ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Sick of the floor....

    ktwlpn replied to Virgo_RN's topic in General Nursing

    Problem? Not a problem....Somedays I don't like anyone except my

  2. Meds in lock up

    ktwlpn replied to lexibear99's topic in Geriatric, LTC

    In LTC regs all scheduled narcotics are double locked and counted- do a search for the Controlled Substances Act for a complete listing.Many meds are included that we might not realize are...

  3. assertion/patient advocacy please help

    ktwlpn replied to mashamontago's topic in General Nursing

    You're very

  4. How do you address your patients?

    ktwlpn replied to anonymurse's topic in General Nursing

    I introduce myself and let them know they can call me by my first name then I ask them their

  5. Should I be upset? Or am I making a big deal out of nothing?

    ktwlpn replied to redhead09's topic in General Nursing

    It's a good learning experience for when you have a supervisor like that.

  6. I can't believe I stood up to one of the 'bullies'!!!

    ktwlpn replied to raindrop's topic in General Nursing

    Good for you! It takes some of us YEARS to grow testicles and do what you did.I think you handled it very well. Hand her a shovel and let her keep on digging.Next time you have to give her report make...

  7. assertion/patient advocacy please help

    ktwlpn replied to mashamontago's topic in General Nursing

    You need to focus on yourself and how to best deliver care to a non-compliant patient.You will care for people like this for the rest of your career-Experience and a certain maturity will help you...

  8. Another Misleading Story

    ktwlpn replied to CapeCodMermaid's topic in Geriatric, LTC

    Of course there are good and bad homes-and what one person might perceive as a patient care problem when they are walking down the halls might just be a judgement based on ignorance.Due to privacy...

  9. nursing home difficulties

    ktwlpn replied to hospicemom's topic in Hospice, Palliative

    Is it common for the nursing home to present you with a list of approved policies and procedures? We are now consulting a local hospice (after years of in- house "comfort care" protocols that were...

  10. DONS working the floor in LTC?

    ktwlpn replied to sparkles_2221's topic in Geriatric, LTC

    If the DON is having to cover the floors then you have a big problem. I have seen this happen in other facilities-and I left them.I have some idea of what the DON's responsibilities are-and ours does...

  11. Nurse in trouble for complete nonsense.

    ktwlpn replied to sicushells's topic in General Nursing

    I would NOT go back in for the rest of the weekend,I would be just too upset :stone Then I would schedule a meeting with the nurse manager and HR to discuss policy and getting paid for the

  12. Vent! Shift from hades

    ktwlpn replied to Spritenurse1210's topic in General Nursing

    "there are no victims,only volunteers" Why you did this to yourself is beyond

  13. DNR questions... Family vs Patient wishes.

    ktwlpn replied to MIcrunchyRN's topic in General Nursing

    There is nothing we can do about it-the docs don't have the balls to stand up to these selfish family members- afraid of getting sued.Our society is so "right to life" across the board that even in...

  14. Bad Day (kinda Long)

    ktwlpn replied to elizabeth8503RN's topic in General Nursing

    Those behaviors (residents and families) almost seem the norm in LTC these days.Our MARS list the resident's diagnosis-anyone with any type of dementia listed should be handled with caution.In the few...

  15. Nurse needing Dental Care

    ktwlpn replied to anj1995's topic in General Nursing

    Regular check ups go a long way towards saving money in the long run.Find a dentist with payment plans and make sure you go twice a year.You need to build a relationship with the practice. In...

  16. Crushing Pills?

    ktwlpn replied to Tnnurse22's topic in General Nursing

    I have not worn a face mask-and don't plan on doing so.I think the answer in LTC lies with obtaining the meds in liquid form when available and d/c ing those that aren't. -I can imagine trying to pass...

  17. Crushing Pills?

    ktwlpn replied to Tnnurse22's topic in General Nursing

    We also use the Silent Knight-those plastic envelopes can be a bit tricky.You have to make sure you get every last speck of the meds out of them.By the time you are done "plicking" at them you have...

  18. Crushing Pills?

    ktwlpn replied to Tnnurse22's topic in General Nursing

    I've been wondering about this for years-I magine all the antibiotics I am inhaling will make one heck of a superbug in my system someday.I wonder if there have been any studies on this? It really...

  19. No hot water or electric for 1 1/2 weeks now

    ktwlpn replied to nurse_in_ohio's topic in Patient Safety Issues

    That sounds like a very dangerous situation.If the department of health is aware they will either evacuate or force the company to make the repairs now...If the state has not been called someone...

  20. pt fall during shift change

    ktwlpn replied to payatot21's topic in Patient Safety Issues

    I think it is appropriate to assess the patient with the nurse who you are going to get report from-she can write a nurse's note detailing what happened and then you can take over and complete the...

  21. the meaning of n/a

    ktwlpn replied to smartnurse1982's topic in First Year After Licensure

    Our policy and procedure manual includes a list of approved abbreviations.N/A is "not applicable" I've never seen it used to mean "not

  22. How much waste do you see?

    ktwlpn replied to PiPhi2004's topic in General Nursing

    I have to agree-usually the street people have neglected themselves for years so they are true train wrecks.Once they get into the system the fun really begins.I've seen several live for many,many...

  23. A bunch of questions!

    ktwlpn replied to NurseyPoo7's topic in General Nursing

    Don't forget to heck your policy and procedure manual and make sure you are following

  24. Great Family

    ktwlpn replied to JB2007's topic in Geriatric, LTC

    That kind of things goes a long way towards making up for some of the abuse we suffer at the hands of the buttheaded loved ones.Makes the job worthwhile knowing you really made a

  25. The Resident from Hell!

    ktwlpn replied to pumpkin92356's topic in Geriatric, LTC

    Attention seeking behavior and the need to control and manipulate staff. We do see this in