ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

Member

  • Content

    3,844

  • Visitors

    34,381

  • Followers

    0

  • Likes

    63

All Content by ktwlpn

  1. DOH survey

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    Seriously, I can see both sides of the issue.We have 250 beds, the DON has written numerous policies and IMHO the responsibility for making sure everyone follows them down to the newest cna rolls down...

  2. DOH survey

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    Knock it off,this threads about

  3. Need advice about who I can contact re: my ex-MIL in SNF

    ktwlpn replied to iwanna's topic in Geriatric, LTC

    I've seen similar situations over the years and I can tell you that if she is d/c'd to home with the daughter and you call the office of the aging they will investigate quickly. If she stays in the...

  4. Some advice, please....

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

    One of our pool RN's just made the exact same med error.He documented "not available" and rolled through the shift.He discovered at shift change that it was right there in the narc drawer all along....

  5. I feel like such a loser

    ktwlpn replied to lawandaluxnurse's topic in General Nursing

    How are you screwed? If you went out because of illness did you look into FMLA? It's there to protect

  6. OTC meds in LTC New Nurse

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

    The facility can bend the rules but you never should. NOTHING can be applied or admin without an order in LTC-not even blistex or artificial tears. That's the regs in this state. Were I work you...

  7. Surveyors and Sundowners

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    I'm surprised your overtime has been allowed to continue. They've come down HARD where I work. IMHO the fastest way to burn out is trying to do it all-,trying to please everyone from the admin through...

  8. LAWS

    ktwlpn replied to ricksy's topic in Geriatric, LTC

    Our cna's are not permitted to access the EMR and don't chart anything electronically either but they are encouged to access the careplans (never seen one do it

  9. How do you get call covered when someone is ill?

    ktwlpn replied to 7219leigh's topic in General Nursing

    QUOTE>>> You can't tell a staff member that we put everyone's name in a bowl and you got picked so you aren't allowed to leave>>>QUOTE Tell that to my admin-if they have to...

  10. Resident seating arrangement dilema

    ktwlpn replied to litbitblack's topic in Geriatric, LTC

    You have to do whatever you can to prevent an escalation of behaviors by either resident and what works today may not work tomorrow. All staff have to be flexible because the resident can not be...

  11. Too slow, not using "common sense", am i being unsafe or am i missing something big?

    ktwlpn replied to pinkiepieRN's topic in Geriatric, LTC

    Don't hesitate to ask the UM for assistance during your shift, that's how you'll learn. Tube feedings can be problematic-you can spend so much time trying to clear a tube that won't run to discover...

  12. Why I'm against a culture change in nursing homes?

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

    There are numerous aspects of the more institutional LTC's that can be changed to be more "home-like". For instance on my locked dementia unit the meals can be served in a "home- like manner", table...

  13. They act weird when their blood sugar is out of balance

    ktwlpn replied to Alnitak7's topic in Diabetes, Endocrine Nursing

    QUOTE>>>>I have never known what to do. I did not know if it really was their diabetes or if they had some other thing wrong with them. I also never knew how to intervene unless they...

  14. Employment Drug Test Questions

    ktwlpn replied to booradley007's topic in General Nursing

    You mean the failing war on drugs. Drug tests across the board are a costly

  15. Rare Diagnosis

    ktwlpn replied to MendedHeart's topic in Gastroenterology

    I had an old fella in LTC with it-when he was admitted to the LTC he had been treated for recurrent c-diff for ages and was negative for it but remained symptomatic for the rest of his life (a few...

  16. They act weird when their blood sugar is out of balance

    ktwlpn replied to Alnitak7's topic in Diabetes, Endocrine Nursing

    "My concern was more about the times out in public and not so much when I'm on the job" QUOTE.>>>> I didn't get that from your initial post-it's a little hard to understand. If you...

  17. trach question

    ktwlpn replied to greygirl81's topic in Geriatric, LTC

    according to your Nurse Practice Act it will likely depend upon your employer's policy. Do not let anyone push you into doing something you are not comfortable with-you have to be

  18. R.E.S.P.E.C.T.

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    What about the Third type of nurse in LTC-the one who worked as an aide for years,knows how difficult it is and still expects it to be done right? I CAN do the job,matter of fact I can still knock out...

  19. Non compliant residents

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    You should have a witness in the room for your

  20. Surveyors and Sundowners

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    "Good Girl" !!! what are you, a frigging beagle? I'm afraid I would NOT have responded to that comment in a calm manner. That is so dis-respectful and condescending (IMHO) Assignments according to...

  21. R.E.S.P.E.C.T.

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    I've been in the DON's office more then once with cna's like that-I don't put up with that crap, I pursue progressive discipline per our policy. One staff member like that can ruin the morale of an...

  22. They act weird when their blood sugar is out of balance

    ktwlpn replied to Alnitak7's topic in Diabetes, Endocrine Nursing

    Why wouldn't you do a fingerstick if a resident is acting out of character? If the FS is within normal limits you would procede with a complete assessment (I hope) You certainly shouldn't wait until...

  23. Any news about pot legalization and BONs?

    ktwlpn replied to TBlase's topic in Licensure: Criminal History

    " I don't smoke pot, and I can say for certainty that I wouldn't want a high nurse at my bedside" None of us would want a nurse at the bedside under the influence of anything, I imagine-not...

  24. Oldest patient

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

    I knew a gal in LTC who lived to be 108.She couldn't get over the fact that the hair on her head and in her private area (she called it her cabbage patch) was almost gone but hair was sprouting on...

  25. When residents go to Doctor's appts, activities, home visits, etc....

    ktwlpn replied to nervousnurse's topic in Geriatric, LTC

    Families sign an LOA slip-they are responsible for their loved one .We have had a few take their loved ones out "against medical advice".It's on them. We have had to fax medical records to the ED...