ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Weather-related vent

    ktwlpn replied to pistolchick's topic in General Nursing

    I think if you don't say something that's passive aggressive behavior because it clearly causes you concern. I didn't think you meant you wanted to get sent home before anyone else but simply at the...

  2. Weather-related vent

    ktwlpn replied to pistolchick's topic in General Nursing

    YOU have to make your feelings known. Don't be passive/aggressive, tell them you expect the same consideration. I read somewhere that a large percentage of fatal accidents occur during short commutes...

  3. The death of nursing

    ktwlpn replied to massrn116's topic in Activism, Healthcare

    LPN GUY-I was actually giving you a high five for your accomplishments (nursing school at 55) I am getting older by the minute and am very conscious of ageism, not just in nursing but in society in...

  4. Weather Policy

    ktwlpn replied to nynursey_'s topic in General Nursing

  5. Like, wow- WHAT?

    ktwlpn replied to Sam J.'s topic in Burn

    my bad.We have an OTC equivalent (SSD) in stock on the

  6. Nursing Home and Hospice unit

    ktwlpn replied to souleater11's topic in Hospice, Palliative

    It depends on the LTC ( I love your screen name BTW) I currently work in a facility that utilizes hospice throughout. It is the resident's home, they want to stay in the room they have lived in for...

  7. "State's Here!": Demystifying the Long-Term Care Survey

    ktwlpn replied to VivaLasViejas's topic in Geriatric, LTC

    [quote=pinkiepinkPN1;7747825 I went by work today to pick up my paycheck, and there was a notice on the door stating that a state survey was occuring until February 14th. My stomach turned. I had...

  8. "State's Here!": Demystifying the Long-Term Care Survey

    ktwlpn replied to VivaLasViejas's topic in Geriatric, LTC

    Something I have learned and would like to add is NEVER answer a question from a surveyor with "I don't know". If you really don't have the answer just be honest and tell them so and tell them you...

  9. Like, wow- WHAT?

    ktwlpn replied to Sam J.'s topic in Burn

    Typically when one wants to argue just for the sake of arguing I have found they will resort to pointing out grammar and spelling errors and twisting other poster's comments in lieu of facts. We...

  10. The worst case of UTI related delirium and psychosis you have seen

    ktwlpn replied to Lev's topic in General Nursing

    The case of the patient in the hospital in SanFran who disappeared only to be found dead in a stairwell some time later. When that story broke initially I read that she had AMS from a UTI (later on it...

  11. Like, wow- WHAT?

    ktwlpn replied to Sam J.'s topic in Burn

    That was me-you are the one who pointed out that the panel seemed to question their sexuality-I did NOT get that impression from that episode AT ALL. I also got the impression from your post...

  12. Pain medicine and bone mets

    ktwlpn replied to esrun00's topic in Hospice, Palliative

    In LTC the staff physician sees the resident on a monthly and/or acute change basis. Hospice nurses make recommendations based on their protocols and our physicians may or may not concur. I don't know...

  13. Pain medicine and bone mets

    ktwlpn replied to esrun00's topic in Hospice, Palliative

    It's a collaborative effort for me, too (an LPN in LTC) I come armed with all of the info I need, the current regimen, the number of times within 24 hours the PRN meds are being given and the...

  14. Doesn't It Make You Want To Scream, Part 3

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

    But how do you solve the basic problem? You educate over and over and still staff nurses"forget" or "don't know" to follow through with basic policy and protocol. Do you seriously have to instruct...

  15. Who is responsible in this situation?

    ktwlpn replied to Amanda026's topic in Patient Medications

    and I'll add that when a friend, family member or co-worker suffers a loss like this they truly shouldn't hear any of the following " it's for the best", "you'll have another" or " something was...

  16. The death of nursing

    ktwlpn replied to massrn116's topic in Activism, Healthcare

    ROCK ON,LPN GUY! now back to

  17. Who is responsible in this situation?

    ktwlpn replied to Amanda026's topic in Patient Medications

    [quote=Sam J.;7737849 For an educated nurse to imply that her lack of knowledge about the risks of a medication may have caused her own 'miscarriage', brings up another, more real issue- would that...

  18. Like, wow- WHAT?

    ktwlpn replied to Sam J.'s topic in Burn

    I have seen that episode, I believe it was a repeat. I guess I just don't understand your comment. Nor did I pick up on insinuations that the 4 guys were "too good looking-read between the lines" Are...

  19. Discouraged

    ktwlpn replied to LPN197538's topic in LPN, LVN Corner

    Moving forward practice a dialogue, something along the lines of "I made a med error that did not have a negative outcome for the patient and I have learned (fill in the blank). I learned in LTC to...

  20. Like, wow- WHAT?

    ktwlpn replied to Sam J.'s topic in Burn

    I love that show, never miss it. Wouldn't the treatment of the burn depend on the classification of the burn itself?Their oil may be comparable to silvedene,we don't know. Without more details I don't...

  21. Absolutely ridiculous... You can keep your 4 hours

    ktwlpn replied to HeartRN13's topic in Patient, Colleague Relations

    What would the alternatives be? Letting you come in and do nothing and get paid? This brings to mind the attitudes of some of my coworkers.They want over time whenever THEY want it. They get mad when...

  22. Need Advice on how to handle situations with NM

    ktwlpn replied to adviceneeded's topic in Nurse Management

    Our HR is not involved in the disciplinary process. You absolutely must have written policy that you apply to EVERYONE. Your NM is dead wrong-,I agree totally with YOU. Different rules for different...

  23. Do health shakes need MD order?

    ktwlpn replied to Loveness14's topic in Geriatric, LTC

    I work in LTC and we need an order for everything-I don't know the first thing about assisted living, sorry I can't help

  24. Immobile med carts

    ktwlpn replied to horrorxgirl's topic in Long Term Acute Care

    we generally have good idea-we know when they are in the

  25. Therapy schedule

    ktwlpn replied to TigerxLiLy's topic in MDS Coordinator Information

    Each unit receives a schedule a day in