ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Help with professionalism

    ktwlpn replied to Spritenurse1210's topic in General Nursing

    To quote my husband-"remember that the Lord gave us 2 ears and 1 mouth - this is to make you listen twice as long as you speak"....I have always had a problem with letting emotions take over and...

  2. Lost Eye Glasses

    ktwlpn replied to km7100's topic in Geriatric, LTC

    Explain to his s/o's that he has "lost his trappings" which is an inevitable phase of the disease. He does not recognize that they are eye glasses, he no longer knows what eyeglasses are for and he...

  3. What are the top 5 ethical dilemmas faced by nurses?

    ktwlpn replied to sorchgorch's topic in General Nursing

    --- #1 -- Patients whose family and physicians have overthrown their advance directive... #2 -- Under or over -medicating patients due to family's demand (either for pain, agitation or...

  4. LTC/rehab facility: ?'s --LPN Scope of Practice

    ktwlpn replied to SlightlyMental_RN's topic in General Nursing

    As others have stated the LPN's scope of practice varies from state to state.Go to your state's web site and educate yourself. It seems that this kind of behavior is common among many healthcare...

  5. Question: Why don't hospitals color code the scrubs?

    ktwlpn replied to DolceVita's topic in General Nursing

    I swear that when hospitals went to colored scrubs they wanted all staff from all depts. to look like nurses so the patients could be lulled into thinking the floors were better staffed then they...

  6. morbid question about post mortem care

    ktwlpn replied to vashtee's topic in General Nursing

    I like to suggest that they wait and view the deceased in the funeral home instead of the nursing home. In ours we have very few private rooms so the roommates are subjected to the bedside wake and I...

  7. Desperately seeking educaters for LPN treatment nurse

    ktwlpn replied to robigayle's topic in Geriatric, LTC

    One of those orgs does certify LPN's in wound care-I'm not sure which one but a former co-worker of mine did it.Check each major organization. You will be working independently of the floor staff (rn...

  8. I just had to ask...

    ktwlpn replied to Purple_Scrubs's topic in General Nursing

    It's right up there with the 3 Stooges fingers to eyes "boink' :) I cared for an elderly Jewish retired clothing manufacturer -he used to bellow at the top of his lungs (to be heard over the...

  9. Need advice

    ktwlpn replied to redhead_RN's topic in General Nursing

    120 lbs is HEAVY if it's dead weight and that's what this sounds like. Do you have any lift equipment? USE IT..On my unit she would be on a Sara or Hoyer lift. Consider a bowel regimen-you can...

  10. Use some class/compassion

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

    I don't think it's very healthy to personalize a message board to the point that your "'feelings get hurt" because you perceive that someone has been rude to you. It's just the

  11. Being Questioned by Paramedics? Why?

    ktwlpn replied to jayde_RN's topic in General Nursing

    That happens alot-the ones I have met seem to feel that everyone in the LTC should be a DNR and they don't understand that it does not mean "do not treat" And some also have the attitude that we...

  12. Did you ever think "Can I really do this"

    ktwlpn replied to Tonyapate's topic in General Nursing

    YOU CAN do it....I am lousy at math,too.I am in remedial math this summer and then I'll start my pre-reqs to go from lpn to an associate's degree.As someone has said nursing math is really just...

  13. Tips, Tricks, and Fixes

    ktwlpn replied to nerdtonurse?'s topic in General Nursing

    If you have a confused patient pulling out lines try writing on the dressing with a black sharpie " Do NOT touch" I've seen it work...Also if you have to insert a foley and are having difficulty...

  14. I currently work in a Nursing Home and I have a few questions..

    ktwlpn replied to Ling07's topic in Geriatric, LTC

    Are you a cna? If so you really should know about infection control. As for being yelled at- I don't care how nice the howler is-no one deserves that kind of treatment. Everyone has stressors-that...

  15. I currently work in a Nursing Home and I have a few questions..

    ktwlpn replied to Ling07's topic in Geriatric, LTC

    Some people are miserable-that's in any field.I believe that when you clock in you put on your "game face" and treat everyone you come into contact with pleasantly and professionally.Look at it...

  16. Patients and their crazy requests

    ktwlpn replied to SoundofMusic's topic in General Nursing

    " personal body servant " :chuckle That's exactly how some patients treat us. And what is it with the MS personality? Every bit as charming as the COPD'er...One of our MS ladies asked us to...

  17. you know you are in for trouble when.....

    ktwlpn posted a topic in General Nursing

    I was just thinking about the family of a recent admission.We knew we were in trouble when we met the adult children. The #1 contact had tardive dyskinesia and it quickly became clear that reasoning...

  18. Survey is coming,need help

    ktwlpn replied to monirockstar25's topic in Geriatric, LTC

    Remember infection control,review proper admin of all meds,residents rights,privacy-know where your facility policies and procedures can be found on your unit. Don't let them see you sweat-make eye...

  19. Wasting Unused Meds

    ktwlpn replied to LilPeonNo1's topic in General Nursing

    That "half " pill could have been anything.I would have done what you did-and I would not have sined as a witness to her wasting it either .She would have had to call the supervisor for

  20. Mini-Vent: Incompetent Supervisor

    ktwlpn replied to notanumber's topic in General Nursing

    This is the song that never ends..In my area RN's will come and go in LTC and it's really the LPN's who are the backbone of the facilities.We have very few RN's and the admin really wants to keep them...

  21. URGENT! prolapsed uterus or bladder?

    ktwlpn replied to rnto?'s topic in General Nursing

    She had dementia and was dependent for all adl's,non-verbal and in her 70's...I assume they believed she would not live long---but she did.That and the fact that they would not contribute a penny to...

  22. URGENT! prolapsed uterus or bladder?

    ktwlpn replied to rnto?'s topic in General Nursing

    eek! Pass me a pessary,please.I cared for a gal years ago with a prolapsed urerus-the family refused surgery and she lived for years with that thang dangling.We had to clean and lube it every shift...

  23. Sediment in Urinary Caths

    ktwlpn replied to CoffeeRTC's topic in General Nursing

    Can you consult a urologist? I have one indwelling on my unit and the urologist has us irrigating q shift and upped her to a 20 french.When she had an 18 were were changing it very frequently due...

  24. Will you work during a Pandemic?

    ktwlpn replied to Goju's topic in Disaster Preparation

    Baloney! Without PPE just forget it..The industry is constantly coming up with new ways to protect us on the job.we should just say "O well" in the event of a crisis? Crappola..My facility won't...

  25. Will you work during a Pandemic?

    ktwlpn replied to Goju's topic in Disaster Preparation

    We had a nasty norovirus this winter and staff and residents alike were pooping their guts out.We were really unable to enforce the quarantine-every time some stoopid visitor/significant other called...