ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Should I wash my hands before I pee????

    ktwlpn replied to Misslady113's topic in General Nursing

    I was advised to do so by my GP,a urologist and an ID after I contracted a MRSA UTI while working on a secure dementia unit. Make it a

  2. Tubal Ligation Failure

    ktwlpn replied to KY RN's topic in General Nursing

  3. Ethical dilemmas encountered by nurses

    ktwlpn replied to julschris7's topic in Nursing Professionalism

    Administering futile care to an end of life patient against their expressed wishes because the family insists upon it. Some states don't accept living wills as legal documents and many physicians are...

  4. Vent: Dysfunctional Family Dynamics

    ktwlpn replied to abundantjoy07's topic in General Nursing

    In my experience this is not often the case.I see people with a little bit of knowledge trying to take control because they think they know it all. People with Google degrees. Folks that believe that...

  5. Nurses as secretaries

    ktwlpn replied to SoundofMusic's topic in General Nursing

    I don't feel that the OP was downplaying or demeaning anyone.Maybe she/he could clarify their post? I understand it to mean that this practice is not fiscally responsible and I get that. I have...

  6. Dry, Cracked Hands

    ktwlpn replied to jackieh1791's topic in General Nursing

    You can find 100% pure shea butter at farmer's markets for a fraction of the cost you would pay at a drug or dept. store. It is fabulous stuff.When the skin on my hands is open from cracks I'll use...

  7. What happened to make him die?

    ktwlpn replied to massrn116's topic in General Nursing

    "Son concerned he was not eating much...." "he was a DNR" I agree with oramar . It's a shame he didn't get a hospice consult on admission.His son certainly could have used their...

  8. My vent and What I will learn from it?

    ktwlpn replied to SmilesNoir's topic in General Nursing

    "battery operated

  9. My vent and What I will learn from it?

    ktwlpn replied to SmilesNoir's topic in General Nursing

    Originally Posted by nursel56 But here's the weirdest part of it. The nurse who mixed up the vials was the one who told me about it!! She was still working there. 2 of us worked in the "shot room"...

  10. Totally Had One of Those Days :(

    ktwlpn replied to Fngrpntsnotasin's topic in Geriatric, LTC

    I'm in LTC-have had my share of residents die during activities.I had a waiter come to tell me that Mr so -and -so "did not look good" His head was in his plate. I had a gal die during bingo-what a...

  11. CNA diary - I thought we are at the same team, and nursing is a team work ???

    ktwlpn replied to littlegoat's topic in General Nursing

    No one at my facility is to use cell phones on the floor-this is strictly enforced after a cna was caught talking on hers while she had a resident dangling in a hoyer lift. My co-workers and I are the...

  12. Nursing, the field of medicine or customer service?

    ktwlpn replied to jalvino1's topic in Patient, Colleague Relations

    so I have also cared for a parent and I am a nurse. When a patient is lying in bed waiting for assistance 10 mins can seem like an hour or more. I KNOW my mother had to wait for things like a meal...

  13. Patient doesn't know he's terminal

    ktwlpn replied to AmericanChai's topic in General Nursing

    I was wondering if you have been back to your clinical site? Do you know if this situation has been

  14. i hope i know when to hang up my stethoscope,

    ktwlpn replied to supernurse1230's topic in Geriatric, LTC

    You did not say that patients are at risk-if you believe you are working with someone who is really unsafe you need to document and report it. That is a very different matter from what you stated in...

  15. i hope i know when to hang up my stethoscope,

    ktwlpn replied to supernurse1230's topic in Geriatric, LTC

    Wow... Discrimination against young nurses? Your post is discriminatory towards "seasoned"nurses..First I'll say that I have worked with a great many younger nurses who can't seem to get out of...

  16. Patient doesn't know he's terminal

    ktwlpn replied to AmericanChai's topic in General Nursing

    The OP stated this happened in her clinical. I'm sure there were notes all over that chart and it was probably the talk of the unit. At the very least this info was passed on in report. I've seen this...

  17. When asked "what meds are you giving me?"

    ktwlpn replied to Kitty Hawk's topic in Geriatric, LTC

    Some residents will do this if they are not familiar with you and since many have short and long term memory problems it continues for years. Others may just want some attention or control. I will...

  18. CNA certification

    ktwlpn replied to AHeartLikeHis's topic in General Nursing

    Many facilities offer on the job training and certification at no cost to you-some ask that you remain employed there for a length of time-others don't. The LTC I work in is also a state testing

  19. Misguided Charge

    ktwlpn replied to LifelongDream's topic in General Nursing

    It's your responsibilty to become familiar with your policy and procedures.Looking up the info helps you retain it better then asking a co-worker. And if you cause harm to a patient because someone...

  20. How do I stop getting my feelings hurt?

    ktwlpn replied to SuesquatchRN's topic in Geriatric, LTC

    Turn your attention away from your own hurt feelings and look at the real problem. Patient care is being compromised and THAT IS NOT ACCEPTABLE-make sure that everyone knows that you will take action...

  21. confused...legal to not feed patients?

    ktwlpn replied to IHeartPeds87's topic in General Nursing

    As a nurse you will have to try to seperate your personal feelings regarding this issue from your patients wishes.That's been one of my biggest

  22. confused...legal to not feed patients?

    ktwlpn replied to IHeartPeds87's topic in General Nursing

    If he has advance directives and specifically does not want either? In what states? In Pa if no advance directives we must support life but when directives are clear we don't over ride

  23. confused...legal to not feed patients?

    ktwlpn replied to IHeartPeds87's topic in General Nursing

    The family member may have made his wishes known regarding artificial feeding and his loved ones are honoring them. You can keep the empty shell of a person "alive" through artifical feeding for 20...

  24. appts outside of your facility

    ktwlpn posted a topic in Geriatric, LTC

    Bear with me-I have several questions. I work in a 250 bed facilty.We have a staff of former cna's that run our "clinic" The opth, the pod and the dentist all come to us. The clinic co-ordinates...

  25. appts outside of your facility

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    I work in a county run non-profit facility.The problem is we are in a real budget crisis.We may not be able to continue to "just live with it" We have very few private pay residents-we're...