ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Ethical Decisions

    Back in the 80's my first full blown AIDS patient was married-his wife did not know his diagnosis and he wanted to keep it that way.Everyone on the unit was really upset over the situation-I'll never...
  2. Quitting...are they all the same??

    The LTC I worked in prior to my present one was staffed like that-I regularly worked evenings on a 62 bed unit- it was always 2 nurses and 3 cna's-and we nurses were expected to stop everything to...
  3. My clinical experience at LTC

    Try another perspective---this ladies "prison" is her body....She is more fortunate then many-she has her husband coming everyday probably catering to her every need and possibly being made to feel...
  4. Tylenol, how safe is this drug

    ---As another poster said one can OD on water-remember the woman that killed her child with salt a year or so ago? Where does the FDA's responsibility to the public stop?How does personal...
  5. Next time try- " well I'm so slammed right now-how about you getting us each a cup?" Bottom line-he is NOT a nice person-don't feel bad about it. His handicap does not excuse his...
  6. contact your hr department for info on tuition re-imbursement.that is probably what they are touting in their ads.they have to provide a certain number of inservice hours annually for each...
  7. Advice needed

    It really does sound as though the resident needs help that she is not getting in LTC.These residents can be very difficult to manage and in my opinion don't belong in the LTC population when they are...
  8. scabies at my facility.

    We've had 2 major outbreaks on our secure dementia units in the past 10 years.We have a policy now to cover not only the residents but the employees as well.First-I don't understand why the doc told...
  9. TIPS procedure

    -I'm in LTC and we have a gal that recently had this done and the improvement in her quality of life has been remarkable.She was end stage-going for taps almost weekly,increased confusion-really...
  10. Verbal Abuse and Neglect--What Should I do???

    call the ombudsman and the state.Have you submitted written documentation containing specific instances of this behavior? Do so asap-That's what it takes to enable admin. to take
  11. notifying families

    YES---
  12. old nurse/new to nursing home work

    I'm 7 to 3.I run with the treatments in the first hour-I do the skin assessments (we do ours on the resident's bath day and I do mine before they get out of bed ) I assess and get vital signs as I go...
  13. What would you do if this was your patient?

    You did everything you could do in the er-you made the patient as comfortable as possible.We often see this type of scenario-Medicare/medicaid will take care of the LOL.She'll end up in an LTC and the...
  14. That Phantom Nurse

    aka "some nurse" I work with her/him in LTC. The resident will say "some nurse" says I can :fill in the blanks: so why don't you call the doctor?
  15. Nicknames you give patients?

    How about " the black hole" You know-the one that is sucking you into it's vortex and sucking the life force out of
  16. holiday hall decorating ideas...

    Your own money or from the home's activity fund? We don't get a penny and are STRONGLY encouraged to decorate .The residents judge the units but no prizes are awarded.We have to use our own money and...
  17. Held Down and Forced to Take The FLu Shot

    The Germans did,too...Even though the Geneva convention prohibits bio-terrorism we'd be foolish not to believe that our Goverment is diligently working away in biocontainment labs busily trying to...
  18. My baby has lice

    God love you ,honey.Good Luck.Great attitude,too-you are looking at the cup as half full.Enjoy your time together 'nitpicking" My poor son was so paranoid about all things infectious (thanks to me)...
  19. Held Down and Forced to Take The FLu Shot

    HOHOHO!!! That's so funny!! BUT-I read a book a few years ago about Lyme disease-"Lab 257".It scared the crap out of me.If you look at the history of the disease cases first appeared on the New...
  20. Held Down and Forced to Take The FLu Shot

    A couple of years ago during the vaccine shortage we got ours really,really late.We quarantined for a few weeks --we did not have armed guards so it was really not very effective.We did stop all...
  21. Families from Hell

    I'm in LTC.....Yee gads-It's like a party--a bunch of drunken monkeys on Ecstacy.Mean drunks,too..They will treat us like crap if we let them.I am dreading the holidays.Not only do they come bearing...
  22. Where's the Aide?

    That really hit my funny bone-and some days it really does feel as though I have that many patients all clamoring for attention...I do agree that it is not up to you to jump in and do the other aides...
  23. Survey begins

    argh! Last Saturday morning at 8:30.........These people well know that most of us are better staffed during the week-I guess they decided to shake things up a bit this year.Saturday I worked with an...
  24. Quitting...are they all the same??

    All LTC's are NOT like that...If you really enjoy that population keep looking..Maybe go with an agency for awhile so you can check out the facilities in your area. I'll give you a few...
  25. I like mine.....I recommend it to others with the following proviso-You can't just screw up and not care-You are dealing with people's