ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Just so tired of blame shifting

    When you said "Wait-is that full strength?" you were really putting her on the spot in front of your colleagues.Why would SHE admit to making the error when in fact-it was initially YOURS and you...
  2. "Shooting from her orifice, were fingerlike projections, that waved and undulated. They extended in length to mid-thigh, and were about as thick as half a banana in some places. "...
  3. Tuition Reimbursement

    In most states-unless you are unionized-"they" can do whatever they please. We suddenly lost our tuition reimbursement early last fall just 3 days before the term-without warning. They did restart...
  4. How do you deal with an insensitive CNA?

    I agree with the above -the first time you let behavior like that slide you have given tacit consentfor it to continue-and it always escalates.Almost every unit I have worked on in LTC has had an...
  5. What type of drug tests do nursing schools do?

    I thought they only had to pull out several strands? I would NOT be happy with chunks-of course-if you really need a job you gotta do
  6. One good thing that happened at work today...

    Best thing that happened to me today was I left early-had personal
  7. I did read the entire post-not going to get into a tit for tat with you about that my dear.It it what it is....You ask for advice on a message board and you are going to get it. I don't feel the need...
  8. Really? She asked for advice and she got what she wanted. A REMINDER FOR ALL ----when asking for advice on a message board you are likely to get many different opinions and some may not be what you...
  9. I think my problem with this is that the pinning is more sentimental.It's not professional.I value my pin but it's not a diploma or license.It's a warm fuzzy..Nurses strive to be recognized as...
  10. Dead or Not he was your Patient show some RESPECT!

    sounds like something from a movie I saw
  11. I say "do it yourself" Make breakfast casseroles,bread puddings and such. For decorations print out nursing caps-you can cut them out and fold them. They make great centerpieces with some greenery...
  12. Trying to find a jo in NEW YORK!!!!

    NO jo's in NYC? Any freds,marks or
  13. We update the pics on our MARS frequently.We do have some folks who refuse to wear a wrist band.If we can we'll put it on an ankle.If that fails it goes on the wheelchair ,walker or overbed table. No...
  14. Is it possible to document too much?

    Maybe you were adding lots of extraneous details and not using approved abbreviations? I've read notes that sound like a 4th grader speaking " I asked the resident to stand up, the resident...
  15. The other LPN is a typical bully and ignoring her won't stop her behavior.You need to stand up for yourself each and every time she picks at you. On the upside I had a similar relationship with a...
  16. Is This Discrimination?

    Is this a joke? Could she have meant "drinking glasses? Lord knows we aren't supposed to drink or pee in LTC. I think we are all knocked out by this one-can your mom make a copy of the admin p and p...
  17. oral care on confused patients??

    Mouth care is such a challenge in this population.If you are in LTC you probably are not permitted to use a bite block. Has the nurse/physician checked the tongue? It could be thrush.. Can you hold...
  18. Each state has diffent regs and the regs are different dependent upon the type of facility in which the resident resides (ltc vs assited living,etc) In Pa. LTC residents are entitled to 30 overnight...
  19. http://abclocal.go.com/wpvi/story?section=news/local&id=7131599
  20. What I meant was sometimes we DO just love them to pieces in LTC because we are with them every day-and it can be really difficult to maintain our objectivity. When you have 20 or 40 residents to...
  21. You may have some trouble lip-reading someone after they have had a stroke, clients with neuromuscular diseases that can affect speech (mulitiple sclerosis,huntington's chorea) and don't forget the...
  22. In LTC these situations can become pretty complicated.It only takes the appearancee of impropriety to bring the ombudsman or dept. of health in to investigate. It is a challenge for nuring homes to...
  23. Pa hospital system won't hire smokers

    It's all about cost -they sure don't have anyone's well-being in mind-other then the health of their bottom line. I have read that the cost of treating diabetes is going to triple in the next 20 or so...
  24. Families are informed upon admission that our pharmacy requires 72 hour for LOA meds-we order them and they come in seperate baggies with labels on each.We will send bottles of eye gtts and such.If...
  25. Brand new nurses have a long adjustment period-we have all faced that stress. Job hopping is only going to make that worse. You have to give yourself time-you are learning and growing with each day....