ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. HO-HO'd out!

    Seems the aides on one of secure dementia units thoughts it was a good idea to keep reminding the residents that it was Christmas Day...A few reacted with gleeful childlike wonder.....Several just...
  2. Nurses are
  3. Things you wish you could say to your patient

    That's a good start.It's a shame that many people really do need to be told the common sense
  4. I actually have observed one of docs treat the a few of our male nurses almost as equals.Until he got to know them and their skills
  5. Curious to know why Jahi thread was closed?

    Being facetious.I know there is a fate worse then
  6. Curious to know why Jahi thread was closed?

    Merry
  7. Calling in for death of a loved one.

    Our policy is one bereavement day for a
  8. We were all wrong about nursing home nurses

    It's not uncommon to find someone has died when you are making rounds at shift change.Most of them are old with multiple co-morbidities.They die any hour of the day or night.We try to educate the...
  9. Pressure ulcers in "sensitive" areas?

    Pull his pannus up with something like Montgomery straps if all else fails.Have seen this done with great success.....Those "dickie-do's" can be
  10. We were all wrong about nursing home nurses

    That's changing around here.....Our admin is striving for 5 stars with BSN unit managers and as many RN charge ourselves we can
  11. Sticky situation help!

    Always,ALWAYS visualize the med AND the sheet during the count.I am suspicious of any nurse who tries to rush me through it and flip those med cards around like David Copperfield.Don't let anyone rush...
  12. Absolutely appropriate.Loved ones of the elderly and demented are prone to relapsing into a complacent denial.They need to be reminded (in a professional manner) that dementia is life...
  13. problem with my DON, help!

    "BUMP"....Highly anticipating an update,Nurseredd.How did you all make out when you stomped in with your written statements? Did you look over your shoulder to discover your troops had run the other...
  14. Male foley came out after irrigation?

    Really?Currently only stock 18 french/30cc balloon.It strikes me how everyone wants to put the onus on the OP......Maybe you all don't have as much experience with foley catheters so you think your...
  15. Being Ignored

    Please remember the nurse is literally juggling dozens of issues at a time.She depends on you to function within your scope independently.If your system is set up in a way that prevents you from...
  16. Male foley came out after irrigation?

    Don't agree.I have seen balloons partially deflate and cause pain during flushing because it's at the mouth of the bladder entering the urethra.I have seen them fail for no apparent reason.Have cared...
  17. Good for
  18. do you think this is rude?

    No,it was not "rude" to you,however it was an infection control issue.When you are a nurse you will think
  19. Hurt and Betrayed

    Radio silence......I am just sitting here thinking about the hurt and betrayal I feel today..Let me start my list-1,New staff with no experience starting out making almost as much as me (lousy pay...
  20. RNs playing as nurses in movies/modeling

    One real life
  21. Hurt and Betrayed

    Exactly.People can be pretty mean,it does NOT always translate to being bullied or policies or laws being broken.It just means people can be buttheads.Suck it up,buttercup.This makes me think of the...
  22. RNs playing as nurses in movies/modeling

    I don't think it's very lucrative,except for "Code Black".I read they use real nurses in addition to the actors....The models in the scrub catalogues and web sites are just that....Models.(useless...
  23. What does a nurse manager do---LTC?

    It depends on the facility,our unit managers are responsible for administrative and clinical aspects of their units.Scheduling and payroll,annual reviews and discipline and following up on the units...
  24. scope of practice

    Oops,my bad,Did you read the decision making guidelines for Mass.?You are correct regarding PICC live best,you can't remove them.Did not see a reference to specific