ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Calling residents affectionate names?

    ktwlpn replied to LPNweezy's topic in General Nursing

    The widely varied responses to this thread prove the point that you never know what will offend so you are better off asking your patient for their preference or opting for first names or the more...

  2. Evening Med Pass Question

    ktwlpn replied to westieluv's topic in Geriatric, LTC

    I hear you-I'm full time but now I'm a float. I work on a different unit every darned day ("lucky to have a job,can't complain" etc,etc) I've been there going on 11 years so I pretty much have the...

  3. Evening Med Pass Question

    ktwlpn replied to westieluv's topic in Geriatric, LTC

    You are going to work like a dog in health care on every shift these days. Staff continues to be cut and we are all called upon to accomplish more and more with less resources on a daily basis. My...

  4. Nursing students who do not understand what nursing is about

    ktwlpn replied to DNS on the go's topic in Nursing Educators, Faculty

    I've seen the same kind of attitude in the second degree RN's I've come into contact with at the LTC and in acute care. They seem to consider any kind of direct care a "blue collar "skill. That...

  5. Calling residents affectionate names?

    ktwlpn replied to LPNweezy's topic in General Nursing

    In LTC this is a dignity issue and one that the department of health has really zoned in on in the past.I t really does not matter what we think or fell about it.We are not to use diminutives when...

  6. What do you do when you are the friend/family member and not the nurse?

    ktwlpn replied to starsgirl78's topic in General Nursing

    I would be upset, too but I would encourage my friend to speak up for herself. I wouldn't feel it was my place to speak for her. Apparently it didn't bother her as much as it did you. If the patient...

  7. After 2 months..what do you think of the MDS 3.0?

    ktwlpn replied to Nascar nurse's topic in MDS Coordinator Information

    I wouldn't know- I'm a floor nurse. I do know that they have cut staff in every dept. and given us more and more responsibilities. Maybe that 5 mins was just too much. You would have had to been...

  8. After 2 months..what do you think of the MDS 3.0?

    ktwlpn replied to Nascar nurse's topic in MDS Coordinator Information

    We were passing the news about the death of Elizabeth Taylor through the unit the other day-the look on the RNAC's face was priceless -she looked so weobegone and downtrodden-then she realized we were...

  9. Any nursing heroes out there?

    ktwlpn replied to General E. Speaking, RN's topic in General Nursing

    You are so right-I do feel like a hero everytime I can get a little old demented,agitated,tearful resident to calm down,accepts their meds and a snack and maybe even smile or share a

  10. HIPAA privacy question

    ktwlpn replied to nurseandre34's topic in HIPAA Challenges

    My 21 year old son is having some health issues at this time and has asked me to go into the exam room at the PCP's office and in the exam rooms of all of his consults to date. I made it clear to all...

  11. concierge ? Really?

    ktwlpn posted a topic in General Nursing

    I spent the day in an ICU in a hospital in Dover,De. It must be on the cutting edge in this area as far as the new trend in healthcare that places customer service over patient care. I'm not saying...

  12. CNA'S suffer second hand smoke

    ktwlpn replied to nurseblob's topic in Geriatric, LTC

    Wait until the day all of your cna's refuse to do it-guess who will have to? That's right-YOU... Happened to me once-in between my med pass from H#ll, treatments,nourishments,etc and a hospital return...

  13. alpha strep pneumonia-why is it so severe?

    ktwlpn replied to biskit's topic in General Nursing

    I have heard of a few cases locally-am curious to see others

  14. So angry and annoyed!

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

    " It's past ten. My daughter is in pain. I don't understand why she has to have this pain. All she has to do is hold out until ten, and IT'S PAST TEN! My daughter is in pain, can't you understand...

  15. Family just wants Grandma to die

    ktwlpn replied to Platypus's topic in General Nursing

    After my mother was initially diagnosed with cancer one of the first times she was hospitilized with sepsis her oncologist told her that there would soon come a time that she might want to think...

  16. Family just wants Grandma to die

    ktwlpn replied to Platypus's topic in General Nursing

    One of the hardest things about LTC is this type of end of life situation. Usually the family wants it all and we know it's futile and is just prolonging suffering. Help this resident along her path...

  17. What would YOU have done

    ktwlpn replied to my4helpers's topic in General Nursing

    One of the big problems he'll face is he is still trying to control something (anything) around him that he can. Often in health care it's difficult to stick to a rigid schedule-other things happen...

  18. What would YOU have done

    ktwlpn replied to my4helpers's topic in General Nursing

    I agree with others that these actions are abusive and I have seen staff do exactly what you have described. But how do you know that this is exactly what happened? If I understand your post you are...

  19. Why do OTC protein test strips not exist?

    ktwlpn replied to 2011NursingStudent's topic in General Nursing

    Test strips to determine if you have a UTI are readily available in every pharmacy and big box store. Strips that check for protein are not as commonI have to use them on a cat frequently and they...

  20. How come you don't work more?

    ktwlpn replied to Schmoo1022's topic in Geriatric, LTC

    I can't stand people-I work with a middle age divorced woman who is always fighting for overtime. Then she comes in dragging and moaning and checking her temp every half an hour because she feels...

  21. Am I in the wrong Nursing home?

    ktwlpn replied to MelissaLPN's topic in Geriatric, LTC

    If a med like trazadone is unavailable we are to call the physician and he/she may order a one time dose of whatever we have in our e-kit or not order anything. The doc makes the decision-not the...

  22. Collecting urine sample

    ktwlpn replied to NextSummer's topic in Geriatric, LTC

    Our facility is large and very day is a lab day-we follow the lab's recommendations regarding appropriate length of refridgeration prior to pickup so it's really not about which shift is the...

  23. Collecting urine sample

    ktwlpn replied to NextSummer's topic in Geriatric, LTC

    It's our policy for the urines to be collected by nocs because the lab picks them up before 7am. You don't want the urine to sit for more then a few hours. I do fill out the lab slip-I may collect...

  24. Is honesty the best policy in this scenerio?

    ktwlpn replied to raindrop's topic in General Nursing

  25. what is an acceptable response time to call bell in ltc?

    ktwlpn replied to jrbl77's topic in General Nursing

    Call bell response times vary shift to shirt. As a way to get around this why not request your mother be put on a toileting program? They are supposed to be tailored to the specfific resident's needs....