ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Anti-psychotics and geriatrics

    ktwlpn replied to michael79's topic in Geriatric, LTC

    We make the doc,the psychiatrist and the family all aware of the pharmacy's recommendation.Many of the s/o's understand that dementia treatment is about comfort in the moment and are very adamant...

  2. TPN Policy and Procedure in LTC

    ktwlpn replied to SoggygranolaNurse's topic in General Nursing

    I think it's inappropriate for LTC but ok for sub acute rehab...I can just imagine trying to juggle the needs of a resident on TPN on my unit of 42 LOL's. It's a "nursing home" Our DON would not have...

  3. OMG! The State is coming...

    ktwlpn replied to NsgRx27's topic in General Nursing

    When the state comes they have already decided how many meds by each route they need to observe being administered.I have been observed ONCE since 1991...hehee.We were just reminded that finger sticks...

  4. NS through peg?

    ktwlpn replied to I_LOVE_TRAUMA's topic in Emergency

    I would have called the doc to clarify-I have never flushed with anything other then tap water and as someone else said 300cc is

  5. So my pie notes suck.........

    ktwlpn replied to chicookie's topic in General Nursing

    I hope he has great insurance coverage to pay for his $100,000 workup/vacation.I wonder if he was really out of hand when he presented to the er intially. Some of the worst patients I ever had were...

  6. Things you would love to tell your management and get away with

    ktwlpn replied to madwife2002's topic in General Nursing

    You obviously have forgotten your motto when you were still a floor nurse-we all heard it until we wanted to puke-let me remind you now " I can't wait until I'm in that office -I'll really back...

  7. So my pie notes suck.........

    ktwlpn replied to chicookie's topic in General Nursing

    How about anxiety regarding diagnosis? How is he coping-is he verbalizing his anxiety or in

  8. inappropriate admissions....discuss

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    We have so many 1 on 1's that there are times we work our 42 bed unit with 4 cna's because we have to pull someone to sit...And we don't even charge extra for the

  9. Omnicare Pharmacy-discuss

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    It's like calling Dell tech

  10. Omnicare Pharmacy-discuss

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    Well,spank me and call me "Sally" You must be a pharmacist for Omnicare If you have followed the thread you'll see that all of the points you just made in your lengthy post have been invalidated...

  11. trying to figure out schedule

    ktwlpn replied to dsanto3's topic in General Nursing

    I'm full time and work every other weekend.I have a day off each week. THat's 80 hours- We have several set schedules-I'm a Thursday/Monday person-I love having Monday off after I have worked...

  12. inappropriate admissions....discuss

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    I do feel better after the vent-and I'm off for a few days so that helps:D. Everytime I find my self thinking about any aspect of that place I snap a rubber band I am wearing on my wrist.I don't want...

  13. How do you hang tape on a stethoscope?

    ktwlpn replied to newnurse27's topic in General Nursing

    Killjoy....... But you are right-I never considered how it hangs close to the mouth when you are bent over performing a task-and then youmay lay your scope down-who knows in what? yuech -and pick...

  14. can anyone relate?

    ktwlpn replied to Charlie77's topic in General Nursing

    KEY WORDS---"starting menpoause" You did get a lousy orientation IMHO but having been through menopause I can tell you the symptoms are crazy! Do some research -I had itchy...

  15. Things Patients Have Taught Me NOT To Do

    ktwlpn replied to Trixxy's topic in Nursing Humor

    Hey- I think that's a pretty good idea! I have a late stage Alzheimer's resident with a peg-she has pulled that sucker out a dozen times....And her family just don't get what she is trying to tell...

  16. Omnicare Pharmacy-discuss

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    The DOH dinged us for not having meds during a survey a few years ago so we had to write a new P and P-if we circle a med on the MAR and document "not available" we have to call the doc,call the s/o...

  17. Omnicare Pharmacy-discuss

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    The chain is in 47 or 48 states.I've seen stories on CNN about them and medicare fraud.We are a county run facility and we had to go with the lowest bidder.The DON is hoping to get rid of them when...

  18. "Nursing Home Mentality"

    ktwlpn replied to ctm985's topic in Geriatric, LTC

    They are making a common mistake-many nurses think they know everything they need to know when they go from acute to LTC-they learn the hard way...When the citations start flying they will

  19. BD nexiva catheters?

    ktwlpn replied to annreese's topic in General Nursing

    I'm in an LTC where we don't do IV therapy except long term antibiotics through central lines but those catheters look great.It's about

  20. Filing PT/INR results

    ktwlpn replied to Inquisitive one's topic in Geriatric, LTC

    I'll check tomorrow-we have a procedure dealing with every aspect of chart thining.For PT/INR's we also have a flow sheet that stays with the MAR.I think we thin off labs q 6 months unless it's an...

  21. Think I hate nursing... Now what? pregnant and hormonal!

    ktwlpn replied to nursedani08's topic in General Nursing

    The scope of practice varies widely from state to state and even within each

  22. in LTC have you ever...

    ktwlpn replied to gardenpartyy's topic in Geriatric, LTC

    So-what do you have an armed guard at her door? Do you pull a cna or nurse to guard her? That's crazy-we have had situations with family and we have informed them that we can not stop anyone from...

  23. RN with the flu

    ktwlpn replied to evilolive's topic in General Nursing

    Go to the doctor,get a note and call your resources dept.You may be covered under FMLA and the days you have already taken will be covered also. If you need to take a week to recover then do it...An...

  24. Nurses & their children..

    ktwlpn replied to jellybean321's topic in General Nursing

    I have to say my son didn't miss much school-if I didn't see body fluids or blood he went.I'm very compassionate at work but I have had little patience with him,the poor kid...Ironically he is a bit...

  25. Blowing the whistle on your facility

    ktwlpn replied to Lovely_RN's topic in Geriatric, LTC

    You can make an anonymous complaint to the DOH via phone or e-mail.Most of what you posted about could be observed by any visitor-if you really want to cover your tracks you can imply you are a...