ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Ativan - her problem, or mine?

    Ativan comes in .5mg,1mg and 2 mg tabs-you can't be giving 10 mg-must be a typo...We have to complete behavior monitoring assessment sheets every time we give a prn anti-anxiety med.It's a DOH...
  2. hospice in LTC/payment

    I have a question regarding medicare/medicaid and hospice patients in LTC...Our LTC does not consult hospice-we do have a 'comfort care" protocol which is better then nothing but we could do...
  3. Plantar fasciitis--it's killing me!!

    I went through it for almost 3 years.My family doctor injected me several times which did help but only short term.When he finally referred me to a podiatrist they fit me for custom orthotics which I...
  4. hospice in LTC/payment

    Thanks for your reply-I
  5. nowhere in my post did i "put down" or "make fun" youe "morals" or anything else in my post . i won't make this thread another abortion debate nor will i continue to engage in a debate in which my...
  6. You may encounter other patients whose lifestyles are different then your own-I hope you can suspend your judgements and are able to provide care without letting your personal feelings enter into the...
  7. PEG feeds

    That's the type of tubing I'm familiar with-we just put the chamber in the pump and then hold the tubing down to stretch it
  8. Mystery symptoms on hip pt.

    did she get IV pepcid intra-op? I've seen similar reactions from
  9. PEG feeds

    I prime through the tubing before I put it through the pump.I would NOT prime it through the pump at the highest rate.It does take longer but that also leaves alot of room for error....Suppose you get...
  10. What to do with this kind of patient?

    Just my opinion which I am entitled to-I believe any one can have a baby but not everyone is a good mother.I'm sure there are many good young mothers (13,14 to 17,18) successfully raising happy...
  11. Why my patient quit nursing...

    yep-They have the right to fall,the right to refuse meds,the right to be as non-compliant with their care-plan as they possibly can.BUT when the inevitable consequences start to occur you had better...
  12. Why my patient quit nursing...

    LTC is horrible,too-many of us feel the same way.What we are doing everyday is about as far from traditional nursing as we can get...I think I'll make soap in my
  13. Deviated Tongue

    maybe Bell's
  14. What to do with this kind of patient?

    Babies having babies.....You have to have a license to drive-why not to pro-create? I work with 2 women who just became grandmothers.Both of their daughters took part in their high school graduation...
  15. Question boxes or bingo cards

    I prefer boxes of meds also for the same reason.It is way easier to lay them out along the MAR and check and double check.Once you pop a med out of the bingo card you can't easily indentify it.God...
  16. don't feel guilty-if you aren't fulfilled then you can't be the best you can be.....Your babysitting situation is ideal-you are so lucky.It's our job as parents to "let go" ...good
  17. Negativity; questioning nursing school

    Some people are chronic complainers.I always wanted to be anurse from the time I was 5 or 6 years old.Every position I've ever had starts out a little rough-some call it "eating our young" .I think...
  18. Any outlandish therapy, you've thought up?

    I LOVE the johnny jump up idea- and it's been invented-I saw something about Christopher Reeve on a television show shortly before he died. He was "walking" in something that looked like that...I...
  19. what would you have done??

    Interesting scenario-it's rare (but is getting more common) for Down's pts. to live such long lives.I would have done a full assessment and put her on some o2 and repositioned her side to side.Often...
  20. What to tell the kids?

    Do you mean while this was happening the dtr asked you these questions while visiting her mother or are you still seeing this child? I think it's up to the family/gaurdian to explain alcoholism to...
  21. ew! But-very common-I had a youngish guy at our small local community hospital once that came in because he had choked at dinner 2 days previously and felt like "something is caught in my...
  22. Gastric bypass - psycho

    If prevention worked we'd be a society of fit and non- smoking non -drinking non-drugging non STD'ing and non teen pregnancy people ....--and that ain't happening . However-rent "Supersize Me" It...
  23. Gastric bypass - psycho

    The lap band is restrictive only-not malabsorptive.I'll cop to it-I had it a year ago-I am loosing wt slowly and because of that I'm not sagging and hanging.Nothing different at the other end.I was...
  24. assault in nursing home

    View article in its entirety: http://www.phillyburbs.com/pb-dyn/news/111-06242007-1367970.html >>>>>So what do you all think? I believe the home did everything they could have done-they...