ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Waste of Time

    ktwlpn replied to casper1's topic in General Nursing

    Searching for supplies,missing meds and following through with things other staff on other shifts started and did not finish or did incorrectly that have to be corrected because at my facility day...

  2. Really?? A Farmer's Market in the hospital?

    ktwlpn replied to roser13's topic in General Nursing

    My concerns would be infection control,security,and the privacy and comfort of the patients. The obvious first concern is the produce itself. We all know about e coli on fresh veg and it can...

  3. Medications that make you helpless and psychotic for nursing students

    ktwlpn replied to Elsarap's topic in General Nursing

    And

  4. Medications that make you helpless and psychotic for nursing students

    ktwlpn replied to Elsarap's topic in General Nursing

    I think someone was putting you on..I had an inservice years ago in which we put on eyeglasses smeared with vaseline, dried corn kernels in our shoes and some other things I can't remember now...

  5. Copies of a DNR from a different facility/hospital?

    ktwlpn replied to gentlegiver's topic in General Nursing

    Yes but DNR and comfort measures are not interchangeable terms-that's what I meant. We have had this discussion in our LTC for years-many nurses think if we have a comfort measure resident or hosipce...

  6. Obnoxious overhead announcements at New Orleans hospital

    ktwlpn replied to Jbug's topic in General Nursing

    That stuff makes me want to hurl. I can't buy into it.Well-about a dime's worth makes some sense to

  7. Copies of a DNR from a different facility/hospital?

    ktwlpn replied to gentlegiver's topic in General Nursing

    But remember -DNR does not mean do not treat. You did not err in sending the resident

  8. The type of nurse I DO want to be...

    ktwlpn posted a topic in General Nursing

    And now for something completely different... I want to be competent to carry out my duties as assigned. If I can't be pleasant please give me the strength to at least NOT be unpleasant. I...

  9. advice

    ktwlpn replied to Maco's topic in General Nursing

    I believe that legally the spouse trumps an adult child.It's possible that your step mom and dad have had conversations about these issues in the past and she knows exactly what he wants. You have...

  10. "And what would you like me to do about it?"

    ktwlpn replied to LouisVRN's topic in General Nursing

    Had a daughter of a confused resident come to the desk screaming that "I brought mom TWO candy bars last night and they are GONE! Someone took my mothers candy bars!" I asked her "Did you look for...

  11. Geriatric UTI and Hallucinations/Psychosis

    ktwlpn replied to njmomstudent's topic in Geriatric, LTC

    Try telling them that she cried when she urinated due to burning-you'll get your u/a

  12. Terrified Patient

    ktwlpn replied to gentlegiver's topic in General Nursing

    We have to exhaust other interventions first.And isn't some anxiety appropriate in that kind of situation and is is always appropriate to try to alleviate it? Isn't it part of the adjustment to a new...

  13. Interviewing for LTC- soon to be grad w/ ?'s (wound care)

    ktwlpn replied to jrw03282009's topic in Geriatric, LTC

    With the cuts in re-imbursments and the already lean budgets in many LTC-especially in "for profit" facilities most don't have nurses floating through the shift pitching in to do wound care. My...

  14. Dreaming about work

    ktwlpn replied to CNL2B's topic in General Nursing

    Oh-I hate waking up exhausted from a rough nite of dream-working.I usually dream that some of my co-workers are going on some strange trip together. Not too deep-that's just like every

  15. Dealing with intimidating people...

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

    What kind of LTC do you work in? As leslie said-you have great insight into why you have a problem dealing with that type of person and getting outside help is the way to go. At my facility if a...

  16. How do u segway into new unit? Onc to Cardiac/ER etc.

    ktwlpn replied to OncNurse1's topic in Emergency

    LOL! I would LOVE a Segway to use during my 3 hour med pass from

  17. The State is coming!!

    ktwlpn replied to gentlegiver's topic in General Nursing

    One can remain anonymous when making a complaint-you do not have to give the state your name.If you are afraid of repercussions tell them

  18. The right to refuse has so many interpretations

    ktwlpn replied to Alnitak7's topic in General Nursing

    I think you all misunderstood. If you've been a hermit all of your life you can certainly continue that but our GOAL would be to encourage you to take part in activities in the facility.We may never...

  19. The right to refuse has so many interpretations

    ktwlpn replied to Alnitak7's topic in General Nursing

    Yes-all residents have the right to refuse -however in LTC we can't just walk away. We must meticulously document what they refused and every intervention we tried that failed. Our careplan has to...

  20. Refusing meds

    ktwlpn replied to penlight32's topic in Geriatric, LTC

    When you have a spare minute (as if ) try getting him a drink and a cookie and just sit with him and engage him in conversation. You might be able to build a rapport with him. He will remember the...

  21. New Additional Skin Grids (LTC) ?!

    ktwlpn replied to Zen123's topic in General Nursing

    Nurses have to do the weekly skin checks in my facility and any newly discovered bruise warrants an incident report and the resulting charting and notifications(family,md,care plan

  22. Need solutions to nursing problems!!

    ktwlpn replied to SmokeyNite's topic in General Nursing

    I have seen two little old cachexic ladies in the nursing homes develop massive growths on their lower abdomens-both were about the size and shape of footballs. Guess how many nurses had NO idea...

  23. don't burn bridges!

    ktwlpn replied to Schmoo1022's topic in Geriatric, LTC

    One Saturday morning I looked up to see the Department of Health standing in front of me for our annual survey. The inspector on my unit was the former DON at a private facility I worked in for about...

  24. What are the worst call in excuses you've heard?

    ktwlpn replied to sasha2lady's topic in General Nursing

    I had a drunken uncle get into a similar situation. He worked in one of the big automotive plants and went out for happy hour after work, got stewed and could not find his car ( a blessing, he...

  25. What are the worst call in excuses you've heard?

    ktwlpn replied to sasha2lady's topic in General Nursing

    Not too far-fetched. My sister in law just lost her parents within 44 days of each other and a few months ago lost an aunt.My facility used to tell us to bring in the mass or funeral card (how tacky)...