ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. uncooperative residents

    ktwlpn replied to glucas985's topic in Geriatric, LTC

    You'll burn yourself out by personalizing these issues. These people are in LTC because of years of poor life style choices over the years-we can't fix them and even if we could the damage is done....

  2. Contact with Mrsa, now I'm so afraid?

    ktwlpn replied to mzsuccess's topic in General Nursing

    Most of us have some type of irrational fear that we have nightmares about now and then. I'll admit that I truly believe that someday I'll get sick and die from a simple pneumonia because I've spent...

  3. Interesting or Different Anatomy:What have you encountered?

    ktwlpn replied to nursefrances's topic in General Nursing

    I LOVE hidden Mickeys! And I'm preparing for a week at Disney in December...I'm so

  4. Contact with Mrsa, now I'm so afraid?

    ktwlpn replied to mzsuccess's topic in General Nursing

    It clearly shows a lack of training.I think her workplace is partly responsible for her fears.BUT there is a wealth of info available to her for independent study-allnurses.com is allgood but she...

  5. medical abuse?

    ktwlpn replied to sfaithj's topic in Patient Safety Issues

    That doesn't maker it any easier to deal with. I've cared for several LOL's who were apparently molested or abused in some way but almost all of them feel they are being attacked when staff is...

  6. Want to hear your pet peeves in LTC nursing

    ktwlpn replied to mondkmondk's topic in Geriatric, LTC

    O-I forgot about THAT

  7. Want to hear your pet peeves in LTC nursing

    ktwlpn replied to mondkmondk's topic in Geriatric, LTC

    My biggest pet peeve right now (after Omnicare issues ) is having to invite a co-worker of mine to join the party on the other side of the desk...She is truly a lazy thing.We just recently lost a...

  8. Contact with Mrsa, now I'm so afraid?

    ktwlpn replied to mzsuccess's topic in General Nursing

    The Department of Health,CDC and NIH all have good info on their sites,easy to navigate and it's written for the general public so anyone can understand

  9. Contact with Mrsa, now I'm so afraid?

    ktwlpn replied to mzsuccess's topic in General Nursing

    Most healthcare workers are colonized with it-that means it's on you. When they swab your nares you'll be positive.I'm not sure what the latest stats are for the general public,you can go to the CDC...

  10. Interesting or Different Anatomy:What have you encountered?

    ktwlpn replied to nursefrances's topic in General Nursing

    I've seen dual uterus both in a patient and a family member. I cared for a woman with a really enlarged privy parts (really,abnormally large) It did make it very easy to place the foley...In LTC in...

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

    ktwlpn replied to autumnlea's topic in Patient Safety Issues

    Studies have shown that restraints are not only dangerous but actually increase agitation.I hope I don't see this gal in my LTC anytime soon,we are restraint free. I suggest getting her to the...

  12. Safe sleep aid for alzhiemer/dementia residents

    ktwlpn replied to beatrice1's topic in Geriatric, LTC

    And sleep disturbance is very typical of alzheimer's patients, in fact it's one of the top 3 reasons why families seek long term care along with incontinence and unsafe wandering. We have used...

  13. Omnicare pharmacy says "We never got the faxed orders"

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    just gotta love Omnicare-they put profit ahead of service...The same thing happens with us,not as frequently as it used to prior to our going with a EMR but it still does happen way too

  14. Anyone else have a bad CNA experience

    ktwlpn replied to mcclot1993's topic in Medical Assistant, CNA/MA

    You did but it's time to move forward from

  15. Changing code status to DNR/DNI

    ktwlpn replied to Lev's topic in General Nursing

    It's much more satisfying being one of the team of nurses who have been educating the family member about the reality of their loved ones condition. I'm in LTC on a dementia unit and have spent HOURS...

  16. Electronic charting- administration time out of compliance

    ktwlpn replied to JBMmom's topic in Geriatric, LTC

    I remember starting at 7am and passing meds until 10 am on 54 to 56 residents. If anything out of the ordinary occurred you were SUNK. One year during the DOH survey the admin was told too many of us...

  17. I am scared to do CPR

    ktwlpn replied to Luna1326's topic in General Nursing

    QUOTE>>> frightened that something I do will hurt someone instead of saving them>>> QUOTE Baby,they are DEAD-way beyond your hurting them in any way. I Have known plenty of...

  18. Need a hug

    ktwlpn replied to beeker's topic in General Nursing

    QUOTE> "The family said they felt like they were not important because all the staff was with the crashing patient.">QUOTE And then the MANAGER tells YOU that YOU are the problem?...

  19. How do you get family members to stop calling on the phone?

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    We have had social services get involved when we have had to deal with numerous calls from members of a large family. One family member was made the contact person and they were to call at certain...

  20. Admit form and sexual consent

    ktwlpn replied to lilhelper's topic in Geriatric, LTC

    I'm with amoL.I don't think you'd have a snowballs chance in hell of ever convinicing and family to sign the form from the get-go.In my experience when that kind of situation is handled honestly and...

  21. Interruptions during my med pass

    ktwlpn replied to Nspirit's topic in Patient Safety Issues

    So we are NEVER supposed to "make a mistake?" Physicians make mistakes...pilots and air traffic controllers make mistakes.....What an absurdly high

  22. Interruptions during my med pass

    ktwlpn replied to Nspirit's topic in Patient Safety Issues

    Oops...I accidently hit "like" for the above post...that was a

  23. Bringing in Ostomy nurses for problems & a Hospice question....

    ktwlpn replied to nervousnurse's topic in Geriatric, LTC

    Bumping the thread-can we get an

  24. Survey: Caring for the Patient with Alzheimer's Disease and Delirium

    ktwlpn replied to cparker67's topic in Geriatric, LTC

    Even though I'm an LPN (with many years of dementia care experience) I looked at it an I agree-it was way too long.Needs some proof

  25. Nursing home pt catches on fire

    ktwlpn replied to LaRN's topic in Geriatric, LTC

    Ew-that's so wrong in so many ways but I'm glad I watched it,I did learn a few things.At our facility smokers are assessed by nursing and OT and if deemed safe they can go out and smoke independently....