ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Interruptions during my med pass

    ktwlpn replied to Nspirit's topic in Patient Safety Issues

    oh,come on-the suspense is killing me...."fizzy gin" cocktail" Fingerstick?

  2. Interruptions during my med pass

    ktwlpn replied to Nspirit's topic in Patient Safety Issues

    I give up-what the freak is a

  3. Are they lying or are they confused?

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

    Every single minute of the day somewhere a lying,manipulating-maybe a borderline personality disordered person is trying to scam someone in a clinic,nursing home or hospital. Sad but true.They want...

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

    ktwlpn replied to Topaz7's topic in Addictions

    That little bottle of vodka in the backpack under the

  5. Which nursing jobs are most creative? I'd love some ideas.

    ktwlpn replied to Diahni's topic in Nursing Career

    If you want to stay close to the bedside consider dementia care. There is an art to caring for these people and it involves lots of teaching both with the rest of the staff and the family

  6. Interruptions during my med pass

    ktwlpn replied to Nspirit's topic in Patient Safety Issues

    You can be as obvious as possible but the sad fact is when someone in LTC wants something they usually don't give a crap about anyone else's

  7. Interruptions during my med pass

    ktwlpn replied to Nspirit's topic in Patient Safety Issues

    Working day shift we have fewer visitors then evening shift so our challenge is usually other departments and they have been asked numerous times to keep interruptions to a minimum during our med pass...

  8. Dealing with rude people when applying for positions

    ktwlpn replied to RNdynamic's topic in Job Search, Interview, Resume

    Oh ,just throwing that out there....there must be a reason why they are not interested

  9. primary care physician versus POAHC

    ktwlpn replied to steve40's topic in Geriatric, LTC

    The medical director and DON need to step in-how is this resident's behavior? Is he aggressive towards staff and peers? I have lost count of the number of times our physicians and the psychiatrist...

  10. New Advice. Please Help

    ktwlpn replied to cangel's topic in Geriatric, LTC

    I was taught that technique in nursing school (insert all the way in to the port) I've seen a few residents go the the ER after nurses inflated the balloon while still in the urethra causing a

  11. Does your facility have horrible dietary staff turnover?

    ktwlpn replied to nervousnurse's topic in Geriatric, LTC

    We have a lot of the same staff who have been there for years and they do the best they can. The kitchen is antiquated and the admin has the dept on a crippling budget. Guess what? No one is starving...

  12. What is the Problem?

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

    I fell into a burning ring of fire I went down, down, down and the flames went higher And it burns, burns, burns, the ring of fire The ring of fire That's what I called LTC when I...

  13. DOH survey

    ktwlpn posted a topic in Geriatric, LTC

    Can I just get some love? It's just been AWFUL!!! Everyone is freaking out, snapping at each other, we're all agitated and worn out.I doubt this year's results will really be any worse then any...

  14. Dealing with rude people when applying for positions

    ktwlpn replied to RNdynamic's topic in Job Search, Interview, Resume

    Or maybe it's you-you could have a reputation in the facility that makes you less then desirable. You may be the best nurse in the building but you can lack in other

  15. The hardest thing

    ktwlpn replied to tayloramaRN2be's topic in Geriatric, LTC

    And I also keep reminding myself the resident isn't "mine". I've lost all of mine and I'm done. I'm not lifting that weight for anyone else. I do get teary because I feel so sorry for the surviving...

  16. NEW NURSE: Help! Tell me why what I did was wrong??

    ktwlpn replied to ricksy's topic in Geriatric, LTC

    I had a fella go OOP with family one Sunday afternoon and right before the end of my shift a family member called and told me to "call the doc and get an order for antibiotics,dad has blood in his...

  17. How to write a good nurses note?

    ktwlpn replied to Elaine Mickens's topic in Geriatric, LTC

    It's good practice to get a note entered early in the shift, especially on your Med A or unstable folks. If you have EMR you can do it as you are passing them their meds. You can always go back and...

  18. Help... Try to decided on my first nusring job

    ktwlpn replied to nursingforlife22's topic in First Year After Licensure

    I've never worked within the VA system but I can tell you that at a small rural hospital you'll get a lot of experience because you will do it all . Floating though those departments is good...

  19. How was your day?

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

    Can I come over? I'll bring nutter butters for

  20. The hardest thing

    ktwlpn replied to tayloramaRN2be's topic in Geriatric, LTC

    The best thing you can do is make sure to aggressively treat her symptoms and educate your co-workers and make sure they follow through. Get her comfort meds order around the clock to make sure she...

  21. Bringing kids to work?

    ktwlpn replied to mind_body_soul RN's topic in Geriatric, LTC

    Are these co-worker's nurses or cna's? Not that it really matters but I've worked with nurses who seemed to believe that certain rules did not apply to them and this is one of those rules. It should...

  22. Obamacare and LTC reimbursment.

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    In this state a Medicaid resident is permitted a certain number of overnight passes per year, if they take any then that number they can loose the benefits because obviously they really don't need...

  23. frustrating

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    Why didn't the NM make the call herself or let her sign out the med and give it if she really felt this resident was in such distress? She knows the med pass needs to be completed in a timely manner.I...

  24. DOH survey

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    I,too was under the impression that IRs were for in house use but this survey they have been a focus. They wanted to see every one for each documented incident and ,of course ,many had mysteriously...

  25. Fentanyl patches

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    Omnicare has told us that opsite is permissible. We check placement and document each shift and we only have a few residents who have oily skin and issues with the