ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. The case of the missing pens: A rant and an idea

    ktwlpn replied to Florence NightinFAIL's topic in General Nursing

    With cutbacks,lay offs and the economy currently a Dnr i am surprised that any employer still provides pens. I am going into a fourth year with no raise. I am lucky to get toilet paper ar work. You...

  2. 1st job, need advice working with CNAs and/or dementia patients

    ktwlpn replied to Abby4031's topic in General Nursing

    The thread is a "sticky" in the Geriatric Nurses and LTC Nursing specialty forum and it's the second thread-"redirecting tips for Alzheimer's/dementia

  3. 1st job, need advice working with CNAs and/or dementia patients

    ktwlpn replied to Abby4031's topic in General Nursing

    My advice for facilitating teamwork ( which you are already doing) is to listen to the cna's and then go and assess the resident as soon as you can. You will decide to give the med or not. After you...

  4. Quick Decision Making Example?

    ktwlpn replied to adamsli88's topic in General Nursing

    I don't even have any words for you after reading that one.Wow.I will NOT complain about a bad day again..I'm surprised you didn't end up in the ed yourself.The adrenalin dump must have been...

  5. lpn cost at lincoln tech

    ktwlpn replied to andrene1's topic in Illinois Nursing

    Have you gone to the web site? You can contact them there for the info.You should also ask what precentage of their graduates pass their boards.Good luck-it's not easy to find any nursing jobs right...

  6. LVN "teamate" not doing meds properly-advice wanted

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

    ewww -it blows to be "out of the loop" Our adon's dtr is a cna in the facility and in nursing school. She is sloppy, lazy, careless and has been reported for being verbally abusive and her...

  7. Unbelievable !!

    ktwlpn replied to NurseLoveJoy88's topic in General Nursing

    A classmate of mine thought this method would be prefectly fine-and argued with our instructor.She did not make it out of the first semester...As far as the OP-I am betting it is an urban legend BUT...

  8. Getting over a negative clinical experience a year and a half ago

    ktwlpn replied to rumwynnieRN's topic in General Nursing

    As another poster stated,communication is paramount.If you have any shadow of a doubt do exaclty what that person stated. Rephrase your question,repeat the answer to make sure you understand your...

  9. Was this a HIPAA violation?

    ktwlpn replied to abbaking's topic in HIPAA Challenges

    Our family doctor told our son that the reason why ADHD is so prevalent in the US is because most of the early settlers had it-that's why they could not get along in society in their old...

  10. Rough Nite

    ktwlpn replied to Madiera's topic in Emergency

    sure-I also have moments when I think " Man, I need to get the nurse" then realize that's me....That's nursing-the highest of the highs followed by crashing lows-and plenty of chances to make a fool...

  11. Do you think younger generations have a sense of entitlement?

    ktwlpn replied to NurseLoveJoy88's topic in General Nursing

    You know,when I was going through school there were always "winners" and" loosers". A generation later "looser" were abolished-everyone became a "winner" Everyone was rewared with a prize for...

  12. digital stimulation, any suggestions

    ktwlpn replied to tiroka03's topic in General Nursing

    But leslie-some subjects are timeless. And your classic reply = "you don't realize how many muscles your one finger has until after you've 'excercised' it. " That's as funny today as it was the...

  13. Reapply a Fentanyl Patch?

    ktwlpn replied to wifeandmomoftwo's topic in Patient Medications

    At our facility we have policy and procedures for everything. We would have taped it right back on. Since it's a continuous release med you don't want your resident to be without that patch at all. It...

  14. Discovering how harmfull most prescribed chemicles are how do you live with yourself?

    ktwlpn replied to steveogurule's topic in General Nursing

    where is that "pot stirring" smilie when we need

  15. Discovering how harmfull most prescribed chemicles are how do you live with yourself?

    ktwlpn replied to steveogurule's topic in General Nursing

    When I was writing essays for English class I often discovered that the research I did on my chosen topic changed my feelings about that topic.I have also learned that any documentary is...

  16. Quick question...

    ktwlpn replied to iggy.minne's topic in General Nursing

    iggie minnie-stick with one thread and wait for your replies. It will be less confusing to

  17. Electronic MAR?

    ktwlpn replied to MelissaLPN's topic in Geriatric, LTC

    We went to two med carts several years ago on our largest units when the DOH realized that there was no WAY we could be compliant (44 beds-one med nurse.It was harsh!) It's do-able now-I was alone on...

  18. Confused about some things...

    ktwlpn replied to iggy.minne's topic in General Nursing

    I suggest you go straight for your BSN at the best university you can get into if this is truly what you want to do but be prepared to travel after you graduate because the job market is pretty...

  19. Man, you guys make nursing seem HORRIBLE! If I knew this before school...

    ktwlpn replied to Spikey9001's topic in General Nursing

    Here in my "real world" our facility has laid off nurses and cut staff in every other department. We have not gotten a raise in two years,we lost tuition reimbursement last year,we lost our uniform...

  20. An upset elderly patient...

    ktwlpn replied to caregiver1977's topic in Patient, Colleague Relations

    Maybe the doc felt that further discussion with the aunt would upset her further? Maybe the doc was a little rattled because they were swamped and really didn't see the need to go back and see the...

  21. Im doing my job,Im not part of your team

    ktwlpn replied to optimist's topic in General Nursing

    BABY BIBS and Easter baskets! Blech! I would not want to be associated with that and I would point out the dignity issue with the bibs (after I removed them from the residents I would return them...

  22. A reson why nursing is a bad career choice...

    ktwlpn replied to KalipsoRed's topic in General Nursing

    I have another POV in this scenario-I believe he is accountable and should have continued his insurance-you pay for that and your rent before any other bills IMHO. Stop the extras = phone,computer etc...

  23. is it wrong to sit on a patients bed?

    ktwlpn replied to LPNweezy's topic in General Nursing

    In LTC which the OP is asking about it's considered an infection control issue.We have always been told to refrain from doing it-especially if the department of health is in the building. We have...

  24. Who is in charge of making the incident report?

    ktwlpn replied to lvnnars1's topic in General Nursing

    Are you one of the floor nurses? Are you saying that a cna reported a skin tear to a supervisor instead of to you? That is a real problem if that is the case. They need to promptly report any...

  25. Calling residents affectionate names?

    ktwlpn replied to LPNweezy's topic in General Nursing

    As others have stated the use of nicknames in LTC has to be careplanned and the DOH has long considered the use of diminutives a dignity issue-is there an agency that governs that in acute