ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. I just want a break

    ktwlpn replied to JB2007's topic in Geriatric, LTC

    I left the break room once to answer a phone call and returned to find a resident's loved one sitting in my seat and talking to the rest of the staff at the table-TALKING OVER my food-I had left my...

  2. White sand like particles in wet stool

    ktwlpn replied to THAT Nurse.'s topic in General Nursing

    Anytime you have a clean -up project like this one try using body lotion and wash cloths to get the residue off-it works like a charm.Back in the day when we pumped bran into the incontinent folks in...

  3. General med times- am, noon, pm, hs

    ktwlpn replied to mscsrjhm's topic in General Nursing

    We also have standard med pass times with a 2 hour window but we will attempt to customize our resident's order's to their preferences.The DOH has stated that LTC is the resident's HOME and they...

  4. Speaking of Waste - Trash Wars

    ktwlpn replied to Vito Andolini's topic in General Nursing

    It varies-some days I ***** and moan before I empty the trash,put that progress note on the chart,stock the med cart to the exact specifications of the oncoming nurse because that is easier then...

  5. Advance Directives

    ktwlpn replied to TNRad RN's topic in Patient Safety Issues

    weird-I'm curious to see what others say.I know that in some facilities DNR's are suspended during procedures requiring anesthesia.The surgeon's really don't want anyone to die on their table but I...

  6. Ugh, regret!

    ktwlpn replied to evilolive's topic in General Nursing

    Check your facilities policy and procedures-in mine nurses are NOT to directly dispense meds for any reason.We are to notify the pharmacy of the need for pass meds (72 hour notice) even if it's a dose...

  7. Things Patients Have Taught Me NOT To Do

    ktwlpn replied to Trixxy's topic in Nursing Humor

    "When you are a tree trimmer, don't get drunk and cut off the limb that your sitting on." oh my -oh my...I'm laughing so hard I'm crying over

  8. Need advice pls!!

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

    I'm pretty sure they mean 600 questions and not 6000 but no matter what it will be helpful..It is in the best interests of the program to keep their stats up.They want you all to pass the

  9. "End Stage" Untreatable Obesity

    ktwlpn replied to medgirlRN's topic in General Nursing

    We are seeing it in LTC with great frequency. Think of the co-morbidities-HTN,hyperlipidemia,diabetes,CHF-we have several residents that are over 300 lbs and had strokes in their 40's to 50's which...

  10. Grief and family members: Didn't know what to do!!

    ktwlpn replied to Roy Fokker's topic in General Nursing

    Give yourself a big break-you say that you did not feel that "connection" but I am sure the family did not realize it.I'm sure they all felt that you were a compassionate professional and I'm...

  11. bath time and alzheimer's

    ktwlpn replied to kossaf's topic in Nursing Student Assistance

    Have you tried a bed bath? If showering or bathing in the tub is so stressful then you shouldn't do it.If this is LTC she should be care-planned accordingly. A bed bath is just as good as a...

  12. Help! Problems At Work Re: Diabetic Pt, Rights

    ktwlpn replied to debow261's topic in Geriatric, LTC

    Every non-compliant resident I have cared for in LTC was admitted with a LONG history of non-compliant behavior at home.Usually the family/s.o.'s are co-dependent and food becomes a major issue. You...

  13. Med Error Report

    ktwlpn replied to achot chavi's topic in Geriatric, LTC

    This is an interesting thread-especially the cultural differences.We can never move residents unless they request to be moved.The state would call your example "staff convenience" We have a floor with...

  14. Know-it-all Professor

    ktwlpn replied to Spritenurse1210's topic in General Nursing

    Good post-it looks like the OP doesn't know as much as she thinks she

  15. a story someone told me about AAA

    ktwlpn replied to oramar's topic in General Nursing

    That was to insure he didn't wake up dead by her hand some morning....Imagine living with the

  16. Do birth plans grate on your nerves?

    ktwlpn replied to cradlecrewer's topic in Ob/Gyn

    That's like saying 'Excuse me but smoke is emanating from your nether regions-stop ,drop and roll-I'll get the chemical compound in the sprayer to help with that" Instead of "Hey-your butt is on...

  17. AAA rupture

    ktwlpn replied to DMBFAN4EVR's topic in General Nursing

    I care for have an elderly female diagnosed in the spring with an 8 cm AAA and she has refused surgery. I am not too sure that she and her family really understand what this means and every day I...

  18. Do birth plans grate on your nerves?

    ktwlpn replied to cradlecrewer's topic in Ob/Gyn

    This has been debated so many times on this board. If you feel so strongly about this then maybe you should look for employment in a setting in which your ideals are shared by the OB staff....As for...

  19. AAA rupture

    ktwlpn replied to DMBFAN4EVR's topic in General Nursing

  20. Med Error Report

    ktwlpn replied to achot chavi's topic in Geriatric, LTC

    That egg nog was too strong for me-I went to bed early.True-not all mistakes are serious but in our facility the state dept. of health wants to see what we are doing to address each and every one-be...

  21. precautions

    ktwlpn replied to sweetieann's topic in General Nursing

    Yes-everything is laundered and the room is cleaned thoroughly with bleach- C diff can live on surfaces in that room for a long time and some products won't kill

  22. Med Error Report

    ktwlpn replied to achot chavi's topic in Geriatric, LTC

    Why would you want to do that? I would think that other factors related to the error are more important because then you can indentify a pattern. Severity is judged by the amount of harm to the...

  23. I think my sister has Munchhasens (LONG)

    ktwlpn replied to lannisz's topic in General Nursing

    Really? How judgemental.The parents are elderly and may soon need care for themselves. If the husband can't care for her then she should stay in LTC. Her behaviors were not learned overnite-it looks...

  24. Ridiculous waste of time

    ktwlpn replied to achot chavi's topic in Geriatric, LTC

    You can apply that stuff without an individual order with a dx and stop date etc if it is included in your routine skin care policy.The cna's can use all of the OTC stuff....Your powers that be need...

  25. Funeral customs

    ktwlpn replied to ShayRN's topic in General Nursing

    actually that is exactly what the funeral business wants us to believe and it is not true.i saw a pbs documentary about do it yourself burial called " a family undertaking" and it is legal in most...