ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. David Bowie

    ktwlpn replied to ktwlpn's topic in Hospice, Palliative

    Yes,Sirius is playing some great deep tracks,covers of his songs by other singers and great tributes by others.I emailed and asked them to consider extending the

  2. David Bowie

    ktwlpn replied to ktwlpn's topic in Hospice, Palliative

    The photo of him in the dark suit wearing a hat was from his last photo shoot,don't think I have seen a date for that shoot mentioned.He was an amazing artist,I have been a fan since I was 13.We...

  3. Things you wish you could say to your patient

    ktwlpn replied to ktwlpn's topic in Orthopedic

    Just a few more

  4. Negative Post on Facebook About New Nurses - I'm Fired Up!

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

    You missed it,sorry.Maybe someone can send you a

  5. Negative Post on Facebook About New Nurses - I'm Fired Up!

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

    I think she struck some nerves for many,hence the reaction.Painting all new nurses with the same brush on social media with such a post looks like poor impulse control to me and shows some...

  6. Gutless Colleagues

    ktwlpn replied to LPC2RN's topic in Psychiatric

    What kind of experience do they have?Sounds like time for debriefing Maybe they have never seen anything like that before...Sorry you went through that,psych nursing is not everyone's cup of tea.I...

  7. Would you call out sick?

    ktwlpn replied to WCSU1987's topic in Health, Stress Management

    My facility requires you to stay out until you've gone 48 hours without,stool,vomiting or fever.....Call out and don't feel bad about

  8. My facility is going to a new mode of trying to care for hospital level patients.

    ktwlpn replied to mr cooper's topic in Health, Stress Management

    In our LTC the lab comes once a day to pick up specimens,they will only come back if you place a stat order.It takes hours for the UA to come back,these residents can tank quickly.The docs don't just...

  9. PTAs dealing with bodily fluids or not?

    ktwlpn replied to Ryan Walker's topic in General Nursing

    brouhaha....That is exactly what happens where I

  10. We were all wrong about nursing home nurses

    ktwlpn replied to Ruger8mm's topic in Geriatric, LTC

    A successful LTC charge nurse has to be an excellent manager AND clinician.That nurse is responsible for every department directly impacting the

  11. Manual vs electric lifts

    ktwlpn replied to Busia's topic in Geriatric, LTC

    Homers?

  12. Manual vs electric lifts

    ktwlpn replied to Busia's topic in Geriatric, LTC

    Other than cost I don't know of any studies regarding this.We have battery operated homers and our biggest problem I staff forgetting to charge the battery

  13. Things you wish you could say to your patient

    ktwlpn replied to ktwlpn's topic in Orthopedic

    Thanks for the tips.I'm really getting excited,just a couple of weeks to go.Looking so forward to walking without this

  14. Dysphagia/end stage dementia

    ktwlpn posted a topic in Geriatric, LTC

    I am struggling with our speech pathologists and some of their recommendations for our late stage dementia residents.We work very hard to educate these family members regarding the expected...

  15. When LTC patients pass away :'(

    ktwlpn replied to %D#2's topic in LPN, LVN Corner

    What a good long life she lived.And a death that spared her from long,lingering suffering.Of course you'll miss your

  16. Dysphagia/end stage dementia

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    Several times I have intervened after speaking with family members who disagreed with their plan.The therapy dept.is really butting heads with the dietary dept.right now.No-one involved is coming from...

  17. Dysphagia/end stage dementia

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    All therapies ,consults etc continue on comfort care here and the goals shift to comfort and dignity.It's our bridge to hospice care.I get that there is a certain amount of revenue involved,that...

  18. Dysphagia/end stage dementia

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    Using a baby spoon to shove a small amount into a resident with a small (voluntary) oral opening is a dignity issue for me.And it's a fine, line between coaxing and force feeding.I know these are...

  19. Get whites white again?

    ktwlpn replied to anh06005's topic in General Nursing

    When you get another one try applying Scotchguard to thoses areas to keep them from becoming

  20. Additional Certifications for LPNs

    ktwlpn replied to olindsaylpn's topic in LPN, LVN Corner

    That was not the question.Many LPN's are satisfied with their license for any number of reasons.Certifications do help us be more flexible.LIOn's can obtain certification in geriatrics and wound care...

  21. Additional Certifications for LPNs

    ktwlpn replied to olindsaylpn's topic in LPN, LVN Corner

    Certified palliative and hospice care

  22. We were all wrong about nursing home nurses

    ktwlpn replied to Ruger8mm's topic in Geriatric, LTC

    This is why the good aides are so important.We have static assignments now and they are the first ones to notice someone "just doesn't look right".Sometimes our assessment reveals all is WNL's so we...

  23. HO-HO'd out!

    ktwlpn replied to GLORIAmunchkin72's topic in Geriatric, LTC

    I know they mean well but they just don't get it.One calls them "her rezzies" and makes little fascinators and bows and such for the ladies.Last Halloween she brought in face paint and was going to...

  24. Vent: dealing with nursing home nurses who refuse to provide comfort medication to patient

    ktwlpn replied to stacyRN11's topic in Hospice, Palliative

    : I certainly am not encouraging any kind of confrontation.I think offering to assist the facility with educating the staff and trying to build a partnership WITH them is a viable option.The...

  25. Vent: dealing with nursing home nurses who refuse to provide comfort medication to patient

    ktwlpn replied to stacyRN11's topic in Hospice, Palliative

    It's time for your people to call their people,talk to their administration.Co-ordinate your efforts with their own staff development department and offer some in -services.Look for a few staff...