ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Rhinestone crocs.

    ktwlpn replied to megananne7's topic in Scrubs, Uniforms, Gear

    but just think about the amount of grunge that will collect around those

  2. Back from the Desert and Thankful-What are you thankful for?

    ktwlpn replied to military girl's topic in General Nursing

    Thankful for you and others like you....My son is on the delayed entry program-he has enlisted in to the Marine corp.....He'll leave after he graduates next June....I'm thankful for him and the rest...

  3. Question from a new nurse

    ktwlpn replied to Cinnamongirl's topic in General Nursing

    Usually temporary in my experience....Usually they'll have an n/g tube to suction-if the have a peg or g tube already it can be placed to suction...They'll have TPN/IV fluids until they can tolerate...

  4. Number of Meds per Resident

    ktwlpn replied to aander2's topic in Geriatric, LTC

    I just LOVE the little old ladies with tablets,lotions,potions and nostrums for every orifice.It's impossible to change that lifetime habit in my experience..The doc will cave every time..I had a gal...

  5. Docmentary "The Bridge" and Suicide

    ktwlpn replied to student456's topic in General Nursing

    I saw it too (I love Netflix-they have the BEST indies and documentaries ) Weren't the cameras set up and left to record like security cameras? I believe the next of kin had to sign a release and...

  6. is this abuse?

    ktwlpn replied to jennifers's topic in General Nursing

    You can go to the medicare.gov website and click on the "nursing home compare" link and learn everything you want to know about how nursing homes are monitored. There are quality indicators that...

  7. Needing to vent R/T attendance policy vs chronic illnesses

    ktwlpn replied to Lorie P.'s topic in General Nursing

    I am sorry for the crap you are going through.The first thing I think you should do is tell your NM you want a meeting with him and human resources to go over the applicable policies.I think your NM...

  8. Held Down and Forced to Take The FLu Shot

    ktwlpn replied to Nurse_FF_EMT's topic in General Nursing

    I see we are all still waiting for an update....What's

  9. Nurses and Mental Illness

    ktwlpn replied to nurse2b2010's topic in General Nursing

    No offense was meant-I happen to work with several bi-polar nurses and they often run into trouble because they go off their meds,adjust their meds without their doctor's consent or stop going to...

  10. Nurses and Mental Illness

    ktwlpn replied to nurse2b2010's topic in General Nursing

    Just stay on those meds-nothing is more frustrating then working with a rapid cycling un medicated bi-polar person (in any

  11. Spouses scheduling conflict

    ktwlpn replied to wayunderpaid's topic in Patient Safety Issues

    Jurt keep in mind that this problem is up to the 2 of you to solve and work at it.Accept that it is not management's responsibilty or your co-workers.They are YOUR kids.One of you may have to cut back...

  12. Funeral Director messed up BIG time

    ktwlpn replied to ShayRN's topic in General Nursing

    Sounds like you had an emotionally trying shift.And maybe got sucked into the family's vortex.Happens to us all-we let our professional judgement be influenced by emotion. I agree with other...

  13. Held Down and Forced to Take The FLu Shot

    ktwlpn replied to Nurse_FF_EMT's topic in General Nursing

    Sadly this is the mentality seen often in small facilities and in LTC.Our last administration had a long history of intimidation and flat out lying to employees.It's a county home-years ago someone...

  14. Med Error Suspention Anyone?

    ktwlpn replied to 50&fabulous's topic in LPN, LVN Corner

    This seems to be the trend in LTC-every significant incident is reported to the state department of health.They want to know what is being done to prevent these problems.LTC's in this area are...

  15. How do you handle non compliant patients??

    ktwlpn replied to pink2blue1's topic in General Nursing

    QUOTE> The first thing you need to do is put yourself in your patients shoes. He is hungry. Hunger and pain will drive a person to do things that don't make sense to someone who has a full belly...

  16. just a vent

    ktwlpn replied to Indy's topic in General Nursing

    just when you think you have seen and heard it all...."so sorry that your dad is not dying at a convenient time for you" Although-having been at the bedsides of parents,a child and a friend you do get...

  17. PICC lines and ?Infecton

    ktwlpn replied to JailRN's topic in Infusion, Intravenous

    I bet you'll be seeing more and more of this type of thing-Your powers that be are going to have to get you all prepared. No supplies? I don't know how long you can let a PICC go without flushing...

  18. PICC lines and ?Infecton

    ktwlpn replied to JailRN's topic in Infusion, Intravenous

  19. Zithromax

    ktwlpn replied to Indy's topic in General Nursing

    Are you taking some probiotics? You really should-anytime I'm on an antibiotic I do the yogurt with live active cultures and lactobacillus caps.It makes a big difference in the N/V/D symptoms.....

  20. Male CNA's

    ktwlpn replied to JaredCNA's topic in Medical Assistant, CNA/MA

    More and more men are entering into the profession-the patients have to come to terms with it.After all-doctors were predominantly male for years and women did not hesitate to let them do PAP...

  21. Floating=dumping bad patients

    ktwlpn replied to lmc512's topic in Ob/Gyn

  22. i need some support with an injury

    ktwlpn replied to cardsRN's topic in General Nursing

    have you tried a chiropractor? I was never a believer until a few months ago-both myself and my husband have had great

  23. Tell me more about g-tubes and J-tubes

    ktwlpn replied to raindrop's topic in General Nursing

    G tubes and Peg tubes are inserted through the abdominal wall into the stomach-different methods of insertion.PEG refers to percutaneous endoscopic gastrostomy and G tube refers to direct gastrostomy...

  24. sensitive, "morbid?" question for labor-delivery RN's...

    ktwlpn replied to christen13's topic in Ob/Gyn

    I feel some kind of way about that service.How does "prettying up" the baby affect the grief process? We lost a baby girl at 20 weeks-we did hold her,the staff did takes some pics for us.The pics are...

  25. Floating=dumping bad patients

    ktwlpn replied to lmc512's topic in Ob/Gyn

    what "type" of patient? Are you saying you are not comfortable with PICC lines and feeding tubes? Sounds like it was a good learning experience for