ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. How do *you* tell your patient "No"?

    1.) Resident is requesting for you to stop what you're doing and walk to the kitchen to get her syrup for her pancakes. 2.) After escorting the Resident to the restroom he is now requesting for you to...
  2. Glucometer / Infection Control

    I have wondered about that,too. We'll probably get some funky superbug pneumonias in record numbers someday. Only then will anyone care. Our quality assurance nurse is a bit highstrung and she freaks...
  3. we use disposable paper bed pan
  4. Nursing Home- Patient falls?

    That's just ridiculous.How many times have you had a confused resident tell you they fell and found no evidence of same and sent them out? I would have a fit if it was my mother or father being put...
  5. Is it anxiety?

    If you are in your mid to late thirties(or even early thirties) or older you could also be experiencing peri-menopause. You may not notice changes with your periods but the hormonal shifts cab be...
  6. Nursing Home- Patient falls?

    No one should be in trouble-even an x ray may not pick up a fracture especially if it is non-displaced. That may be the case herei.It was non- displaced and some movement 3 weeks later displaced it....
  7. Should she be suspended?

    I assumed so....track marks would not show through a
  8. Audio Recordings and Patient Abuse

    ohhh-you are collateral damage....That's a tough situation to be in.In my experience in LTC there is almost always a unit or 2 where this type of intimidating verbally abusive behavior by cna's...
  9. What would you do?

    They know she is a problem-they are counting on you to fix her! For free,too I bet..Maybe you CAN do
  10. Audio Recordings and Patient Abuse

    When dealing with a resident like this always have cna's give direct care in a team.We have 2 on our unit right now and for the staff's protection they never attend to either one of them alone.And...
  11. People think you are rich because you are a nurse

    Looks like many of us have been in your shoes. But to many people (like your "friends") we do look rich .My salary is 2 times that of the cna's I work with-it's 3 times that of the kid working at the...
  12. foley irrigation

    I have an MS resident with a foley due to neurogenic bladder-we had to go from daily to q shift flushes to maintain
  13. Learn To Say It Correctly!!

    I work with a very loud ,very ignorant and rude nurse.Forget medical terms-she can't pronounce simple words in every day conversation.She's got no social graces-her manners are minimal as are her...
  14. Documentary: The Business of Being Born

    Babies choose their own birth path-any woman with a strict birth plan or a romanticized idea of what the ideal birth is IMHO is setting herself up for a lifetime of feeling like a failure if things...
  15. Ideas for a graduation party

    For my neice's graduation I bought pink bedpans and a urinal on line and had floral arrangements made in them.I put drinks in enema bags,shots in large syringes (sans needles) jello shots in plastic...
  16. Pick your battles with your LNA.....

    yes- The ability to handle constructive criticism in a professional manner comes with maturity-as does the ability to work side by side with people you don't much like. An adult can put their...
  17. Pick your battles with your LNA.....

    I perceived by the OP's attitude in her post that this was likely not the first time this nurse counseled her about this.Maybe this is where the nurses frustration came from? Add in the fact that the...
  18. Pick your battles with your LNA.....

    Whoa-great attitude. So you'll "get back" at a nurse you have a personal problem with by taking it out on the patients? Nice. I perceive your comments as threatening and it sounds like you have a...
  19. Put on some bright but tasteful lipstick and a nice scarf around your neck or a pretty pin on your lapel, stride towards the interview-er with your hand out,shoulders back and a smile on your...
  20. HOT!!! rant

    Studies how that environmental factors can lead to med errors. It was close to 90 this weekend and we don't have the a/c on at work yet! I thought I would croak! And it's going to be in the 80's and...
  21. HOT!!! rant

    The families whom complained on Sunday all got calls and apologies from admin. on Monday. A family member actually called the dept. of health,too.The a/c was on when I went in today.Can I get an...
  22. Personal: Is this considered neglect?

    Your mother has a GREAT quality of life? Why should you feel guilty? You both are really lucky to have the life you have today. Find some support for yourself-treat your depression. Too often when...
  23. To dispense or not to dispense?

    Yes-that is considered dispensing. I work in LTC in. Pa. and it's against the regulations. We have clear policy-our residents must give 72 hours notice for an LOA to enable us to obtain their meds...
  24. Two med carts, three halls, to many patients

    We went to 2 med carts on our 40 bed units several years ago because it was impossible for one nurse to perform a compliant med pass.Sounds like you showed up before they worked out the kinks in their...
  25. Remind me why I do this

    Are you writing people up for failure to complete their documentation on the floors? We have this problem and it's the "same old,same old" Many nurses have no clue how important the MDS is and really...