ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Regarding Mother's Day...

    ktwlpn posted a topic in Geriatric, LTC

    To all of the Adult children of the residents I care for every day in LTC... Thank you for coming to visit your mother on Mother's Day. Perhaps if you visited more...

  2. License vs Seniority

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

    You won't know until you ask. Was a position created for this person? You know the facility has to have a certain number of LPN/RN's and aides. It may be that simple-they need another RN. In this area...

  3. So, as a nurse it's my #1 priority to serve your narcs on a platter...

    ktwlpn replied to Nola009's topic in Patient Medications

    We don't have a pain management team but we have a quality assurance department. They monitor the use of PRN's for proper documentation and they look at the pattern of use. They will suggest ATC...

  4. Last chance to pass :(

    ktwlpn replied to Tinkk's topic in Medical Assistant, CNA/MA

    That test is HARD.I've been a nurse for close to 25 years and I bet I would not pass it. We had a large number of CNA's in our last class fail their skills several times .All of them were good on the...

  5. Regarding Mother's Day...

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    Oh, all of the time. It's unbelievable. People have brought in birthday cake for their loved ones and presented the receipt to the social worker. I swear that's a true story! A family member wanted...

  6. So, as a nurse it's my #1 priority to serve your narcs on a platter...

    ktwlpn replied to Nola009's topic in Patient Medications

    Why isn't a pain management team assessing the needs of these residents? A new rehab /skilled patient s/p surgery should really be on a long acting ATC pain med for a short time in addition to...

  7. Working with a nurse who does things her own special way...

    ktwlpn replied to Nola009's topic in Geriatric, LTC

    I have had several family members in LTC take the med cup out of my hands and give their loved ones the meds themselves while they were feeding them.I observed and made sure the meds were completely...

  8. Millennials in the workplace

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

    Fantastic post-and you hit squarely on one of my pet peeves. You are NOT in a club, in the living room, at the pool. Sit up, straighten up,take the flipping hoodie OFF and speak like an adult. Spit...

  9. Working Alone

    ktwlpn replied to clarinets's topic in General Nursing

    Are you asking if a nurse can work alone if she/he wishes or work with others if she fears being independent? Your sentence structure is a little confusing, I can not figure out exactly what you are...

  10. Is this a violation of HIPAA

    ktwlpn replied to sdj73's topic in HIPAA Challenges

    I work with a nurse like this. She bustles in a half an hour early and runs into a random room and starts straightening and fussing and such then comes to the nurse's station for report and starts...

  11. overstepping boundaries?

    ktwlpn replied to rettign20's topic in Patient Medications

    This is an example of what often happens in LTC, everyone is too busy just getting through the shift,they don't have time to really stop and consider the needs of each resident. The team of nurses I...

  12. why nursing is a mess. three simple facts

    ktwlpn replied to chillnurse's topic in Nursing Professionalism

    That's as simple as your "ABC's" .It's a good example of an inexperienced nurse

  13. Relationship Between Unmarried Residents.

    ktwlpn replied to NurseQT's topic in Geriatric, LTC

    Maybe they need twin beds in her room,then they'll both get a good night's

  14. So, as a nurse it's my #1 priority to serve your narcs on a platter...

    ktwlpn replied to Nola009's topic in Patient Medications

    NOT if you wanted to keep a great job with good staffing and benefits, you would not. After years of beating your head against this wall you get the point where you realize it's not about YOU and YOUR...

  15. So, as a nurse it's my #1 priority to serve your narcs on a platter...

    ktwlpn replied to Nola009's topic in Patient Medications

    Rich or poor a butthole is a butthole. Unrealistic demands are common in every setting. Do your best to get those meds out when due, don't look for a fight or personalize it. People generally don't...

  16. Hospice in an ALF and HIPAA

    ktwlpn replied to Race Mom's topic in HIPAA Challenges

  17. Hospice in an ALF and HIPAA

    ktwlpn replied to Race Mom's topic in HIPAA Challenges

    It's very easy for IT to limit one's access to certain charts or particular areas of a chart-very easy. I think it's a shame you feel so damaged from responses you've received on a web site. You...

  18. Hospice in an ALF and HIPAA

    ktwlpn replied to Race Mom's topic in HIPAA Challenges

    I certainly meant no offense. I did not feel offended,I was simply responding to your post from my background as a nurse in LTC with a lot of hospice experience,too. I did not use any emoticons, it's...

  19. is it nurse's week?

    ktwlpn replied to NurseCard's topic in General Nursing

    DITTO-but we celebrate "Nursing Home week" and it's all for the residents.The few activities in the past they tried to limit to the nursing staff were crashed by residents and family members....

  20. Millennials in the workplace

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

    I have now moved off the floor into a specialty area and I'm on my own and I love it.I am responsible for no-one,just my own actions.It's the BEST THING EVER. Sadly in our LTC divas often hang...

  21. med error

    ktwlpn replied to Inaniel's topic in Geriatric, LTC

    Good gravy-if I found out my old mother or father were being dragged out of bed at 4 freaking AM I would raise unholy hell..Doesn't sound like the kind of LTC I would want to work

  22. Millennials in the workplace

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

    They make demands and consider no-one's needs but their own in my experience.We have always worked well with self scheduling but not this crowd. They get their requests in without ever sitting down...

  23. Hospice in an ALF and HIPAA

    ktwlpn replied to Race Mom's topic in HIPAA Challenges

    Exactly-the staff in the SNF are caring for this patient and supporting the family the other,what,22 hours per day hospice is not at the bedside? They are all part of the team, they are following the...

  24. Giving Report

    ktwlpn replied to BoyNamedSue's topic in Geriatric, LTC

    Back her off, don't let her interrupt you. If you are like me that just throws you of track. She is trying to intimidate you. If she interrupts tell her you are going to continue on track and she can...

  25. LPNs can't chart suicidal threats and they can't digitally stimulate rectums?!

    ktwlpn replied to Nola009's topic in LPN, LVN Corner

    In LTC both of those issues can raise red flags. We have p and p in place to follow through if a resident verbalizes a suicidal ideation. Our admin does not want us to document "digitally removed...