ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Social Media

    ktwlpn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    We have one-it was written after a cna threatened bodily harm against her supervisor over something that occurred during her shift. She posted the threats while still on that shift.We have had staff...

  2. Guilt over saying no to overtime

    ktwlpn replied to Richard 1's topic in Geriatric, LTC

    It's hard to learn how to NOT take on those feelings of guilt. Take a shift here and there when you can and sleep well knowing you have done the best you could.You need your down

  3. Late nurse notes

    ktwlpn replied to Harley0708's topic in Home Health

    Is she

  4. an RN is a practicing Jehovah's witness

    ktwlpn replied to strawberryrnc1611's topic in Spirituality, Religion

    YES-despite your religion, the weather, even family. We all have an obligation to the profession. Luckily most of us are able to switch shifts with co-workers when special occasions arise. But to go...

  5. Getting pt's to take their meds.

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

    I agree with the above, go for the most difficult ones while they are actually eating a meal. Try ice cream instead of applesauce, a plain spoonful first, rub the cold ice cream across the lips a bit...

  6. Moral of the story: Never give IM injections?

    ktwlpn replied to hnwbeachbum's topic in Geriatric, LTC

    Not many studies have been done on it. We use it because it does takes the edge off and it's better then the alternatives. Our DON, medical director and psychiatrist think it's safer for the staff and...

  7. difficult ETOH pt

    ktwlpn replied to shearernurse's topic in Emergency

    quote>>>" His drama is his - don't let it be yours" And give thanks he is not your husband, brother or son. And remember,people like that are your job

  8. Moral of the story: Never give IM injections?

    ktwlpn replied to hnwbeachbum's topic in Geriatric, LTC

    We use topical lorazepam.It works well enough in a situation like you described.Find out if your pharmacy will compound it for

  9. RN bullying in the long term care setting

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

    That's exactly what a bully does-prey upon the weak. It's only my opinion but don't let her ruin your day and don't let your co-workers put you in the position of being the one to deal with her...

  10. G Tube feeding: getting across to caregiver importance of water

    ktwlpn replied to kathyhunt7's topic in Gastroenterology

    You my just need the physician to weigh

  11. Dealing with Sjogren's and Reynauds

    ktwlpn replied to Nolli's topic in Nurse Disabilities

    You need to practice some snappy comebacks. It might make you uncomfortable to answer back and shut someone down but they are making you uncomfortable to start with. Don't hesitate to shut them down....

  12. Dealing with Sjogren's and Reynauds

    ktwlpn replied to Nolli's topic in Nurse Disabilities

    First look for some support, either in real time or on-line. It is really scary to be diagnosed with a chronic disease and it helps to talk to others who are going through that experience too....

  13. Nursing Supervisor

    ktwlpn replied to PrettyNurse2006's topic in LPN, LVN Corner

    I HATE to read a nurse's note that concludes with "will continue to monitor" Really? How often? Monitor what,exactly? And when will someone make the decision to take action? What kind of...

  14. RN bullying in the long term care setting

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

    She is the one with the problem, not you. BUT you can control your response. If you are willing to be spoken to in such a manner that behavior will continue. It's one thing when an RN supervisor does...

  15. Today a patient asked, "Do you know Jesus?"

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

    EXACTLY! And it's NOT rude to stop that in it's tracks. A therapeutic relationship is focused on the patient, it's not about us. No reason not to firmly deflect those comments. I do not feel...

  16. Today a patient asked, "Do you know Jesus?"

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

    That's what they do, it's their belief system. However I don't feel it was appropriate in that setting, I think you should have politely deflected his comments, changed the subject and turned the...

  17. Today a patient asked, "Do you know Jesus?"

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

    To quote -"He cuts my grass" Gemma,Sons of

  18. Insulin adjustment

    ktwlpn replied to Supercandy131's topic in Geriatric, LTC

    Know your policy and procedures, that's the bottom line. Just because your BON permits you to do something if it is not in your policy and procedure you can't do

  19. Insulin adjustment

    ktwlpn replied to Supercandy131's topic in Geriatric, LTC

    You can hold insulin if your patient is refusing to eat-hold it and call the MD immediately for further instructions. You must follow your facility's policy and the patient's orders. You can't just...

  20. As a Nursing Student, Will I be Paying off Loans Forever?

    ktwlpn replied to Brian's topic in General Students

    When you are young "forever" is a relative term.25 years goes by in a

  21. That certain odor on some patients and their visitors

    ktwlpn replied to Emergent's topic in Emergency

    I wonder, is this truly your belief? I can't tell you how many nurses I know who look like (IMHO) exactly what you are describing and they are not doing drugs. And then there are the drug addicts I...

  22. LPN forced to work as CNA

    ktwlpn replied to jg24's topic in LPN, LVN Corner

    There is a BIG difference in primary care in an acute care setting when you have from 4 to 6 patients and taking a cna's full assignment in LTC.The last private LTC I worked in where this was common...

  23. "LPN'S Phased Out"...They say....

    ktwlpn replied to YesImVictorious's topic in Geriatric, LTC

    QUOTE>>So Im talking to this guy and he is a stockkeeper at a hospital and he said the dreaded words "LPN'S are being phased out" LOL! He is probably one of those family members that all...

  24. Admissions people

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    One of our problems starts with our administrator-the policy is "the customer is always right" The DON keeps reminding her over and over that the DOH still expects us to deliver appropriate care and...

  25. Admissions people

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    Why do these people have such power? I have stepped on the toes of ours a few times regarding code status.They focus on the needs of the family, not the resident. I get that. But how dare you, a...