ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Can't find work :(

    I did very well doing private duty. It was really paid companionship for wealthy people but I was making as much an hour as I ever did working full time. My family physician referred me and I was well...
  2. Patient Neglect?

    It's been decreed in my facility that it is my responsibility to take any action I may deem appropriate no matter what my supervisor may say. It's also up to me to make sure everything I report has...
  3. gossip at work

    QUOTE>>> i actually heard the charge nurse say something insulting and nasty about me to a [COLOR=#1c7dff]CNA Others may not agree but my approach to that would have been an immediate...
  4. The stakes are usually not as high for us in LTC .We have the usual problems with the hairdresser, dietary dept and laundry services. Lab techs don't arrive or draw on the wrong resident and leave...
  5. Polypharmacy-When is it too much??

    Our pharmacy will quickly recommend restarting almost everything we d/c including multivits. Our psychiatrist does not like to stop most meds until the resident is almost end of life.She considers...
  6. Which job would you choose?

    I would worry about the long commute in bad weather-if you take that position make sure you have a place to stay nearby in an
  7. Or say "hashtag" (while making the hand signal) and reply "yes,girly
  8. Manual BP Assessment on Elderly

    If this is day shift why not run and grab them before they get dressed, if they are awake? I agree with CCM-if there pressures are so unstable that they need to be checked a few times a day then they...
  9. Increased Falls in LTC-EMS concerned

    True but in my area the culture is changing. Family members are so eager to" lawyer up" that many facilities in this area are sending residents out for evaluation out more and more frequently. My...
  10. Just skimming and got the shock of my life-I thought the S/P cardiac arrest stood up naked beside the bed.Gave me a
  11. HOSPICE CARE IN LTC

    I'm wondering how many of you work closely with palliative care/hospice in your LTC? I would love to see that as it's own speciality category on the web site if others share my interest. It...
  12. Resident abuse on cna on the uprise?

    Sorry you had to go through this. It's the culture in many facilities. In my experience this is especially true in the for-profits. They don't seem to care if the resident is tearing up the floor...
  13. med error

    It's great that you get in there and help the cna's with the direct care but remember -you can do their job but they can't do yours. You can't work yourself to death like this and run the risk of med...
  14. BG- 74, would you give or held insulin?

    Let me just say that I have always had a problem with the stupid signs. It goes back to elementary school for me and I developed a full blown math phobia. I missed a large portion of 2nd grade due...
  15. Weather Policy

    You call it "self righteous", someone else may call it "doom's day prepping" or simple common
  16. Weather Policy

    Can't take personal days, vacation or sick time during a snow emergency where I work,
  17. Weather Policy

    There is such a big divide between the experienced (old and well seasoned nurses) and the newly minted ones. It reminds me of the "Occupy Wall Street " movement. I perceived them to be a bunch of...
  18. Weather Policy

    That CANNOT BE COMPARED to the people who habitually call out due to the weather (be it one flake of snow or a foot and a half) Why would your use of your personal days in that situation cause your...
  19. Weather Policy

    Excellent credit gives me a "get out of jail free" card by Master. If a pet needs expensive treatment or my car needs expensive repair or I loose a major appliance I am good to go. There is...
  20. Weather Policy

    And if you don't have the money up front for a hotel room you have bigger issues. No credit card? No cash stash for emergency use? Our local gas stations were all " cash only" last week due to power...
  21. Weather Policy

    Exactly-I don't know what she was thinking but she is a newer nurse and this is her first winter with us.. She was counseled and is now aware of the accomodations available to us at the facility and...
  22. Weather Policy

    Then those people need to make arrangements to enable them to access a safer, direct route to work.Car pool with co-workers if you are scared to drive alone. I have parked blocks away from my home due...
  23. Weather Policy

    Sorry-I just don't feel compassion or empathy for that same nurse who calls out each and every storm event while most of the rest of us make the effort to meet our obligations and end up working back...
  24. Weather Policy

    If you have no support you need to find a job in a setting where you won't have to work weekends,holidays and through bad weather or you have to find yourself support. You did make the choice to go...