ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Spoliation, tampering implications

    ktwlpn replied to toomany's topic in Legal

    I have the handwriting of a serial killer and it can change right in the middle of a sentence. I have arthritis in my hands and I have to get creative with the position of the pen and my hand. I also...

  2. Disposing of medication rolls with patient names

    ktwlpn replied to QABSN's topic in General Nursing

    we put our empty blister cards in the tote to return them to the pharmacy for them to

  3. How do you deal with it?

    ktwlpn replied to Ez4me's topic in LPN, LVN Corner

    There is a time and place when it's appropriate but consider the following-there are times when you need to be treated as the family member instead of the nurse...And when you are the patient it's...

  4. Question from a third shift nurse....

    ktwlpn replied to BrandonLPN's topic in Geriatric, LTC

    I believe it's a violation of a resident's rights to drag them out of bed at dawn's crack unless it's their habit and their wishes. I have known many dementia residents whose behaviors are triggered...

  5. I suspect at least 4 residents have scabies, and....

    ktwlpn replied to Tana13's topic in Geriatric, LTC

    The OP is an LVN.I have been through several scabies outbreaks in LTC and saw my own admin pull the ostrich trick for weeks while residents suffered.You won't often see the typical scabies...

  6. Terminology

    ktwlpn replied to ProudLPN10's topic in Geriatric, LTC

    Your employer will have a list of approved abbreviations for your use, they should also have a wound care policy, ours includes pictures and a word bank. That will get you started. I sometimes have to...

  7. How do you organize your day?

    ktwlpn replied to Ginnym1981's topic in Geriatric, LTC

    I write everything down and check it off as I go,I developed a work sheet for my own use years ago. I document by exception -except for med a residents, they must be documented on Q shift (at least)...

  8. OMG! *I* cannot pronounce death but a paramedic can????

    ktwlpn replied to nervousnurse's topic in Geriatric, LTC

    It sounds like you need debriefing-maybe you could suggest that someone from the local emergency services come out to your facility and inservice your staff? This could be a great learning experience....

  9. Electronic Medical Records

    ktwlpn replied to KRSLPN's topic in Geriatric, LTC

    You can't assume that everyone is computer savy. At my facility there are several staff members who don't own PC's and hated every minute of the process. Bottom line-they all have to embrace the...

  10. Visitors that are drinking in patient rooms......What do I do?

    ktwlpn replied to Innocent2021's topic in Critical Care

    It's really not that simple. Every one deals with end of life issues differently. Some family members gather quietly around the bed in a darkened room and speak in whispers,others throw open the...

  11. Carb counting and insulin in LTC

    ktwlpn replied to cactusj's topic in Geriatric, LTC

    Do you have a palliative care program? If not, you need one. At least get the families involved-this is contraindicated in the population that you describe. We have a small rehab unit and we also have...

  12. How does your facility welcome new residents and their loved ones?

    ktwlpn replied to ricksy's topic in Geriatric, LTC

    Admissions escorts them to the unit, one of us introduces ourselves to them all and then I always quietly ask if the person needs to go to the bathroom and take them myself (good time to gather some...

  13. Carb counting and insulin in LTC

    ktwlpn replied to cactusj's topic in Geriatric, LTC

    The trend in LTC has been liberalizing diet restrictions in the elderly.. We just had an inservice with a rep from a well known company that manufactures insulin,I'm interested in seeing how it plays...

  14. So done...

    ktwlpn replied to kickme's topic in Health, Stress Management

  15. Medication Errors....

    ktwlpn replied to momandstudent's topic in Geriatric, LTC

    The post clearly made it an LPN vs RN thing when it was stated that the 10 months of LPN school was not enough to teach one how to properly pass meds. There are forums for managerment to vent...

  16. Medication Errors....

    ktwlpn replied to momandstudent's topic in Geriatric, LTC

    And there is also no excuse for an administrator of an LTC to post a clearly inflammatory and derogatory statement condemning an entire group of people here on a forum that is typically populated by...

  17. Medication Errors....

    ktwlpn replied to momandstudent's topic in Geriatric, LTC

    You're right, there is no excuse. We can tell horror stories all day long recounting tales from various settings of egregious errors committed by fellow LPN's and RN's. Bottom line is a lack of...

  18. Medication Errors....

    ktwlpn replied to momandstudent's topic in Geriatric, LTC

    I'm not going to "flame away". I'll just point out that I've worked with plenty of lazy ,careless nurses,both RN's and LPN's. I'm surprised a comment like that would come from a nurse of your...

  19. Medication Errors....

    ktwlpn replied to momandstudent's topic in Geriatric, LTC

    >>>>>>>>Many, many times, the nurses say, "Will pay closer attention or will take more time during the pass." Our DON is new and would like me to come up with some sort of...

  20. Are they lying or are they confused?

    ktwlpn replied to Alnitak7's topic in Patient, Colleague Relations

    I'm not saying that sometimes this type of thing doesn't happen. I'm sure there are groups of dysfunctional staff in lots of settings. In my experience when there is a fracture like this in the...

  21. HELP! LTC RN VS LPN!

    ktwlpn replied to ricksy's topic in Geriatric, LTC

    >>>>>>>>> So,color me confussed-did anyone run the orders by a doc before faxing them to the pharmacy? When we admit residents from home we get paperwork from their...

  22. Reasons why BAC would continue to go up hours after admission

    ktwlpn replied to Topaz7's topic in Addictions

    How is the patient? Have you unriddled the

  23. Does your facility have horrible dietary staff turnover?

    ktwlpn replied to nervousnurse's topic in Geriatric, LTC

    Years ago during a budget crisis an item started showing up on the menu that I had never heard of-it was called "broccoli cuts" .It truly was the cut up stems-the part that I throw away (or save for...

  24. Are they lying or are they confused?

    ktwlpn replied to Alnitak7's topic in Patient, Colleague Relations

    QUOTE>>> For a brief moment, they are the tragic main character in their tale of woe.>>>QUOTE Darn it.that's MY role this

  25. Interruptions during my med pass

    ktwlpn replied to Nspirit's topic in Patient Safety Issues

    So it IS her "cocktail"!. Too funny. I cared for an old COPDer who used to say," hun, turn off my oxy so I can have a ciggy" I wanted to scream" STOP the baby