ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Does the ED stand for Emergency Department or the Everything Dumpster?

    ktwlpn replied to whichone'spink's topic in Emergency

    YES-seems to be ALOT of that going on,doesn't

  2. Does the ED stand for Emergency Department or the Everything Dumpster?

    ktwlpn replied to whichone'spink's topic in Emergency

    Could it simply be due to the fact that the doctor made his rounds on that day? We have been full of URI's over the past three weeks-one unit had 4 transfers in one day.All LOL's admitted with...

  3. Does the ED stand for Emergency Department or the Everything Dumpster?

    ktwlpn replied to whichone'spink's topic in Emergency

    Obviously if you are in the middle of a code you'll activate EMS first and then call the doc. after the dust settles,that's a no -brainer.IMHO I have just never seen a nurse decide on her own to just...

  4. Does the ED stand for Emergency Department or the Everything Dumpster?

    ktwlpn replied to whichone'spink's topic in Emergency

    How can anyone send a resident from a NH to the ED for eval without a physician's order? Am I misunderstanding your post? You have received residents who were transferred from LTC without a doctor's...

  5. Does the ED stand for Emergency Department or the Everything Dumpster?

    ktwlpn replied to whichone'spink's topic in Emergency

    In my LTC if the resident has DNR they almost always go in a transport van.In PA. if we sent them in an ambulance and they tried to die they would be coded despite their DNR status. What was the...

  6. I'm just... I don't know.

    ktwlpn replied to germjunkie's topic in General Nursing

    [quote=germjunkie;7129571. I feel able to do the job now, but I can't open my mouth without someone jumping all over me. It's awful. I feel like they want me to quit, so I told them I would be...

  7. ER Nurse Attitude

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

    [quote=macawake;7114742 Isn't there a middle ground between "matter of fact" and "super sensitive touchy feely"? . There really doesn't seem to be a middle ground between the two and...

  8. We really care about our nurses at our wonderful LTC

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    and do they come crawling through snow and ice because their admin does not care enough about them to insure safe conditions in the parking lots and

  9. winter weather...slip slidin' away

    ktwlpn posted a topic in General Nursing

    Compared to what people live with in other areas I'm almost ashamed to vent this but I gotta let it go! We had a couple of inches of snow after midnight and the temp actually rose.The roads were good...

  10. winter weather...slip slidin' away

    ktwlpn replied to ktwlpn's topic in General Nursing

    I want to first clear up the fact that I never said anything about liking or not liking anyone. We have an atypical chain of command as evidenced by the fact that the heating or a/c is not...

  11. winter weather...slip slidin' away

    ktwlpn replied to ktwlpn's topic in General Nursing

    Our maintenance dept is not allowed to adjust the heating/air conditioning without word from nursing-that's just the way it is.The nursing supervisors, DON and the admin are ultimatly...

  12. Dementia

    ktwlpn replied to nurseywifeymommy1's topic in Patient Safety Issues

    You have to try interventions first and document their effectiveness before going for the prn.Often just seeing to their needs immediatly will stop them from escalating to the behavior that you...

  13. People think I am stupid

    ktwlpn replied to nikkole318's topic in First Year After Licensure

    I guess I can be the first to say "Good for you" for acknowledging that you may be part of the problem and looking for ways to fix it instead of blaming everyone else for "eating" you.I truly admire...

  14. Things you'd LOVE to tell coworkers...and get away with it!

    ktwlpn replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    REALLY ? You have to wear a sticker to tell everyone you are new? That's your policy? Is that a common one?I have never heard of such a thing.When are you un-stickered? And suppose that after your...

  15. Black - The New White For Nurses?

    ktwlpn replied to JerseyBSN's topic in Scrubs, Uniforms, Gear

    I have a cat of every color-it doesn't matter what I wear.Unless I keep a lint roller in every room in the house I look like I just rolled out from UNDER the

  16. Vent thread... when to send a pt out

    ktwlpn replied to pppp87's topic in Geriatric, LTC

    DNH does not mean do not treat. The nurse acted appropriatly IMHO-she reported her findings to the physician and he gave the order to send her

  17. Residents that need constant supervision

    ktwlpn replied to Anne36's topic in Geriatric, LTC

    I often have to keep a clean towel draped over my med cart during my med pass.I don't have anyone that has the cognitive function to figure out that there are fun things under that towel so it works...

  18. Nurses, how are you going to vote? 2012 US Presidential Election

    ktwlpn replied to Brian's topic in General Nursing

    quotequote I considered that remark a bit of an insult which I'm sure it was meant to be,my bad for the name calling."People like me" Whatever-I hope people like them NEVER...

  19. Nurses, how are you going to vote? 2012 US Presidential Election

    ktwlpn replied to Brian's topic in General Nursing

    the WORLD is in an economic crisis -it's not just the USA and it's not just due to Obama. "People like me"? I'm proud to say that I am the kind of person who cares about a woman's right to choose,...

  20. Nurses, how are you going to vote? 2012 US Presidential Election

    ktwlpn replied to Brian's topic in General Nursing

    That started way before he became president-look it

  21. Nurses, how are you going to vote? 2012 US Presidential Election

    ktwlpn replied to Brian's topic in General Nursing

    I LIKE the results of that

  22. Having a celebrity as a patient

    ktwlpn replied to Brian's topic in Nurses Rock

    I cared for a family member of a courttv talking head.She had such an attitude of entitlement.Funny thing was she was not as well-known as she believed.Everytime she tried to throw her weight around...

  23. BID strictly every 12h or just twice a day?

    ktwlpn replied to krg8089's topic in First Year After Licensure

    As a new grad you should make a habit of consulting your policy and protocol-frequently.Not only does seeing it black and white help you remember it but you never know if your supervisor is giving...

  24. Aggressive staffing person at LTC

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    We suffered cut backs and job eliminations last year so in place of several full time positions our PRN staff was expanded and it's a huge pool,now. We also have several good dependable regulars...

  25. Sandy Storm whom do I serve?

    ktwlpn replied to echoRNC711's topic in Patient Safety Issues

    exactly-and it's stunning the number of phone calls we get into the nursing home during an emergency.Maybe two family members out of 250 will call to ask if everything is ok,is there anything there...