ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

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

    ktwlpn replied to Sixtyseven's topic in Geriatric, LTC

    I've been a nurse for many years and have spent a great deal of time working in memory units.. I am NOT restraining anyone,when I say "holding in my arms and soothing, singing to them" that is EXACTLY...

  2. Discharge Visit Requirements?? Help

    ktwlpn replied to pennyrwalker's topic in Hospice, Palliative

    How do you (or do you) keep in touch with former patients ,especially ones living in LTC or AL? Do you call them,do you ask the nursing home staff for

  3. Which nurse called it?

    ktwlpn replied to garciadiego's topic in Geriatric, LTC

    "No code" means no code, no bagging,no

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

    ktwlpn replied to Sixtyseven's topic in Geriatric, LTC

    Regarding the storage of specimens-our policy is based on the recommended procedures from our lab. End of that story. As for the cath-yes, it's possible to get "in and out" with a minimum of...

  5. Out of control visitors

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

    I can't "like" the above post enough!!! Please take add/adhd out of this thread. It's about unruly visitors and in this instance they happen to be children.Children should be taught how to behave...

  6. Pt having a "friend" over for "special nursing care"

    ktwlpn replied to delphine22's topic in Patient, Colleague Relations

    Let's talk about "customer service". Shouldn't a patient expect privacy and courtesy from all staff? Let's forget bout patients having sex in the hospital for a minute and consider the total loss of...

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

    ktwlpn replied to Sixtyseven's topic in Geriatric, LTC

    There are regulations in LTC regarding the timing of meals and snacks and extra fluids (especially on a dementia unit) Finding an empty stomach can be problematic, this is why it is so important...

  8. Pt having a "friend" over for "special nursing care"

    ktwlpn replied to delphine22's topic in Patient, Colleague Relations

    Knocking on the door and waiting for permission to enter THE ROOM is proper etiquette and would negate the entire thread

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

    ktwlpn replied to Sixtyseven's topic in Geriatric, LTC

    Our UA's are collected on 11 to 7 because the lab picks them up at 6am and they need to be as fresh as possible. Also, the resident is usually already in bed. Much easier for them-try undressing and...

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

    ktwlpn replied to Sixtyseven's topic in Geriatric, LTC

    We have a close relationship with several hospice/palliative care agencies. They have presented many hours of inservices to the staff. The physicians and nurses are a lot more comfortable talking...

  11. Pt having a "friend" over for "special nursing care"

    ktwlpn replied to delphine22's topic in Patient, Colleague Relations

    >> I am SO stealing

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

    ktwlpn replied to Nola009's topic in Geriatric, LTC

    If you put on a Superman shirt you'll be the target and you'll be looking for a job. I learned that lesson a long time ago, I am not Norma Ray. Give them support and advice quietly unless you are...

  13. Pt having a "friend" over for "special nursing care"

    ktwlpn replied to delphine22's topic in Patient, Colleague Relations

    KNOCK on the door and WAIT for a reply before entering. You would think people in the hospital would be MUCH too ill to get up to such shenanigans however we have seen and heard it

  14. Question about "stories"

    ktwlpn replied to beccaboo617101's topic in HIPAA Challenges

    I saw a post by the family of a resident in the LTC on a co-workers face book feed. ***! I can't wait for the next time the family member freaks out over something and then references the co-workers...

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

    ktwlpn replied to Nola009's topic in Geriatric, LTC

    Yes,you do need to pick your battles.The CNA's need to stand up for themselves. They could organize themselves into a cohesive group and present a request to the admin. They could write up a proposal...

  16. checking residuals for tube feeds

    ktwlpn replied to ViolinTreble's topic in Medical-Surgical

  17. WAKE UP!!!!

    ktwlpn replied to garciadiego's topic in Geriatric, LTC

    >Do any of you LTC nurses who pass the same meds to the same patients day after day, and you probably think you have memorized which patient gets what med, inclines a nurse to med error? >...

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

    ktwlpn replied to Nola009's topic in Geriatric, LTC

    what's wrong with turning off the lights in an empty room? You need to weigh your pros and cons.I turned down a sig pay raise years ago to end up in the LTC I work in now and never regretted it.What...

  19. 19 Patients, 4 PEG, 2 Trach, 3 Major Fall Risks, 1 Wanderer, Seriously Want to Quit

    ktwlpn replied to lifelearningrn's topic in Geriatric, LTC

    It is common courtesy to straighten up and restock as you go but who the heck does she thing she is? Suction the trachs just prior to shift change for HER convenience.Bwahahaha.I have worked with...

  20. Narc Count Disaster

    ktwlpn replied to bluegeegoo2's topic in Geriatric, LTC

    It has always been my policy to take my time through the narc count,visualize both the med and the the narc sheet.I don't give a fig how much of a hurry my co-worker is in to get out of there.Not...

  21. Going "Above and Beyond" UGH

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

    I don't consider teamwork and courtesy "above and beyond". If the admin wants concierge type service for the patients they had better hire some. Going "above and beyond" is getting extra chairs in a...

  22. Scenario - input, please!

    ktwlpn replied to GoodNightNurse-LVN's topic in Patient Medications

    what's the maximum recommended amount of Tylenol per 24 hours? That's the answer.We have had a number of patients prescribed drugs with acetaminophen in them ATC with plain acetaminophen for break...

  23. 1 hour window on med pass times...

    ktwlpn replied to elimayrn's topic in Geriatric, LTC

    That is all taken into consideration but it does not trump the resident's quality of life in LTC.We also consider the resident's wishes and goals for care. If a dementia resident will not accept meds...

  24. 1 hour window on med pass times...

    ktwlpn replied to elimayrn's topic in Geriatric, LTC

    Per the DOH it is a two hour window for med admin. The facility sets their policy, the consulting pharmacy will make recommendations, they can't just change the times,not in our facility. The...

  25. Narc Count Disaster

    ktwlpn replied to bluegeegoo2's topic in Geriatric, LTC