ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. black blood vessels under tongue

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    YOWZA....Ermagawd! Can't get this out of my

  2. I should get paid more than minimum wage right?

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

    Don't bet on it.Lesson learned-don't leave the interview without clarifying your starting pay and

  3. Hello from the Other Siiide..what I learned about pt discharge when the patient is my dad

    ktwlpn replied to MasonDixieChic's topic in General Nursing

    I'm your dad's age and I just had a total hip,anterior approach.I could have been discharged the next day but that scared me so I stayed two nights and am glad I did,I needed to be there. Here are...

  4. That's MY JOB!

    ktwlpn replied to %D#2's topic in General Nursing

    AL is all about the money.We have admitted a number of residents in horrific conditions from several local AL chains.Once they run out of money they are

  5. Re-directing tips needed for Alzheimer's/behavior pts

    ktwlpn replied to bluegeegoo2's topic in Geriatric, LTC

    I think most of this was covered throughout the thread."Redirection" is an accepted term,this is where the care plan comes in,the aides use them.Our aides now have static assignments and they get to...

  6. Hospice Agency Startup

    ktwlpn replied to Kijana's topic in Nurse Entrepreneurs, Innovators

    I'm in Pennsylvania.The big boys are locked in to all of our local hospitals in this area and nursing homes,that's their bread and butter.The start ups and companies looking to expand into this market...

  7. LPN/LVN Nursing Home Floor Nurses? RN Charge Nurse?

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

    Interesting,does an RN have to co-sign the LPN's assessment when they are next in the building? In my state an RN must do the admission

  8. Nursing is a passion?

    ktwlpn replied to mindofmidwifery's topic in Nursing Professionalism

    I think anyone can be good at whatever profession they choose.I don't believe every nurse has to be 'called' to it or have a passion for it.Anyone who does have a passion for their work is very...

  9. Hospice Agency Startup

    ktwlpn replied to Kijana's topic in Nurse Entrepreneurs, Innovators

    My only input is hospice agencies in this area grow like flipping dandelions.The start ups don't stand a chance against the big boys who have the name recognition and good reputation in this area.The...

  10. The sloppy image of nurses today

    ktwlpn replied to RNdynamic's topic in Nursing Professionalism

    Winning the internets

  11. Speedy med pass

    ktwlpn replied to sbostonRN's topic in Geriatric, LTC

    A couple people have suggested pre-pouring....NEVER PREPOUR.It is against the regs and it's dangerous.Don't preload juices or water,either....That leads to a big mess when a resident or staff member...

  12. charge nurse keeps making cna's put residents in danger

    ktwlpn replied to Ninagrace44's topic in Geriatric, LTC

    This is very common,it's a hard lesson for many nurses who move from acute Cate into LTC and THINK they know it all.It's very humbling.I would try to speak directly to her first and then go right over...

  13. 1/23: What I learned this week: Long, long week. But the bagel was tasty.

    ktwlpn replied to ixchel's topic in General Nursing

    I learned that recovery from major ortho surgery takes work.I learned the first postop. bowel movement is horrific,I just can't stress enough how awful that entire day was. I learned that people on...

  14. The sloppy image of nurses today

    ktwlpn replied to RNdynamic's topic in Nursing Professionalism

    And AGAIN let me remind you there are a number of health reasons why this may have been necessary . Maybe she cut her hair in honor of a friend undergoing cancer treatment.At the very least it's a...

  15. The sloppy image of nurses today

    ktwlpn replied to RNdynamic's topic in Nursing Professionalism

    Did you ever stop to think that she may have some type of DISORDER??????? HELLO!!!! For instance,"I"m sorry the sight of my ugly head offends you but I lost my hair to

  16. Noncomplience and uninvolved management

    ktwlpn replied to AbigailJo's topic in Nursing Professionalism

    [quote=AbigailJo;885815 I have a client who I love dearly This is the problem.You have lost your objectivity,you need to seek help from your team regarding appropriate

  17. Why are some people on here so rude?

    ktwlpn replied to Upward_Bound's topic in Pre-Nursing Students

    I feel like taking this on.I went back and reviewed a number of your posts .Let's talk about the "depression" thread.I think that struck a chord because it truly sounds immature,like something a...

  18. Residents who pull out G-J tubes

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    Our in house policy is being superseded by several of our consulting GI physicians,they would rather our folks be dry overnight, scheduled for insertion the next day or go to the emergency room.We...

  19. The sloppy image of nurses today

    ktwlpn replied to RNdynamic's topic in Nursing Professionalism

    OP,you certainly have a unique POV.Personally I want the most competent physicians and nurses caring for me,I don't care if they are pretty.This goes for anyone I hire to work for me,in or around my...

  20. David Bowie

    ktwlpn posted a topic in Hospice, Palliative

    I hope he had hospice support and excellent end of life

  21. The sloppy image of nurses today

    ktwlpn replied to RNdynamic's topic in Nursing Professionalism

    Thanks for

  22. Additional Certifications for LPNs

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

    Three nurses flunked

  23. Additional Certifications for LPNs

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

    Certified palliative and hospice care licensed

  24. Do you see ethnic tensions at work?

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

    I work with a several cultural groups in LTC,I notice they will have lengthy ,loud conversations in resident care areas in front of resident and staff.It drives me nuts,I think it's rude.Many of them...

  25. Negative Post on Facebook About New Nurses - I'm Fired Up!

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

    Well,I am a patient today.I don't know what kind of experience some of this crew has but I can tell you most of them are not capable of multitasking.Admittedly I am doing great,going home tomorrow and...