ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Are we over-reacting?

    We charge $305.00 daily for
  2. Are we over-reacting?

    She belongs in LTC with staff who are trained to care for her.Is this a 'for profit'? When her funds are depleted watch how fast they can " no longer provide her care"...Most of your concerns are spot...
  3. Initial Drug Test

    Someone got Butt hurt by the internet
  4. Initial Drug Test

    As possible as accidentally shoving a large bottle of shampoo up your
  5. Feeling defeated

    The students need to be dealt with on a higher level,they are jeopardizing their clinical placement,their behaviors are unacceptable. Be firm,fair and consistent with your staff and they will come to...
  6. SNF/ALF challenges with Hospice providers?

    I have two questions/requests: 1. What are your current biggest specific challenges that you face with local hospices? Communication,not receiving necessary documentation on a timely manner,delay of...
  7. What nursing task do you loathe???

    Earlobs,ear wax,hearing aides and ear rings....Not going
  8. any advice for sleeplessness with ALZ patient

    While I understand the holistic approach I know a geri-psych consult is invaluable at this stage.I see two issues here.First is her sleep pattern.What is the impact on her and the family from this?...
  9. My father's health information

    Agree with the previous poster,your actions are similar to complicated grieving.Make healing yourself your priority,you are wasting a lot of positive energy on this -you're deflecting
  10. Question for Day Shift Nurses Who Own a Dog

    Buy panels of chain link ,create a pen,push the open end up to the doorway in which you have installed a doggie door.Problem solved.She can go in and out at will.Make sure the panels are securely...
  11. Feeling defeated

    In my facility We start with a verbal warning ,next is a written one which includes a plan correction ,third can mean dismissal.If you ask someone to do or not do something and they persist you need...
  12. Feeling defeated

    You just have find your equilibrium.They are hazing you just like they do almost every other new charge nurse,most of us have experienced this and it really is exhausting.You need support from your...
  13. Boldness to Speak

  14. Work declining vacation request?

    Good luck-we now have a policy prohibiting unpaid leave.If you don't have the time accrued you don't get to take
  15. Work declining vacation request?

    If you are referring to RNdynamic that poster is always serious and appears to live in a parallel
  16. Work declining vacation request?

    Well,don't even know what to say to THIS....It's called "work" not
  17. Work declining vacation request?

    When accepting a new position you have to think ahead.If you have made the plans for a vacation,wedding,etc make it clear you can not work during that time and GET WRITTEN CONFIRMATION . You are...
  18. Very few " management roles" exist for LPN's ( in my area) and even ADN's.You should peruse a BSN at minimum if that is your
  19. Would you report possible diversion?

    Sounds like a case recently in our local news.Yes,understandable but inexcusable.Blame every one and everything ....It is still crossing legal,ethical and moral
  20. Heroin pandemic

    Before middle and upper white class kids started dying no-one really much
  21. Patient threat and HIPAA

    Does not sound like the nurse shared any protected medical
  22. Boldness to Speak

    So what if another of her patients is falling on the floor while she is praying with this one? It's called " delegation" She will be on duty to NURSE. Not
  23. They likely have investigated the situation but will never share the details.Ask yourself these things-Is this worth ME loosing my job and possibly being blackballed in my community? And think about...
  24. Bending and Breaking the Rules in Nursing

    After hospice came on board why in the world were her diet restrictions
  25. Go to a craft store,they have a number of WASHABLE canvas totes in various sizes and colors...You can embellish them if you wish.I have several -small ones I use as lunch bags and larger ones that...