders her dietitian wrote which she believes are not within the scope of practice. First I encourage the OP to actually look at the dietitian's scope of...

  5. Assisted Living Drama versus Skilled Nursing Stress

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

    I would go for the ALF at this point in my career. The cna's may have good reason to protest change ,most of the past suggestions may have been un-necessary. I would present myself as a member of...

  6. Coworkers that act like spoiled brats...discuss

    ktwlpn replied to Mikey31079's topic in Patient, Colleague Relations

    The nurses and cna's who hate to be pulled to other units who procede to NOT get pulled by pretending to get sick, cry and go home. The nurses and cna's who hate to be mandated to work over and...

  7. I think I'm right, but..

    ktwlpn replied to Purple1234's topic in Private Duty

    Assisted living,long term care or live in help will not prevent her falls. It's likely she will fall and suffer an injury with life ending complications. Why not assist her and her daughter with...

  8. HIPAA--Mixed up discharge papers

    ktwlpn replied to JeanettePNP's topic in HIPAA Challenges

    My thoughts are MISTAKES HAPPEN . Report it so the hospital or clinic is aware of the problem and can try to fix it and move on. You are learning a few lessons here... Always read your d/c...

  9. Family member Hell

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

    We had various family members and relatives of friends of a former DON, what a nightmare,she had no

  10. When a Mom Miscarries

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

    I'm sorry for your loss, I've been there too. As a palliative/hospice nurse in LTC I have seen plenty of loss at both ends of the spectrum, my own and the patients I care for. When one is devastated...

  11. best i quit or fired story

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

    She is a drama queen and work seems to be the last thing on her "to do"list. Her needs and concerns trump everyone else's. If her teenage daughter has cramps she might not get out of bed to eat and...

  12. best i quit or fired story

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

    I can beat that-a have a co-worker who calls off every month when her teenage daughter

  13. Alzheimer's Disease and Delirium

    ktwlpn replied to cparker67's topic in Geriatric, LTC

    I remember seeing this exact survey several years ago (can't participate,not an RN-but I knew the

  14. What kind of shift report was that?

    ktwlpn replied to proud nurse's topic in General Nursing

    "I'm in a hurry,my ride is here, I can count with you OR give you

  15. Hospice DX not dementa

    ktwlpn replied to Kerber's topic in Hospice, Palliative

    I have seen this as well.Additionally in our LTC we have family who simply want their loved one to have the "extra one to one attention" from the hospice staff and demand the CNA as often as they can...

  16. Requesting assistance with End of life care

    ktwlpn replied to DatMurse's topic in Hospice, Palliative

    We pre-medicate and in the last days we will minimize re-positioning if it clearly continues to cause discomfort and the family understands the risks and is on board. Just small and subtle changes in...

  17. Hospice DX not dementa

    ktwlpn replied to Kerber's topic in Hospice, Palliative

    Just wondering what symptoms is she exhibiting that would need to be managed by hospice? Is she truly hospice appropriate or does the family just want support with her

  18. Nurse, Madonna, and waitress??

    ktwlpn replied to Nola009's topic in Patient, Colleague Relations

    Didn't we JUST do this,people?Interestingly, I see a different tone in this thread.The OP is a woman, the last time we went down this road we were sent there by a man.Hmmm,I must ponder

  19. You know you're tired when...

    ktwlpn replied to ICURN3020's topic in General Nursing

    -Poured a glass of ice water on my lap when I forgot I was holding it while trying to look at my watch -Worn slippers to work, pants on backwards, totally mismatched clothing (it is called 0 dark 30...

  20. Should high absenteeism be cause to be fired?

    ktwlpn replied to Emergent's topic in Nursing Professionalism

    The story about the oral surgeon got blown way out of proportion-check the facts.She was physically UNABLE to work,did not quailfiy for FMLA. He "laid her off" to ENABLE HER TO COLLECT UNEMPLOYMENT-he...

  21. Should high absenteeism be cause to be fired?

    ktwlpn replied to Emergent's topic in Nursing Professionalism

    FMLA is for cases like this. If he does not qualify for it and has no sick time -IMHO-,yes-it's

  22. Looking to become LPN and specialize

    ktwlpn replied to Teenie263's topic in LPN, LVN Corner

    I know some LPN's who have become certified and work in a local wound care center ,several of my co-worker's are on our nursing home's wound care team and pursuing certification.Large facilities will...

  23. Employee abuse?

    ktwlpn replied to Cnappy's topic in Geriatric, LTC

    I do think that in some cases it is not just all about the money. We are 100% medicare certified, we are the only resource for most of our residents. The admin has struggled with a number of these...

  24. Have you started antidepressants since becoming a nurse?

    ktwlpn replied to Nola009's topic in Health, Stress Management

    I've been on and off antidepressants for years,long before becoming an LPN. Situational anxiety/depression while dealing with the terminal illness of a parent responded well to meds and enabled me to...

  25. New Unit Manager

    ktwlpn replied to jayni87's topic in Geriatric, LTC

    It sounds like organizational skills are sorely needed-that will go a long way towards increasing retention.I can't beleive skin checks were not ordered to coincide with the bath. I can imagine a...