ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Pt cant forgive...

    ktwlpn replied to smalltownLVN's topic in Hospice, Palliative

    I think sometimes we have to admit that we can't "fix" everyone. Get the team involved and take a step

  2. SNF units at hospitals

    ktwlpn replied to nolanurse88's topic in Geriatric, LTC

    All three of my local hospitals closed their SNF units within a few years of opening them. They did not turn into the cash cow they were expected to be. Most local LTC's are now opening SNF units and...

  3. Bad Day, How do you get over it?

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

    This will teach you how to be "politically correct" in this type of situation. You are correct-people DO have unrealistic expectations and it's the rare unit manager who will take your side. Your...

  4. Foley cath

    ktwlpn replied to Vtachy1's topic in Hospice, Palliative

    A st. cath. PRN would be appropriate for comfort. I think it's amazing that you couldn't palpate the bladder and still got that much urine. I'm pretty sure mine holds about 90 cc-especially when I'm...

  5. Should we teach unlicensed caregiver . . . . .

    ktwlpn replied to Spidey's mom's topic in Hospice, Palliative

    Have you considered involving other agencies? Is this client really in a safe environment? I think your "spidey" senses are telling you she needs additional support and the caregiver is overwhelmed....

  6. Foley cath

    ktwlpn replied to Vtachy1's topic in Hospice, Palliative

    If you don't have the equipment to perform a scan at least palpate the bladder to check for distension. Morphine can cause urinary retention and should be ruled out in a restless actively dying...

  7. HIPAA and Advocate for competent patient

    ktwlpn replied to akn1563's topic in HIPAA Challenges

    But unless the loved one is confused or critically ill and unable to speak why should anyone -POA or otherwise-be wasting anyone's time calling docs and the floor for a report when the patient is...

  8. Sorry, but no..:

    ktwlpn replied to Carpediem1012's topic in General Students

    Patients are "consumers" of our "product" and if they are not satisfied with the "service" they receive they can go elsewhere (within the confines of their insurance plan) Doesn't that make you...

  9. HIPAA and Advocate for competent patient

    ktwlpn replied to akn1563's topic in HIPAA Challenges

    But anyone could have called and claimed they were you. That's why so many hospitals have a policy in place -code words or numbers,etc. How many of us have ever gotten a call of spoken to a visitor...

  10. HIPAA and Advocate for competent patient

    ktwlpn replied to akn1563's topic in HIPAA Challenges

    I remember way back when in the LTC when the whole HIPAA thing started our former DON decreed that this meant the residents names could not longer be on the wall outside of their door.Thankfully some...

  11. HIPAA and Advocate for competent patient

    ktwlpn replied to akn1563's topic in HIPAA Challenges

    Then good for you for not sucking up various staff member's time for a ridiculous reason. You are one of the few in my experience.Nurses I have worked with for years have been some of the most...

  12. caught in a dilemma.

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    Many a DON/UM will string you along as long as they can and then one day you go in and find another co-worker has changed shifts ahead of you "due to a family emergency" which usually means " being a...

  13. Giving Morphine

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

    I have seen a problem with many nurses in LTC under medicating end of life patients. Our supervisors now must monitor the electronic medical record of every patient at end of life. The majority of my...

  14. long day at work and legs!!

    ktwlpn replied to Jenni811's topic in General Nursing

    I recommend footsmart.com -I get my stockings there.They have a huge selection of various brands and

  15. Help advice: Compression stockings

    ktwlpn replied to budisara's topic in General Nursing

    Skip the TEDS and try ace wrap compression dressings. We have a few folks who are unable to tolerate TEDS and the ace wraps have worked

  16. HIPAA and Advocate for competent patient

    ktwlpn replied to akn1563's topic in HIPAA Challenges

    It would have been very easy for this patient to make this aunt (supposed nurse) his contact and all of this could have been avoided.In my experience these people are seldom real nurses-they are...

  17. Dogs in the building

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    Food for through- I doubt that anyone would tell the DON they had a problem with her dog. Our administrator had to step in and speak to our ADON and one of the unit managers about their 4 legged evil...

  18. Dogs in the building

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    We have had to set limits due to several staff members bringing young untrained puppies in to the facility (sorry) If they were left in an office they barked and disrupted the residents, some of them...

  19. On working with LPNs in the clinical setting

    ktwlpn replied to Nola009's topic in Geriatric, LTC

    [quote=They're all ****** off about being bought out by HCR or something QUOTE Certain entities in LTC have very bad reputations. In this area HCR falls into that category. It's morale...

  20. On working with LPNs in the clinical setting

    ktwlpn replied to Nola009's topic in Geriatric, LTC

    And-NEVER give the keys back to the outgoing nurse for ANY reason after you have counted

  21. On working with LPNs in the clinical setting

    ktwlpn replied to Nola009's topic in Geriatric, LTC

    QUOTE>>>I've seen it on coming shift, "is the count ok?" off going shift, "yeah, everything is there, i already signed" on coming. "ok, see you later" Yeah,well-let those fools...

  22. Should we teach unlicensed caregiver . . . . .

    ktwlpn replied to Spidey's mom's topic in Hospice, Palliative

    I'm using Haldol gel on a resident -it's working. I think too often we discount meds and therapies without trying them because of these studies. It may very well be effective for your patient-and a...

  23. Apparently washed up

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

    I'm sorry you are going through that-I'm in my mid 50's and pray that I don't have to get out and job search.I do keep my resume updated and have gotten some certifications but age-ism is prevalent ....

  24. Need advice: Frequent falls of non compliant homebound pt with dementia

    ktwlpn replied to autumnlea's topic in Patient Safety Issues

    This lady is in an unsafe situation-I would call the office of aging.PLease tell me what state you are in-not the tri-state area,I

  25. Inservice

    ktwlpn replied to LovelyOverload's topic in Geriatric, LTC

    Why not? As part of their certification in my state they need to demonstrate their skills.B What a great way to instill confidence in the unlicensed staff.I think it's a great