ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. co worker with attendance issues

    ktwlpn replied to Ms.RN's topic in Nursing Career

    yes-and aren't you glad you may be getting rid of

  2. How to dodge HIPAA?

    ktwlpn replied to liam36's topic in General Nursing

    Not to hijack the thread but I'm betting many of us have been in situations in which we "looked for loopholes" . I have cared for people whose family or s/o literally dropped them off at the curb...

  3. Ugh! Delivered Baby On My Own The Other Day...

    ktwlpn replied to jenrninmi's topic in Ob/Gyn

    Oh- Because you really cannot walk on water or part the Red

  4. How to dodge HIPAA?

    ktwlpn replied to liam36's topic in General Nursing

    Unless you know that his crimes involve sexual abuse I think you should stay out of it. It's up to the

  5. Question about Hospice and D/C of meds

    ktwlpn replied to RFederer's topic in General Nursing

    I don't think anyone wants to "off" him.If he is having trouble swallowing, has a history of aspiration pneumonia and an advance directive stating "no tube feeding" then hospice may be appropriate....

  6. Question about Hospice and D/C of meds

    ktwlpn replied to RFederer's topic in General Nursing

    Our DOH must respond to any complaint within 48 hours.Our local office has really worked well with our administration in the past in situations similar to this..They have found that we MUST consider...

  7. Question about Hospice and D/C of meds

    ktwlpn replied to RFederer's topic in General Nursing

    Eww-that's inhumane.I would make an anonymous call to the state department of health.Huntington's is a horrible

  8. HIPPAA Dilemma: Pt Privacy vs. Suffering Animal

    ktwlpn replied to HapkidoMedicine's topic in General Nursing

    Several years ago when I worked at our small local community hospital several of us ran an informal pet rescue.We found homes for pets whose owners had died or moved to nursing homes-we fostered pets...

  9. Choose your words wisely....

    ktwlpn replied to Jo Dirt's topic in General Nursing

    I work in a 220 bed non-profit county run LTC -very few private pay residents. We implement strict 1 to 1 for residents like this. It makes more sense then allowing a resident to fall 27 times in a...

  10. Have you ever seen this?

    ktwlpn replied to Turd.Ferguson's topic in General Nursing

    [quote=VivaLasViejas;3029643 QUOTE) FART MUFFLERS!!! :roll:yelclap: That is too funny.......whew-I'm dying here... After I caught my breath I checked out the entire...

  11. Advice on dealing with dementia patient

    ktwlpn replied to Ms. Nurse Assistant's topic in General Nursing

    Do you all wear some type of uniform or smock? If not it may be a good idea to start doing so.The elderly really respond to an old fashioned whites-thay may help her recognize what you all are doing...

  12. Two seperate medication administration records for one patient?

    ktwlpn replied to johnjrb's topic in General Nursing

    We are still writing on stone tablets at the LTC where I work so I am not really familiar with those systems but this does sound like a bad set-up .When our regular med staff are off and being covered...

  13. Your boss insists on employees taking flu vaccine

    ktwlpn replied to seenitallERnurse's topic in General Nursing

    [quote=NRSKarenRN;3024092The short answer is because HCP influenza vaccination rates remain appallingly low, and unvaccinated HCP are infecting vulnerable patients with influenza. Fewer than 45% of...

  14. Patients Going Behind Nurse's Station

    ktwlpn replied to Jo Dirt's topic in General Nursing

    You are in LTC,aren't you? My favorite social worker has a saying that I love-she says "You are only as strong as your weakest link" In issues like this that is so true.You are correct-residents...

  15. Family members at bedside

    ktwlpn replied to sissiesmama's topic in General Nursing

    I can attest that when you are watching a loved one die you don't have full control of your faculties.The filter between your brain and your mouth goes out and you are liable to say anything. It's...

  16. Anyone on the same boat?

    ktwlpn replied to kalidude's topic in LPN, LVN Students

    I think you should spend as much time with your little boy as you can over the next few weeks-relax and have some fun before you start the grind.Maybe take a few hours to set up and organize your...

  17. Just for fun :Ideal LTC

    ktwlpn replied to hippylady7211's topic in Geriatric, LTC

    Happy hour... Coffee/tea available round the clock for the residents... More "grown up" activities and activities of interest to our male residents... Dining room open all day-residents can rise and...

  18. Scope of Practice

    ktwlpn replied to Auntiegrade_Amnesia's topic in General Nursing

    That is beyond the cna's scope of practice in my facility and would probably result in termination for the cna and at least the nurse that was in the room with her initially.But in this state cna's...

  19. Is this overtime at your facility?

    ktwlpn replied to frankiebaby's topic in General Nursing

    I'm not sure what the policy is where I work because I don't pull OT and we have not had to be mandated yet..One of my co-workers worked a double on Friday then again Saturday and then the supervisor...

  20. Pt says "I want to die"

    ktwlpn replied to stellasaurus's topic in General Nursing

    Assess the patient while validating his feelings and re-assuring him that you are going to do your best to help him- then treat the symptoms,both the pain and depression.Anxiety can often exacerbate...

  21. Anyone work with LPNs

    ktwlpn replied to scma's topic in Oncology

    Go to your state's BON website and review the LPN practice act.I know your co-worker appreciates you going to bat for her-she should also stand up for herself.She could start with showing a copy of...

  22. How do you do it.....LPN to RN bridge

    ktwlpn replied to BjSkyGGEvan's topic in LPN to RN

    I'm looking into a bridge program right now-as an experienced LPN I will be required to take only 6 courses (21 credits) pass then with a 2.0 and then I can take the 2 credit LPN transition...

  23. Just wondering

    ktwlpn replied to Wounderful's topic in LTC: Directors, Assistant

    There was a time when doing the job well was EXPECTED-not considered a bonus one gives their employer...I don't "thank my cna's" because #1-they are not "mine" -I find that a little demeaning #2 They...

  24. I got a kiss!

    ktwlpn replied to GLORIAmunchkin72's topic in General Nursing

    I know what you mean-I was pulled from my unit last week but went up after my shift to check something out.Many of the residents told me they missed me or asked me where I had been all day.I didn't...

  25. Unstagable/Suspected Deep Tissue Injury

    ktwlpn replied to LTCRN4LIFE's topic in Wound, Ostomy, Continence