ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. fed up and set up

    ktwlpn replied to knockandhello's topic in Geriatric, LTC

    The answers always seem easy when you are the full time day shift charge nurse in LTC and can make changes to the med pass and routines ad-lib (within facility protocol,of course) Usually the other...

  2. Racism in the workplace

    ktwlpn replied to staygold's topic in General Nursing

    There is not one single nurse of color on the day shift with me.So the victims of prejudice are now the openly gay staff members...... I do work with many cna's of different races and there is a small...

  3. Refusing oral care!

    ktwlpn replied to mickeypat's topic in Geriatric, LTC

    Has this person been examined by a dentist (possibly while medicated?) If that has been done and pain has been ruled out you can try some of the methods that have worked for me. But-when dealing with...

  4. Large Hospitals in Driving Distance of Lancaster

    ktwlpn replied to Annointed_RNStudent's topic in Pennsylvania Nursing

    Harrisburg is a bit of a haul from Lancaster....Lancaster is closer to Reading Hospital ....Here's a link to help you-http://www.pennsylvania-nursing-school.com/schools.html You can...

  5. just venting. (long)

    ktwlpn replied to JohnBearPA's topic in General Nursing

    Sounds like a challenging day...I would have quietly offered her the meds 3times-if she continued to refuse I would have moved on.If time allowed I would have made one more attempt after the rest of...

  6. "Don't Send Anyone Out!"

    ktwlpn replied to TheCommuter's topic in Geriatric, LTC

    In this area several private nursing homes (some in which I've worked) do NOT have contracts with private ambulance services so if a resident needs to go out for an eval after hours they go via...

  7. "Don't Send Anyone Out!"

    ktwlpn replied to TheCommuter's topic in Geriatric, LTC

    Good post- I would not call it "bad nursing" It is just the nature of LTC.And these residents deserve the same level of care as anyone else.This thread is proof that the older you are the less value...

  8. "Don't Send Anyone Out!"

    ktwlpn replied to TheCommuter's topic in Geriatric, LTC

    Not only do we not start lines we are a 'no code' facility.This is made clear at the start of the admissions process..We only accept residents with central or picc lines for long term antibiotics-we...

  9. resident in pain, what to do?

    ktwlpn replied to pansylvr523's topic in Patient Safety Issues

    Our DON often turns to the DOH for input in this kind of situation...Your DON can make the call.I have seen cases in which the resident was made a ward of the state-if this resident was in the...

  10. resident in pain, what to do?

    ktwlpn replied to pansylvr523's topic in Patient Safety Issues

    Please believe-it does not matter that she is the POA.If you have good documentation to show that this resident is not receiving adequate pain control the state and the ombudsman will advocate for the...

  11. Code Blue in the ICU

    ktwlpn replied to saernurse69's topic in MICU, SICU

    Great post-it is very hard for many of us to be non-judgemental when delivering care. We can only make these hard decisions for ourselves and our loved ones and what we believe we would do may not be...

  12. "Don't Send Anyone Out!"

    ktwlpn replied to TheCommuter's topic in Geriatric, LTC

    You have to remember that the charge nurse may have 20,30 or more other residents to care for and resources can be limited.Labs and X-rays are not on site at my work and take hours to obtain.We don't...

  13. Patients making me feel dumb

    ktwlpn replied to kmokay's topic in General Nursing

    "there are no victims-only volunteers" Don't let the ignorance of some people get you down..Does your name tag clearly state your title? Nothing wrong with a fast description of your duties and a...

  14. Have you ever taken care of a famous pt?

    ktwlpn replied to Foxfour's topic in General Nursing

    :wakeneo: Oh for goodness sake----there is NO identifying info in that post or in the poster's profile.We don't even know what part of the country they are in.Please lighten up and have fun with...

  15. resident in pain, what to do?

    ktwlpn replied to pansylvr523's topic in Patient Safety Issues

    Call the state department of health....We had a similar situation at the LTC a few years ago-the dtr was a nurse and would call the physician with her demands and he would call in verbal orders to us(...

  16. Being an LPN is not even anything important.

    ktwlpn replied to candyLPN2Be's topic in LPN, LVN Corner

  17. "Don't Send Anyone Out!"

    ktwlpn replied to TheCommuter's topic in Geriatric, LTC

    You can educate 'til the cows come home and you'll still see 90 to 104 yr old LTC residents dying in hospital. The ignorance and selfishness of many families is unbelievable. THey just won't let...

  18. "Don't Send Anyone Out!"

    ktwlpn replied to TheCommuter's topic in Geriatric, LTC

    So you interrupted their morning coffee break-you ARE

  19. Sometimes I hate being the nurse in the family

    ktwlpn replied to TazziRN's topic in General Nursing

    I don't know many teenagers that would be eager to clean up the babe's vomit,honey.That's mom and dad's job .My son won't even pick up a furball.... In your case If dad refuses to help I think he'd...

  20. "Don't Send Anyone Out!"

    ktwlpn replied to TheCommuter's topic in Geriatric, LTC

    Mean? Mean towards who? You must have called 911 during their dinner break....And who are they going to file this complaint with? Your employer? The BON? What crap...How many times have paramedics...

  21. Dementia: Optimal Goal? Help pls!

    ktwlpn replied to discobunni's topic in Nursing Student Assistance

    don't forget quality of life issues-maintaining comfort and maintianing their current level of function as long as

  22. Too Sensitive to be a Nurse?

    ktwlpn replied to onexmorexgirl's topic in Pre-Nursing Students

    As others have suggested get a treatment plan going for your social anxiety....And seek out some supportive relationships-like here on this board.I wonder what your loved one's motives are?...

  23. New LPN student needing advice!

    ktwlpn replied to mysticalmoonray's topic in LPN, LVN Students

    It is an intensive course especially the first few semesters when you are laying down a good foundation of a and p and you really are memorizing alot of info..Soon things will start to make sense...

  24. whiners, criers, and fakers

    ktwlpn replied to nurseT's topic in Correctional

    Whiner,criers and fakers-I thought you were talking about your co-workers... It sounds like many of mine! You know the ones I'm talking about-the nurse that starts checking her temp q 15 mins at...

  25. G-Tube Feedings and loose stools

    ktwlpn replied to kwagner_51's topic in Geriatric, LTC

    Also make sure staff knows how to properly use the barrier cream choosen- The area should not be scrubbed to remove all traces of the cream or ointment after each BM...Gently irrigate to wash away...