ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Gastric bypass - psycho

    It sounds like the surgical group is not doing proper pre-op teaching ....Many nurses treat the morbidly obese with prejudice-maybe they sense this from yourself and many of your co-workers? We have...
  2. The tricky thing with posting on message boards is it is impossible to "read" someone's "tone" As an ( :uhoh21:almost) 50 yr old woman with over 30 years of experience in healthcare both as a cna and...
  3. Could it be incompetence instead? You have posted in the past about problems you have had throughout your career and appear to accept no responsibility for your actions.We can't learn from our...
  4. PLease read about TENS -put aside your judgments for a moment-is it possible he had something other then psoriasis? Once you see this you never forget it-it can move fast and it's deadly..And once you...
  5. It sounds like a little more then psoriasis-did you ever hear what his final dx really was? TENS,maybe? I've seen that-it was really something (ps-unless you have experience in LTC both geri and...
  6. Urine smell reduction?

    Try a big foil tray of charcoal briquets under the bed-or a big glass bowl of plain white vinger (back where you won't kick it over) Neutralizers seem to work better then Lysol (Febreeze) Also solid...
  7. This is the thread that never ends and it goes on and on my friends some people started posting not knowing what it was and they'll continue posting forever just because this is the thread that never...
  8. I agree with the above-make sure they have adequate narcs/anti-anxiety meds ordered and administer them promptly.You are not going to change long term behaviors like this during a short acute...
  9. smoking in the work place

    QUOTE~Dear ktwlpn, I work with a nurse who is a Jehovah Witness, and that nurse will not initiate or finish any blood product. I respect that, and I will hang the blood. Then again, this nurse respect...
  10. Nepotism

    we hire them but only recently really started enforcing the rule that they can not work together.Too little,too late IMHO-we have a whole freaking clan of nurses and cna's-we've got...
  11. smoking in the work place

    We do have giant exhaust fans in each of our 2 smoking rooms and we do not have to stand directly in the room so we are protected..If we opt to take the resident outside we can stand several feet away...
  12. smoking in the work place

    How would you feel if you knew that your confused elderly mother fell and broke her hip at the LTC because cna's were off the unit with the supervised smokers? That puts a whole new spin on...
  13. smoking in the work place

  14. smoking in the work place

    We have a number of supervised smokers in our facility-I have had to take them to smoke myself when I have had cna's refuse to do so.I object to that refusal on principle So you don't smoke? Neither...
  15. Say What??????!!!!!!!!!!

    I dealt with a difficult family for several years both in acute care and then when I left that job for one in a local LTC they followed me and placed their mother...The LOL had 2 grown sons-once one...
  16. You can expose her as a liar to the on-line communities she frequents-other then that there is not much else you can do...Don't let her draw you in any more.It's difficult to prove anything any one...
  17. Resident's rights

    You certainly did the right thing-that resident is someone's loved one.She could be your mother,my grandmother or- heaven forbid-ME someday....What you did takes courage and sadly too often many of...
  18. I need help

    don't feel like you are failing her-you are doing the best you can.It's the healthcare system and society that is failing the elderly.You need to consult a lawyer who specializes in elder care.It...
  19. Yep-ya gotta love the absurdities of LTC-they have the right to abuse themselves to death but we have to make sure they do it in a safe manner or we are neglectful.We are neglectful if we let them...
  20. I love threats to "call the state" What a bunch of crap. The "state" expects LTC to make every attempt to meet "reasonale demands" I think residents getting OOB and going out to smoke through out the...
  21. Phase 2 of 'Smoking in LTC'

    Maybe the DON should re-assess the resident-it sounds like he could be unsupervised as long as he turns in the cigs and lighter after each smoke.If she won't do that I don't see any thing wrong with...
  22. Phase 2 of 'Smoking in LTC'

    These behaviors are in every LTC facility I know to a certain extent.I work in a decent one now but we battle daily with the younger population of residents.They have been abusing their bodies all of...
  23. Partial Birth Abortions--NOT an abortion debate

    I think that ending the babies life quickly before it is born is more humane then letting it be born and left to die slowly with out intervention...I have a problem with the amount of healthcare...
  24. Should I tell my friend that she is dying?

    I would not volunteer this information however if my friend asked me I would not lie to her.I would tell her she needs to speak with her doctor-I would make it clear that things are not good and their...
  25. Christiana Wilmington vs. St. Francis

    I have been a patient in both and from that side of the stethoscope I really was more comfortable at St.Francis.It is smaller and older then Christiana but from the minute we hit the front door we...