ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Abuse/Neglect question

    ktwlpn replied to luvmy2angels's topic in Geriatric, LTC

    I recently saw a Frontline program called "Dying in Assisted Living"-It's available on line for free and worth a view. The AL industry is not regulated like LTC and it needs to be,IMHO. Go up your...

  2. Who is here to love them?

    ktwlpn replied to motherof3sons's topic in Geriatric, LTC

    That says a lot about him- that he even cared enough to notice what other's were going through when he was having issues himself-what a great

  3. Anyone else have a bad CNA experience

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

    HCR Manor care has a horrible reputation around here. Where I work newly certified cna's with no work experience get a 6 week orientation, they are paired with a mentor and are given the...

  4. Nursing Interventions for dry flaky skin

    ktwlpn replied to slp_vball01's topic in General Nursing

    our a/o residents don't like it because it stains their

  5. Taking away chairs from nursing station

    ktwlpn replied to pinkessence_58467's topic in LPN, LVN Corner

    So,chop right through the knot instead of untying it so you can save and reuse the rope-that' the LAZY approach to the problem. A better approach would be AUDITING the charts and counsel the...

  6. Does your workplace have a Suggestion Box?

    ktwlpn replied to Joe V's topic in Nurses Rock

    And ours doesn't have an opening in it-I just can't find a slot anywhere around that thing.No one really wants a suggestion from

  7. How to Take Care of Me When I Am Old

    ktwlpn replied to bluegeegoo2's topic in Geriatric, LTC

    I think we need a hot weather and a cold weather option, because some of us will want to experience the change of seasons. So,we need two parcels of land. Hawaii and someplace in New

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

    ktwlpn replied to nervousnurse's topic in Geriatric, LTC

    True-I'm involved with a family now-mother is close to a hundred and not eating. And it's OUR FAULT. Here shoes are too tight and she won't eat or her hair was not set and she won't eat or the lights...

  9. How to Take Care of Me When I Am Old

    ktwlpn replied to bluegeegoo2's topic in Geriatric, LTC

    Better yet ,let's invest in some land somewhere and build an "allnurses" retirement community....OUR

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

    ktwlpn replied to nervousnurse's topic in Geriatric, LTC

    Can you consult a wound care center? A good wound care center can hook you up with an ostomy nurse.There are so many products available and once you find the right ones you'll hear the angels...

  11. Med Passes

    ktwlpn replied to kcdunlap's topic in Geriatric, LTC

    I have such pain in my hands from popping the meds out of the blister packs- I can't stand it.I pop ibuprofen or acetaminophen daily.Why can't they put the meds in PEZ

  12. Orders.

    ktwlpn replied to lauriepat's topic in Geriatric, LTC

    This would be a med error/order entry error on your part(and the NP if she/he wrote that order) where I work. However the nurse on duty should have done some homework and reported this to the...

  13. Med Passes

    ktwlpn replied to kcdunlap's topic in Geriatric, LTC

    In my facility we do ytry to keep them in order with the MAR so please put them back in the drawer in that fashion.This has been discussed in nurse's meetings and it's done across the

  14. How to Take Care of Me When I Am Old

    ktwlpn replied to bluegeegoo2's topic in Geriatric, LTC

    #1-remove my moustache regularly #2-apply my eye brows daily #3-give me a very large glass of a dry,white wine every afternoon (or a joint of it's legal

  15. combative residents and family. (kinda long)

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    More's the pity-our elderly and infirm should NOT be subjected to this crap. We see it with MR ,too. I've had 2 older Down's syndrome men who used to torment the LOL's, sneak up behind them and pull...

  16. decreasing psychotropics in the elderly

    ktwlpn replied to motherof3sons's topic in Geriatric, LTC

    A large portion of our dementia residents are on palliative care and their loved ones have accepted there are trade off's...There is no magic pill but they'll choose comfort for today over misery...

  17. decreasing psychotropics in the elderly

    ktwlpn replied to motherof3sons's topic in Geriatric, LTC

    GDR's are a federal regulation,it's really not your management's aim to make everyone's life miserable.It truly comes back to nursing and documentation. The cna's have to report those behaviors to you...

  18. Theft of Fentanyl Patches

    ktwlpn replied to meded101's topic in Geriatric, LTC

    We have another thread on the forum right now about the patches and the difficulty we have in keeping them adhered to our residents,especially the low dose patch.It's very small. I hope the...

  19. Residents leaving facility with scheduled medications

    ktwlpn replied to JBMmom's topic in Geriatric, LTC

    I know-it hurts my head ,too. Pharamacists are a powerful profession and that's the way they want it. There is no extra charge, I believe they take the doses out of the next refill to even it out....

  20. Residents leaving facility with scheduled medications

    ktwlpn replied to JBMmom's topic in Geriatric, LTC

    It's my understanding that this is a regulation in my state. The pharmacists have lobbied vigorously to prevent us from "dispensing

  21. Received a interview from a email response from HR. The only contact was from email.

    ktwlpn replied to jellybean33's topic in Diploma, ADN, BSN

    >>>>>When you arrive to New York Medical Center, please contact Mr.Smith at (222)222-222 (Mr. Smith is the assistant to the hiring manager who will be interviewing me). Mr. Smith will...

  22. Residents leaving facility with scheduled medications

    ktwlpn replied to JBMmom's topic in Geriatric, LTC

    We require 72 hour notice to obtain LOA meds from the pharmacy.They come in separate little bags-we can also print out the instructions.The family signs the resident out and are responsible for...

  23. DOH investigation

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

    Here they come unannounced within a couple of days. Historically it's been an "anonymous" complaint by a family member and when the DOH arrives they'll pull a handful of charts and we usually can...

  24. So disgusted

    ktwlpn replied to MomRN0913's topic in Hospice, Palliative

    At least he was past the point of

  25. Antibiotics and gray area

    ktwlpn replied to HillieRN's topic in Hospice, Palliative

    I would think an antifungal insert would be appropriate as a comfort measure. She may not be able to convey discomfort due to her dementia .If she has been on an antibiotic recently she probably does...