ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Sandy Storm whom do I serve?

    ktwlpn replied to echoRNC711's topic in Patient Safety Issues

    I would never put you in that boat-I've told you on other threads how much I respect your style of management.It's a shame there can't be more like you.You showing up will inspire your staff to...

  2. Sandy Storm whom do I serve?

    ktwlpn replied to echoRNC711's topic in Patient Safety Issues

    As I mentioned in one of my posts there are many reasons why one may not have reliable family to leave their children with for 24 hours or more .How dare anyone assume to know anyone's persoanl...

  3. Activities to do with residents?

    ktwlpn replied to Innocentbones's topic in Geriatric, LTC

    Sing -a -longs and trivia,the ubiquitous bingo (we have one that is pics of animals instead of numbers-it's great for our dementia

  4. Sandy Storm whom do I serve?

    ktwlpn replied to echoRNC711's topic in Patient Safety Issues

    Yes-we were promised the moon-even encouraged to bring our pets.One of my co-workers fell asleep standing up-she had worked back to back double shifts (nights through days) and wanted to leave for her...

  5. Sandy Storm whom do I serve?

    ktwlpn replied to echoRNC711's topic in Patient Safety Issues

    OMG-you were so lucky you survived.I think PTSD would prevent me from EVER driving through snow again.It's funny,when I was younger this stuff didn't bother me as much as it does now.I have turned...

  6. Sandy Storm whom do I serve?

    ktwlpn replied to echoRNC711's topic in Patient Safety Issues

    My facility provided transportation a few winters ago when we had several significant snowfalls.It was ONE WAY ONLY-which was not disclosed until after they got everyone in there.It was so

  7. Sandy Storm whom do I serve?

    ktwlpn replied to echoRNC711's topic in Patient Safety Issues

    I love how certain management will assume that we all have family available to care for our children in an emergency.Many of my co-workers for various reasons do not have reliable,trustworthy family...

  8. Sandy Storm whom do I serve?

    ktwlpn replied to echoRNC711's topic in Patient Safety Issues

    When our son was young my husband and I took turns during storms and illness.You are doing the same,it's your husbands turn to go in and yours to stay home with your family.Good

  9. What to do when your patient adores you?

    ktwlpn replied to dsf43's topic in General Students

    O, to be the young,hot and popular nurse! I'm a jealous old crone.One with 22 or more residents to care for and on any given day at least one thinks I'm as mean as a snake. But seriously-when...

  10. Does Obamacare 2014 allow only BSRN to sit for NCLEX-RN?

    ktwlpn replied to Streamline2010's topic in Activism, Healthcare

    I make more then that as an LPN here in Pa. but I have been doing it for a long time. You need to do what others have suggested and look into the facts instead of listening to "he said-she...

  11. d/c'ing routine meds,insulin

    ktwlpn posted a topic in Hospice, Palliative

    Does your company recommend dc'ing all routine meds,including blood sugar control upon admission? What do you do if a family is pushing you to do this and the patient is still alert and sitting...

  12. Aggressive staffing person at LTC

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    I do occasionally volunteer to stay over when we are so short they are threatenting to mandate someone.I don't have a young child to meet at the school bus and my husband is grown up enough to feed...

  13. LTC med nurses-Are you obeying all of the rules?

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    Knowing you through your posts here on allnurses leads me to believe that you would never berate a staff nurse for not completing the med pass within the appropriate time frame.Sadly,managers and...

  14. Out of Scope of Practice?

    ktwlpn replied to ladytopaz's topic in Geriatric, LTC

    It is certainly within my "scope of practice" as an LPN to open up that dialogue.It is within my scope of practice to lay out every option available to any of the resident's in my care.I would not...

  15. Pulled from floor by "Men in Black"

    ktwlpn replied to mikala3's topic in Patient, Colleague Relations

    I've seen similar scenarios,I'm not doubting the veracity of the

  16. Im a new Grad on orientation, please help me

    ktwlpn replied to Anne36's topic in Geriatric, LTC

    You need to go to your staff development or staff education department and discuss this with them.Orientation for a brand new nurse needs to be progressive and flexible. You need to start slow...

  17. Possible TIA or effects of medications?

    ktwlpn replied to Isitpossible's topic in Geriatric, LTC

    We would have sent him to the ED for a work up.That could have been anything,including a

  18. LPN struggling

    ktwlpn replied to litlgrn's topic in Geriatric, LTC

    You shouyld qualify for FMLA,look into that,it's there to protect you.Maybe a change of shift would be better-could you go to night shift? Are you overwhelmed at work? Maybe you need to float instead...

  19. LTC med nurses-Are you obeying all of the rules?

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    The head of our staff education dept. is an MSN with NO bedside experience( in LTC or anywhere else,for that matter)We are seeing policies like that.Our DON and ADON have to "talk her down" when she...

  20. Calling in sick, staffing issues

    ktwlpn replied to staffing24's topic in Geriatric, LTC

    How fair is it to be denied use of your sick time unless you have a doctor's note? Because so many of my co-workers have a problem showing up this is now the rule for us all.I have hundreds of sick...

  21. What can I do or say???

    ktwlpn replied to loveanurse777's topic in Hospice, Palliative

    How about an update on the poor guy? I think I would have made an anonymous call to the office of the

  22. Dear God, Help me

    ktwlpn replied to artsmom's topic in Geriatric, LTC

    Isn't it weird how that environment effects us? I am starting to have trouble running errands right after my shift.I'm so over- stimulated that by the time I get to a checkout counter I have trouble...

  23. Differences in practice: experts and novices. Are you learning from one another?

    ktwlpn replied to BlueDevil,DNP's topic in Nurse Practitioners, NP

    You are the FNP I would want to consult.I'm in LTC and see what happens with overuse of antibiotics. I've been out of school for over 20 years and I pride myself on the fact that I am still learning...

  24. Computarized Med Pass in a LTC facility????????

    ktwlpn replied to pretty70's topic in Geriatric, LTC

    It shouldn't be a mess.Our process was very organized.The company sent out IT people to train us and then staff volunteered to upload the info unit by unit and then we went live unit by unit while...

  25. What would you say to this shocking patient statement?

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

    QUOTE>>> Obese female in her forties admitted from the ED for asthma, allergy list a mile long, takes medication for anxiety, depression, fibromyalgia, migraines, chronic back pain, etc. Has...