ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Electronic charting- administration time out of compliance

    ktwlpn replied to JBMmom's topic in Geriatric, LTC

    Once you learn the system you will see how much time you save,not just with the med pass but also re-ordering meds,order entry and documentation.You will actually have TIME to spend with a resident...

  2. Does your facility send someone home every shift?

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    What is your solution? Our unit managers don't work the floor-it that the solution? They are responsible for scheduling,payroll,evaluations,amongst a host of other things AND making sure the rest of...

  3. My orientee gave the wrong narcotic

    ktwlpn replied to JohnD91's topic in General Nursing

    At my facility the orientee must initially pass meds with a staff development nurse,when they show competency they then proceed to the unit where they are assigned a preceptor.After familiarizing them...

  4. Does your facility send someone home every shift?

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    There was talk of that a few years ago at my facility just prior to a budget crisis.They never did start sending cna's home, we have never had a full staff (we always have a few out on FMLA) Nurses...

  5. Is it okay to tell a patient to not disrespect you

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

    There's something about that whole "Don't you dsirespect ME" that makes me see someone standing there with hands on hips and bobbing her head and going " O,no you didn't". It sounds very juvenile...

  6. Does nursing change you into an angry person?

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

    I 've been a nurse for close to 25 years and prior to that I worked as a CNA for close to 5 years.I was a CNA in LTC and have worked probably half of my career in LTC where I continue to work full...

  7. so ready to quit

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    First-don't answer a call from them on your day off and always have a readily available excuse to use if they ask you face to face to come in on your day off,for example " Oh ,I'm having a...

  8. RN as patient in own hospital

    ktwlpn replied to shazzrn's topic in HIPAA Challenges

    That's the downside of seeking tx where you work.I worked with anurse who had chronic health problems and everytime she was admitted this was a problem.She was a beloved memeber of the community and...

  9. Stress, students and stomach aches - a minor rant

    ktwlpn replied to Flare's topic in School

    QUOTE

  10. Does nursing change you into an angry person?

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

    Apparently it turned your aunt into a very unhappy lady.I can't imagine hating my job for twenty years.Why don't people like that look for another position? I don't get it-there just is not enough...

  11. Patient and Visitor Violence: What Do We Know? What Can We Do?

    ktwlpn replied to NRSKarenRN's topic in Patient Safety Issues

    We've been discussing this alot lately and just recently had an inspection of our workplace ,they are evaluating our safety and the safery of the residents from outside threats.We are going to start...

  12. Issues of amonymity with complaints

    ktwlpn replied to Babynurse2013's topic in Geriatric, LTC

    Remember,there are no victims,just volunteers.That supe is an orifice,don't give her power over you.Obviously YOU KNOW you couldn't "just give her someone elses" . You can always call the...

  13. Funniest/strangest dementia patient stories

    ktwlpn replied to Angie O'Plasty's topic in Nursing Humor

    "somnvitedo iut whe" That sounds like dirty

  14. flushing after urinary catheterization

    ktwlpn replied to onthemark's topic in General Nursing

    I've seen that-we had a fella with neurogenic bladder and his urine was always thick and funcy and full of mucus-the uro had us flush him daily with a small amt of some type of bacteriacide,I can't...

  15. Am I right or wrong

    ktwlpn replied to CNAEB's topic in General Nursing

    It's such a shame that your attitude is almost extinct and apparently is basis for ridicule just because you have a strong work ethic and want to "do good" Stop worrying about what everyone else...

  16. Confused on lpn scope of practice

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    Go to your state's BON website-you should know your scope of pratice. Refer to your policy and procedure manual too,but your employer can not ask you to be responsible for something not within your...

  17. No.......the Hospital is Not the Internet

    ktwlpn replied to tnbutterfly - Mary's topic in Nursing Humor

    I bet when you go out to dinner and the hostess asks "How many in your party" You are likely to reply" A whole busload,can I bring them on

  18. Most shocking thing you've seen another nurse do?

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

    This is why I hate threads like this-they always go down that road........I worked with an RN once who saw me flying into our patient's room with the crash cart and kept walking to the breakroom to...

  19. Enucleation. Ever have a patient pull an eye out?

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

    Numerous times....no biggie.However,years ago when I was an aide I cared for a lady who used to evacuate her bowels with a black plastic digital stimulator which she stored in a denture cup---which...

  20. LPNs being trans out of hospitals, and now being beoight back in the bigger ones.

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

    yes,I did-I went back to LTC and I now have a reasonably secure job.The small community hospital I was working in has cut positions ,been sold and sold again.They have laid off staff with YEARS of...

  21. I think I care too much

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

    I am lucky enough to work in a non-profit LTC with a good reputation in my community.I left other facilities (and lost money) because I felt the residents were not receiving the care they deserved and...

  22. Pseudo Munchausen parents...

    ktwlpn replied to wooh's topic in Pediatric

    And they will suck the LIFE right out of you.I realize that the loss of a parent is a life changing event but I think that by the time you are in your 40's (and Mom and Dad are pushing 70 or beyond)...

  23. Comfort care measures.

    ktwlpn replied to Forever Sunshine's topic in Geriatric, LTC

    People die at home on hospice every day with no O2 in the home.If a patient is actively dying give them morphine for comfort,educate the family regarding the signs and sx of impending death,support...

  24. LTC and Pharmacy deliveries

    ktwlpn replied to fairyluv's topic in Geriatric, LTC

    IMHO If the fella needs breakthrough meds that frequently it's time to up the dosage on his long acting narc to provide better pain control .You are doing exactly what you need to...

  25. comfort care?

    ktwlpn replied to RN 033's topic in Geriatric, LTC

    Anti- depressants are indicated too-we will only d/c them when the resident is in the dying trajectory and having difficulty swallowing(same for thyroid meds,anti HTN's,insulin etc although the goal...