ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Employee abuse?

    ktwlpn replied to Cnappy's topic in Geriatric, LTC

    Long term geri-psych specialty facilities are few and far between We are 90 mins away from an Alzheimer's specific LTC and have referred three residents there. Once their loved ones accepted it they...

  2. MEN, dont come into nursing

    ktwlpn replied to DUDERNGUY's topic in Men in Nursing

    The OP is also an ADN and as we know that is limiting his options. (not trying to start a flame war-I'm an LPN and I know how that limits

  3. Losing patience with residents.

    ktwlpn replied to Sbrewster's topic in Geriatric, LTC

    It may help you to realize that an older person with a number of health problems is potentially facing a crisis on a daily basis, knows and fears it. Once you reach a certain age you have to start...

  4. Alarms

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    O,my- can I ask what is he doing? Masturbating? Dis-impacting himself? Reading the Wall Street Journal?We have had two men and 1 woman with that issue. The gal was just very bowel focused and had to...

  5. Ever work with people who talk about church all the time?

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

    After I saw "American Hustle" I SWORE I would never talk about my cats at work

  6. Alarms

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    To alert staff to residents who repeatedly attempt to toilet themselves and are unsafe(who fail toileting programs over and over) It's GENIUS! Would only work in private or semi private bathrooms,we...

  7. Ebola... What'cha Gonna Do When It Comes to You

    ktwlpn replied to Music in My Heart's topic in Disaster Preparation

    Now I have that STUCK IN MY HEAD!! Thank you very much. I am going to do "The safety Dance" all the way home when it hits this

  8. The imposition of chemical restraints...

    ktwlpn replied to Nola009's topic in Geriatric, LTC

    Your MDS staff can be an excellent resource.They tend to be able to see the bigger picture and often cath things we miss..Ours will often make suggestions. I am a big believe in OTC pain meds...

  9. Ever work with people who talk about church all the time?

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

    I am a firm believer in leaving religion and politics OUT of the work place. We do have a group of staff in an ancillary dept who are what I call "holier than thou" and oddly enough they are mean as...

  10. IV Infusion/ question

    ktwlpn replied to stervets's topic in Patient Medications

    Ask staff dev to speak with her,she may have little to no experience with IV ABT ,she may only need some

  11. Where the heck is the EMR?!

    ktwlpn replied to Madras's topic in Geriatric, LTC

    I believe all LTC's over a certain size must go electronic ,the date had been pushed back so I'm not sure when this has to be accomplished. We have had TWO systems and each had their pro's and cons....

  12. morning report

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

    I would like to hear more details-is this due to the nurse being habitually

  13. Losing patience with residents.

    ktwlpn replied to Sbrewster's topic in Geriatric, LTC

    We don't really have that option,we are the county home,100% medicare certified and there is no place else for them to go.It seems the worse cases have some family member with a local political...

  14. Detox nursing is sucking the life out of me

    ktwlpn replied to number41's topic in Addictions

    That is clearly a money driven boneheaded move-who would think THAT is a good idea? People who have not been at a bedside in

  15. Contact

    ktwlpn replied to Parannor's topic in Addictions

    Explore why you feel this "need"-what is it doing for you? You have no professional boundaries and the fact that you are hiding this behavior proves you know it's wrong.You are jeopardizing your...

  16. first nursing job offer but no benefits?

    ktwlpn replied to loveteenamarie's topic in First Year After Licensure

    You are psyching yourself out,catastrophizing every aspect of this. It's about a lot more then the job,isn't it? It's scary to become a grown-up. Do it..Nip/tuck all of those Beverly Hills broads.....

  17. It's Wrong! (A night shift perspective)

    ktwlpn replied to Sixtyseven's topic in Geriatric, LTC

    Not if they are incontinent or have advanced dementia and can't turn themselves.These are things all family members need to consider when they insist their 98 year old demented, blind and crippled mom...

  18. It's Wrong! (A night shift perspective)

    ktwlpn replied to Sixtyseven's topic in Geriatric, LTC

    I don't disagree in principle BUT you are doing Q2 hour rounding and waking them up for that any

  19. It's Wrong! (A night shift perspective)

    ktwlpn replied to Sixtyseven's topic in Geriatric, LTC

    I have laid my cheek against that of a sweet LOL and sang "you are my sunshine" and "amazing Grace" right into her ear while she sang with me and was so still in that bed,so relaxed and still-she...

  20. HIPAA and Nursing Challenges

    ktwlpn replied to crNAtion's topic in HIPAA Challenges

    This poster graduated with his BSN recently. I think he has a good point. We protect the info better than we do the patients (and the

  21. Needing advice or any help with this

    ktwlpn replied to SusanJackson's topic in HIPAA Challenges

    Remember -be kind to your children, they will choose your nursing home someday Seriously-you need to put this behind

  22. Discharge Visit Requirements?? Help

    ktwlpn replied to pennyrwalker's topic in Hospice, Palliative

    I'm in an LTC and we have a consulting hospice who has "graduated" an alarming number of residents.I suspect they are picking them up too soon to make their monthly referral quota and that's a bad...

  23. Losing patience with residents.

    ktwlpn replied to Sbrewster's topic in Geriatric, LTC

    You can not personalize their behaviors. These people have dementia. You can not reason with one who has a broken "reason-er". Dementia care is not for everyone. If you don't have the patience and...

  24. Verbal abuse

    ktwlpn replied to middleagednurse's topic in Private Duty

    That sucks,no-one should be treated like that. It's a shame you didn't call 911.If he is not the father I would report them to

  25. What would you do if your Admin was really CHEAP?

    ktwlpn replied to Nola009's topic in Geriatric, LTC

    One thing I would follow through with would n\be stopping the negative talk within earshot of the residents and