ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. mandatory to stay over after your shift?

    If we call off on a weekend we have to make it up the next(we work every other weekend) This has cut way down on weekend call outs....We do have to stay on the floor until we are relieved-our...
  2. afraid of errors/overworked/no time off

    YOU must draw the line-Don't pick up that phone when they call you in on your days off.....If residents are being neglected and hurt due to staffing issues make an anonymous call to the state...You'll...
  3. treating fever

    I'm involved in implementing "comfort care" guidelines in our LTC (we don't consult hospice) and I can't find much on treating fever....It seems futile to me-if you have good pain control and symptom...
  4. Night Sweats...Why?

    I'm betting you are peri-menopausal...Get ready for a fun ride.....There are plenty of great books available -check them out.You'll be surprised at what you don't know about the changes you are going...
  5. treating fever

    I'm talking about residents that are actively dying-they are long past tylenol or antibiotics......I'll keep the peppermint soap tip in
  6. You do need to learn to stand up for yourself-more on that later.You also have to be mature enough to accept constructive criticism-maybe the other nurses were both correct and you were...
  7. Things Patients Have Taught Me NOT To Do

    Don't sample your mother-in-law's m.s. contin by crushing and snorting it the afternoon of her funeral because a co-worker offered you $10.00 a tab and told you"Try it-It's a great high" When your...
  8. Anyone have a coworker like this?

    Having had miscarriages myself and having lost several loved ones to terminal illness and lived through countless broken hearts when I was single I was able to realize that they were the same things...
  9. Anyone have a coworker like this?

    There are no victims-only volunteers....This type of person can only upset you if you let them.....Walk away-limit your
  10. state survey question

    It is a "state thing" How in the world do you get that number of meds out within the mandated time limit? I can't believe the surveyors have not made an issue of this..We now have 2 med carts with a...
  11. Just needed to get this off my chest.

    I firmly believe the evil ones are suffering -we can't always see how but they are.......-The ones that get out of this early are getting the
  12. Is This True? (extra coccyx bone, tail?)

    in some countries you'd be killed for being evil -or possibly revered for being holy-you just never
  13. Faith Hill makes fun of nurses!

    Probably-everyone is fair game in the entertainment industry.They'll make fun of anyone to get a laugh....Let's not take ourselves too seriously.The real problem lies in the general public's...
  14. very very very bad bad man

    You do have to keep an eye on the bottom line but you can't step over that line into neglect........OSHA would LOVE to hear about the lack of adequate PPE-not to mention the dept of health.I'm sure...
  15. No Relief, Embarrasing Moment

    that bites-I think you should report her and push your complaint all the way up the chain of command.That's a horrible thing to do to anyone.Thankfully I don't have those issues any longer but I can...
  16. hmmm-nevermind-i won't go there tonite.i just don't have the
  17. Deaf people

    I actually have never met any deaf patients that used sign language but 2 of my nieces have learned it.They're 17 and 8.They signed a beautiful song at a family wedding a few months ago- it brought...
  18. setting limits in long-term care

    I think we need some clarification -why type of facility is
  19. med carts/control freaks

    No you haven't heard it all yet---I was called to the ADON's office for counseling over the matter yesterday...After I clocked out the day of the "unfortunate incident" this nurse really threw a fit...
  20. Eden Alternative???

    The originator of the Eden Alternative is raking in money-it costs BIG bucks to bring into your facility and it is set up in a way that reminds me of the Church of Scientology.Until you contract to...
  21. The OP is apparently not a nurse-and we all know the level of training the cna undergoes.A good nurse will try to educate the staff and in my experince the first thing an immature inexperienced aide...
  22. Final Rule on Posting of Nurse Staffing

    Posting the numbers forces facilities to comply.As long as you are in compliance then I don't see how the numbers alone will contribute to law suits.It's a good quality control indicator.I do agree...
  23. med carts/control freaks

    Guess who I gave report to this afternoon-the med cart nazi...It got very ugly,very fast.She stood with her hands on her hips and told me I had to "put the med cart back the way it was" or "I'm not...
  24. Help me please on this topic!!:selfbonk:

    15 pages? Yowzaa.....What does happen to the material from the procedure? Does the patient have to sign a release? Can the facility dispose of it in any way they see fit? Is it the nurse's...
  25. animal research

    >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>So the "stakes "are...