Latest Comments by Turtle in scrubs

Turtle in scrubs 4,841 Views

Joined Mar 8, '07 - from 'Kansas'. Posts: 207 (43% Liked) Likes: 211

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  • 0

    No, I've not heard of this. Without knowing the wound, generally if it needs moisture added then an alginate is not appropriate, as it is utilized to absorb exudate.

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    Hi everyone. I'm looking for some recommendations of a good moisturizer for regular to dry legs to be used under compression wraps, and total contact casts. I'm looking to moisturize while avoiding maceration. Any ideas?

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    poppycat, TriciaJ, kidsmom002, and 4 others like this.

    Definitely check to see what your hospital policy is. This may clear things up one way or the other. If there's a hospital policy against something you're doing then you can either cut your hair, or respectively challenge the hospital policy. If there's not a hospital policy then there's your support to challenge her.

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    Hi everyone!

    Wondering if anyone has gotten an RN license through Endorsement from another State recently. Specifically I'm wondering how long after they specified that it was "In Review" did it take? They have all my info, fingerprints, and I've passed the JP Exam.

    Any recent experience?
    Thanks

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    Thanks HouTx! I'm pretty open at this point. There are no jobs with CSR posted at this time in my field. I have sent over my resume in case something comes up. This past weekend I was in town and stopped by the CSR at the Medical center and it had a good feel to it. Really I'm just snooping around trying to gain any information I can from a far before moving to the area.

    Meditech seems to be a pretty archaic system from what I've heard. I saw the system pulled up at one of the Methodist hospitals and it was like the old DOS black and white screen and they were using F keys! Not that this would make or break a job, but it sure can make it nice when you have a system that is user friendly. I currently use Cerner and although it has its quirks I think it is pretty good for information retrieval. Epic seems to be very well liked as far as EMR's go.

    Really, I'm just looking around. Any thoughts you can share are most welcome.

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    Hi everyone. I'm a Wound Ostomy nurse relocating to SA and curious about CSR hospital. Can anyone tell me what EMR charting system you use? Is it a good place to work? Any thoughts on their Wound Ostomy team?
    Thanks!!

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    Can anyone please tell me what EMR computer system Methodist uses? Epic, Cerner, McKesson....

    Thanks!

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    Thanks woundnurse4u, ... so was it on Monster.com that you found your job, or did you use a headhunter?

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    I'm currently working as a WOCN and looking for a WOCN job in the Richmond VA area, but haven't seen much of anything. Most of the WOCN's I know got their job at the place they were already working, or by word of mouth. I'm not sure how best to go about this. Applying for staff nurse jobs in the past was pretty easy, but this seems to be a different ballgame. Anyone use Monster.com?
    Any thoughts are welcome. Thanks!

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    Not a dumb question. But when you say "do I have to", do you mean from an employer standpoint, or the certification board?

    From the certificate board standpoint, it looks like you have 5 years to take the exam after finishing your course work. (I would not recommend this)
    Eligibility | Wound, Ostomy and Continence Nursing Certification Board

    From an employer standpoint it all depends on the employer. I imagine most would expect that you would be taking it within a few months of finishing your program.

    From a practical standpoint... job or no job, I recommend taking the exam soon after you finish the program. The information will be fresh and it will make you more marketable.

    Hope this helps!

  • 0

    Thanks RachRN11!

    In my reassessment I can (and do) write out a description, and I agree with what you said. Problem is, we expect the nurses on the unit to be documenting the PU's in a EMR with little drop down boxes that don't allow for all that. Also if it is a HAPU, Risk Management is involved and they want a definitive answer... as do our billing coders.

    As a staff nurse I was sometimes frustrated when the WOCN's would evaluate my patient and in the consult would write out what I saw as an ambiguous description.... meaning I still didn't know how to fill in my little boxes. Now as a WOCN I find I am doing the same thing in an attempt to best describe the history and current state of the ulcer. As a WOCN I want to provide the best assessment and yet at the same time be of the most help to my staff. I'm finding a disconnect here that I'm not sure how to bridge.

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    1. You assess a wound for the first time and it is 100% covered with adherent slough. You cannot see the wound bed. Unstageable. You apply santyl and with two weeks you can see the wound bed and there clearly is no bone, tendons, etc. How do you stage it now? Stage III or healing Unstageable?

    2. You have a DTI; dark purple with dry, intact skin. A week later you assess and it is opened up with that dark, moist slough and exudate. How do you stage it now? Evolving DTI or Unstageable?

    Feedback please! Thanks!

  • 3

    Good discussion. As for pt's I have no problem holding their hand, bowing my head, etc as they pray, but if they want a prayer led I call in the chaplain. If a patient asks me directly about my religion I say "my family is Lutheran". Which is true. They are; I'm not. But pt's want to feel comfortable with their nurse and I don't mind going with their fantasies a bit. If they start getting pushy or more intrusive I have to cut it off (politely of course) and the indulgence of fantasies come to an end. But that has rarely happened. Most people what to just feel comforted and cared for.

    Co-workers are another thing altogether. The facility puts out prayers in our newsletters, there are prayers and crosses on the walls, and they pipe in the Sunday worship service on the TV every sunday morning, which in reality is a welcome break from Fox news. But none of that bothers me too much, it's just there. Sort of like people leaving Christmas lights and life size Santa Clauses up all year. It gets old, but so be it. Where I am uncomfortable is with my boss who is very religious and seems to hire mostly fellow Catholics who she goes to church with. I get along great with my co-workers but don't feel comfortable at all sharing my beliefs, or lack there of. Not that she would outright fire me for that, but oh she could make my life hell. Hmm... well, hell on earth

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    Congrats coolbreezegirl!!! Sounds like things are really falling into place for you. All the best

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    Hi ae corpuz, Unfortunately I don't know anyone in your area.

    Is there any way you could do your coursework at home and do clinicals at Emory? One thing to consider is not just who you can get for preceptors, but the quality of clinicals you will get. I wish I could have done my clinicals through Emory as I feel like I would have possibly gotten a better experience. But of course, if you can't take off work for a month this isn't an option. Just a thought.


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