ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Does Preferring to Work Night Shift mean you're lazy?

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

    Thankk you,night shifters! Whatever your reason for working that shift I,for one-am

  2. Immobile med carts

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

    We have been told in Pa. that is the equivalent of pre-pouring. You have to have your EMR in front of you with the resident. You'll be surprised how fast the situation is remedied after the state...

  3. Dementia resident hoarding, shredding, destroying toilet paper

    ktwlpn replied to MemorycareRN's topic in Geriatric, LTC

    We would get a psych consult and begin treatment for OCD,that's what is sounds like. Lots of meds available with few side

  4. morphine drip for "comfort"

    ktwlpn replied to melisgood's topic in Patient Medications

    Instead os assiting a patient "to their death" we are really assisting them "through their

  5. Do you have to do bedside nursing

    ktwlpn replied to dulcet's topic in Nursing Career

    OOohhhh! THAT is a whole 'nother thread...If you are talking about bullying (horizontal violence) there are many threads on here to choose from.Bottom line-if you are a doormat in life it's up to you...

  6. Medicare to disclose physician reimbursement data

    ktwlpn replied to herring_RN's topic in Activism, Healthcare

    It's my opinion the info should be easily accessible, updated annually and apply to every physician in the country. I learned many years ago when the doc does monthly rounds I document in my nurse's...

  7. Stressed about a loved patient

    ktwlpn replied to Sophia62's topic in Patient, Colleague Relations

    You do have to recognize boundaries-in your life you will face the loss of your grandparents ,parents and possibly a spouse, maybe a child,siblings and friends. Do you really want to feel that type of...

  8. Do you have to do bedside nursing

    ktwlpn replied to dulcet's topic in Nursing Career

    Did you think that people in crisis would be nice? Do you have any experience with the medical field at all? Ever been a patient or stood at the side of an ill loved one? It's a shame you've gone so...

  9. Trach change disagreement with Case manager

    ktwlpn replied to zook1065's topic in Private Duty

    do a search for tracheostomy tube

  10. Trach change disagreement with Case manager

    ktwlpn replied to zook1065's topic in Private Duty

    If I can find a link I will post it. Our kits have Velcro fasteners on the necks bands.Nice and

  11. Trach change disagreement with Case manager

    ktwlpn replied to zook1065's topic in Private Duty

    Better yet,advocate for the patient and try to obtain a better quality of trach supplies. We stopped using those ties YEARS ago.They are a pain in the butt, all that tedious fumbling triggering the...

  12. Hypothetical Situation

    ktwlpn replied to Bortaz's topic in General Nursing

  13. Nursing Nightmares

    ktwlpn replied to 0.adamantite's topic in General Nursing

    The ABSOLUTE worst nightmare is one in which I am standing at the elevator trying to code out of the secure dementia unit and I keep putting the code in over and over but the door won't open for...

  14. Are my pts "brain dead"?

    ktwlpn replied to smartnurse1982's topic in Patient, Colleague Relations

    I saw an interview in which the mother stated something along the lines of "she's had a really bad week" ..You think so? I feel so sorry for everyone involved and I pray daily for an ending to the...

  15. How many Christmases have you worked?

    ktwlpn replied to Brian's topic in Nurses Rock

    I have willingly worked my fair share.Everyone should, it's what we do. My co-workers are always in good spirits. We are busier then usual escorting multiple visitors on and off our locked unit and...

  16. Cannot redirect a dementia patient

    ktwlpn replied to chickadee123's topic in Geriatric, LTC

    I would suggest working them up for a UTI and some labs (CBC,TSH ) medicating for possible discomfort with something like acetaminophen or ibuprofen, initiate a toileting program and obtain a psych...

  17. Ad on Craiglist for ghostwriter for nursing student

    ktwlpn replied to tsm007's topic in General Students

    I sat next to a young lady a few days ago during a 3 hour plane ride. She was working on a paper for a class (she wants to be a psychologist) I watched her open up and glance through numerous...

  18. Lazy supervisor stories

    ktwlpn replied to Runninonempty's topic in Geriatric, LTC

    Characteristics of lazy (lousy) supervisors/unit managers I have known-unprofessional in appearance, frequently gossiping about my co-workers and their peers from unit to unit, screwing up the...

  19. Hospice...hostile and toxic work environment!

    ktwlpn replied to RENnurse4/17's topic in Hospice, Palliative

    Hospice is way too stressful without a supportive team lifting you up.You are working with a crowd intent on tearing you down....Start the job

  20. Lazy supervisor stories

    ktwlpn replied to Runninonempty's topic in Geriatric, LTC

    I've had a few who would walk onto the unit when poo was hitting the fan, plop down at the nurse's station,pick up the newspaper or magazine and then IGNORE the ringing phone at their elbow while I...

  21. I asked for Christmas off and they...

    ktwlpn replied to Brian's topic in Nurses Rock

    My family has always celebrated holidays on whatever day we could all be together. It was very easy because our son never knew what day it was unless we told him.I remember when he was small and we...

  22. Reportable to state?

    ktwlpn replied to baygrl11's topic in Geriatric, LTC

    Yes ,really-count the pills. How else can you prove that someone is not administering them? You had better have proof of that allegation before you take action I've seen it

  23. Reportable to state?

    ktwlpn replied to baygrl11's topic in Geriatric, LTC

    You are the charge nurse so you are responsible for reporting this but you have to conform your suspicions. Count some pills on her day off and then recheck them when she leaves after her next shift....

  24. This made me think today..

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

    You don't have to be a nurse to be a strong advocate for the residents.You can make a difference in the lives of your residents by setting the example. Talk to the nurses-maybe they see the problem,...

  25. Stupid, I know, but more bad representations of NURSES on tv!

    ktwlpn replied to uRNmyway's topic in Nursing Professionalism

    I love the show but I'll admit that I screamed at the tv after she cleaned the wound ,touched it and blew on it . I don't care if she does have the hot pants for the Governor (as do I) but really? You...