ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Telling "STATE" you don't have supplies....

    ktwlpn replied to nervousnurse's topic in Geriatric, LTC

    I'm enjoying the differing opinions on this thread.The staff working the floors are experiencing frustration-it's hard when you are juggling the demands of a busy unit and don't have everything you...

  2. Unavailable meds

    ktwlpn replied to Pat_Pat RN's topic in Geriatric, LTC

    We were cited for marking "med not available" in the past. Seems nurses would just continue the trend without attempting to insure the med was delivered. Our policy (plan of correction) is similar to...

  3. When do you resolve a treatment?

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

    We monitor a scabbed area until it falls off on it's own and adjust the treatment accordingly through the stages as it heals. The rationale for this is if the scab gets ripped off too soon you are...

  4. Any LPNs that went back to school for RN?

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

    I am pretty happy in my niche and with no tuition reimbursement and only a few years until I can retire I am not planning on it. I would advise anyone to skip right over the associates degree and most...

  5. Can an employer ask this question?

    ktwlpn replied to luvhospics's topic in Nurse Disabilities

    You need a good support system to help you manage your treatment and it sounds like you have that in your husband. You CAN be a success in your chosen field.You have to work hard at keeping yourself...

  6. is this abuse by management

    ktwlpn replied to Hope1001's topic in NICU, Neonatal

    I just don't see a thing wrong with a uniform inspection.The "bare all" comment does sound demeaning but it's short hand compared to "I'm doing an inspection today-please hold out you hands The OP...

  7. Can an employer ask this question?

    ktwlpn replied to luvhospics's topic in Nurse Disabilities

    Apparently they think you are bi-polar or have ADD or ADHD.I can't address the legality of the question so I will just encourage you to do some self=examination, see you doc and maybe a counselor for...

  8. is this abuse by management

    ktwlpn replied to Hope1001's topic in NICU, Neonatal

    Probably not,I don't know many male nurses who wear acrylic

  9. Of Nursing, Nudity and Public Perception

    ktwlpn replied to hagiospneuma's topic in General Nursing

    The public's image of a teacher or priest is that of a caring professional and we have all heard what happens in some classrooms and churches. Let me tell you what I am seeing in my mind's eye----a...

  10. Resident Fall/Upset Nurse

    ktwlpn replied to arodgz's topic in Geriatric, LTC

    Nurse are responsible for that where I work-never have worked any place that expected the CNA's to do it. Are you in an LTC? The reason why you are doing those vital signs is to assess for a head...

  11. How do you handle inappropriate touching from patients?

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

    He's likely got a number of cognitive issues. Early dementia with poor impulse control, dementia due to CAD, whatever. You need to come up with a consistent plan of care. Sterile attention seems more...

  12. Of Nursing, Nudity and Public Perception

    ktwlpn replied to hagiospneuma's topic in General Nursing

    You ask> Some men think every time a women sees a member they want to ride on it....For many of us that is the last thing on our minds (after cleaning the oven) That's the first...

  13. Advice please: Withdrawal of feeding tube

    ktwlpn replied to Clubsingr28's topic in General Nursing

    How are things going with your

  14. Facility closing

    ktwlpn replied to motherof3sons's topic in Geriatric, LTC

    How are things going with the

  15. Providing Patients with their legal medication

    ktwlpn replied to inforn43's topic in General Nursing

    In LTC the physician writes the order to allow the resident to use tobacco or alcohol products,and even salt and I imagine will do the same for marijuana as well. We then dispense . We have to assist...

  16. Trouble with MAR

    ktwlpn replied to weezielou's topic in Geriatric, LTC

    We write an order like that as follows "admin 1 cymbalta 30 mg cap po-admin with 1 60 mg cap to equal 90 mg" and then the next order is "admin 1 Cymbalta 60 mg cap po-admin with 30 mg cap to equal 90...

  17. opinions on a nurse/patient interaction

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

    Looks like this thread was a "hit and

  18. Extra shifts

    ktwlpn replied to Creak Freak's topic in Geriatric, LTC

    You can always say (practice with me) "I'm sorry,I'm not available but thanks for asking" PRN staff are exactly that-and generally cheaper to utilize than paying overtime to the full timers.The full...

  19. Hours?

    ktwlpn replied to momofboys2's topic in Geriatric, LTC

    We have 8 hours shifts and ours sun 7a to 3p, 3p to 11p and so on. I worked day shift at another home and my ours there were 6 am to 2:30 (a little TOO early for me) Full time staff work every other...

  20. opinions on a nurse/patient interaction

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

    You fell victim to the manipulation of this family due to your inexperience and immaturity, you failed to recognize the game they are playing. It's a common one in LTC, the patient and family members...

  21. Nursing and the Ebola Virus

    ktwlpn replied to 0.adamantite's topic in Disaster Preparation

    I saw in the news today an American Ebola patient is being flown to the US for care.Did 'nt the CDC just have an unfortunate incident with some anthrax? If our "experts" can't handle this the results...

  22. Home care doesn't want a hospital bed

    ktwlpn replied to Ragage913's topic in Home Health

    The cna's need to work on their body mechanics.I have given care to home care patients in low beds while on my knees or kneeling on the edge of the bed. I used to do back stretches and exercise...

  23. LPNs in ICUs titrating drips

    ktwlpn replied to athena55's topic in LPN, LVN Corner

    Not in the scope of practice in this

  24. 2 rn's both bsn, ond nearly NP fin leave bp high

    ktwlpn replied to the nites's topic in Patient, Colleague Relations

    I work in an LTC-25 years ago the place could not keep the MINIMUM number of RN's in the building. Today we have a number of unit managers-these positions were created specifically for RN's and about...

  25. LTC facility trying to fire me over refusing to take on 50 residents

    ktwlpn replied to NurseGeorgiapeach's topic in Geriatric, LTC

    Our managers must take turns taking "on call' and they do receive a stipend. As salaried employees they have the freedom and flexibility to take the next day off or come in a few hours late of even...