ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Office Personel

    "little "people" tend to over-compensate whenever anyone points out their shortcomings.She needs to be counseled for her attitude. Someone on every shift needs to have access to...
  2. Geriatric family member needs a PICC line

    are you immediate family with DPOA? If mot then your input won't be needed-it will be up to whomever
  3. Does this concern anyone else?

    Is this in long term care? The guidelines are very different in LTC but a little common sense has to be used.The DOH considers gloving inappropriately a big red flag indicating that the staff is not...
  4. Just met "Ms. Know It All LPN"

    Luckily for you all she won't last-her bad practices will see to that. As for the comments-she is trying to get yor goat.You can bite your tongue and take back control by not responding at all...
  5. Ever have a day like this???

  6. how a LPN can become a MDS CORRDINATOR

    Our entire department of assessors are LPN's-the dept. head is an RN. She signs off their cases-when she is not available due to time off another RN must sign off for them(usually a supe) .My...
  7. Trite Management Platitudes

    The one that really sets my teeth on edge is "You nurses have to learn to think outside the box" Coming from a brand new RN/ADON. And it is usually followed by "When I worked on the floor I always "...
  8. Where I work "getting written up","writing someone up" "writing an incident report" and "counseling" all kind of mean the same thing. I don't see the purpose for debating that as is happening in the...
  9. gum chewing-lip smacking bad manners

    After the first few times you assert yourself it does get easier.No one has to suffer in silence. Don't fall into passive aggressive behavior. Think about exactly what you want to...
  10. I don't think I can handle this!

    Not all LTC's are like that.I learned that lesson the hard way.The facility I work in now is county run-the benefits are much better then at the private LTC's in this area. We have great retention of...
  11. My class voted and we wore caps and fugly white uniform dresses-we all strutted like peacocks.I would NOT trade that night for anything. Our school has a uniform closet-I donated everything after...
  12. Medication Errors-Why?

    I'm in LTC and our med passess are for 22 to 30 residents. We have our share of mistakes due to a break down somewhere in the system but where I work I also see alot of mistakes due to the...
  13. dishonesty in diagnosis

    i've never heard of this-i'll have to do a bit of research-that is a sad diagnosis.but-how dare those doctors withhold such info-i find that reprehensible.of course she would get depressed-wouldn't...
  14. when I worked med surg evenings we did sometimes run late but not every shift.As for scheduling-if you must work every other weekend then you must find someone to switch with to take a weekend day...
  15. I don't think I can handle this!

    Actually the "Lpn" who told you not to remove the residents tray was correct.The state would have field day with you.Instead consider some things to assist these slow residents with their meals.Can...
  16. What do you wish for in a break room?

    After the day I had today I would have loved one of those Margarita machines.....and some nachos with chesse and
  17. I don't think I can handle this!

    You are jeopardizing not only your license but patient safety every day.RESIGN ASAP...Write out a resignation and offer to give them 2 weeks notice.Lay it on nice and thick -stress things like patient...
  18. Why so desperate? Get on the waiting list for the best program you can find in your area.Spend the time waiting working as much as you can and saving as much as possible so when you actually start...
  19. I've posted several times before about our LTC's resistance to bringing in any hospice agency.I believed we where making progress when we finally added a "comfort care" protocol to our P & P.It...
  20. Quality of Life Issue

    This won't be the last time you see something like this.Until advance directives are legally binding it will continue.And even then they are going to be somewhat open to interpretation-we all need to...
  21. IV drip information

    You are still functioning as an LPN,correct? Go to your state BON web site and look up your scope of practice.Then go to your facilities policy and procedures manual and do the same (in my experience...
  22. Held Hostage By The Schedule!

    I worked at a facility like that-(past tense-that was why I left) Every other facility I have ever worked in used regular rotations.I am full time,work every other weekend and am off every other...
  23. helpless, hopeless & frustrated

    Can't social service take immediate action and contact adult protective services?...They had better do somethiing STAT to stop the madness.The powers-that-be should NOT have let this situation go this...
  24. Lpn programs...whats the point!!

    Please do let us know if this is true-I suspect you may be disappointed.We have a few brand new RN's that are unbelievable. Catty,rude,un-professional and ill mannered twits.One chica has some...
  25. Lpn programs...whats the point!!

    Maybe others can see that HUGE chip on your shoulder and it's keeping you from interviewing well..As others have said inexperienced nurses all over the country are not finding jobs in acute care.As...