nurselearner

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1. self adaptive wound dressing

   nurselearner replied to Georgia peach RN's topic in Wound

   I just received a generous supply of samples and I am trialing them. They are expensive, but maybe?????? in the long run cost effective.

2. How do you respond when you tell people you are a hospice nurse?

   nurselearner replied to RachelRN25's topic in Hospice

   Interesting topic - because it can just stop a conversation. I have been working on an "elevator" speech - an introduction to what I do rather than what I am. It starts out "I am Registered Nurse with specialized training in evaluating and caring for...

3. Hospice certification exam

   nurselearner replied to hcan's topic in Hospice

   My preparation was to take the test that goes along with the core curriculum multiple times as well as the online test. First it showed me the areas where I needed to study more, but just as important was how to read the questions. Pay close attent...

4. National average for pt caseload

   nurselearner replied to Em1995's topic in Hospice

   I agree. The only difference is that you are not driving. But patients may be on different units. And You must also document on the facility chart. You may be done and thena family member comes. You are speaking to manny more people and checking...

5. venous stasis dsg problem

   nurselearner replied to terrapin's topic in Wound

   one hint - after applying the ace - it should be snug but able to get your fingers under it - aplly tape length wise. It keeps it from raveling down. we used this in ortho for kids with success. Is the dressing staying dry? For my patient before...

6. Standing orders - wound care

   nurselearner replied to nurselearner's topic in Hospice

   Ok - if no body has standing orders for wound care-then how do you do it? Write the orders and get them signed with every change? Please help.

7. Standing orders - wound care

   nurselearner posted a topic in Hospice

   We have standing orders for symptom management and are thinking of adding standing orders for wound care- stage 1, 2 and 3. Does anybody have standing orders for wound care and how was it done? protocols? supplies? Thanks for any input.

8. how to speak to pt regarding prognosis

   nurselearner replied to fusster's topic in Hospice

   Do you have a palliative care team at your facility? Our hospital does and any one can order a palliative care consult - it is not just for "hospice" but also for symptom management and decision making. Are her family inviolved? If so- they may be...

9. stage I, II, and a III

   nurselearner replied to bebop1's topic in Wound

   Even if medicare will not pay for an air cushion they are usually less than $25 and can be purchased in some drug or medical supply stores. Shifting weight side to side (rolling hips up) helps relieve pressure. Barrier spray and paste work well whe...

10. When you have a patient with a necrotic sacral wound

    nurselearner posted a topic in Hospice

    How are you treating it? What dressings do you find are most effective in this area - in terms of staying in place, not letting incontinece get into the wound, and being effective for absorbing etc. Would really appreciate your experience. Are you d...

11. Weeping legs and wounds

    nurselearner replied to rnkalee's topic in Hospice

    When I had a patient with that kind of weeping in her legs we used poise pads (for urinary incontinence) instead of abds and ace wraps- wicked away the moisture - the "sticky" backing held the aces in place and they kept the aces stayed dry - were le...

12. wound odor

    nurselearner posted a topic in Hospice

    We have an end stage patient on hospice with a necrotic sacral wound. Pain is well managed and the family does not want aggressive treatment for the wound. She is in LTC and the staff is c/o odor from the wound. Recommendations for dressings, or a...

13. A Serious Problem

    nurselearner replied to windsong's topic in Hospice

    Not all hospices are run the way yours is. Look for another employer - or work the inpatient suite. Your employer keeps taking patients without the staffing because they get paid a daily rate for each patient even if they don't get the care they ne...

14. Skin care question

    nurselearner replied to MedSurgeNewbie's topic in Wound

    tissue viability, What distance learning do you have them complete???

15. Hospice Pharmacia- wounds

    nurselearner posted a topic in Hospice

    Does anyone use this service? How does it work? Do you evaluate the wound and tell them what you need ? How is the cost and what product line do they uuse - thanks for any info.