nursbaybie BSN, RN

nursbaybie is a BSN, RN and specializes in Med Surg.

Latest Activity

1. For DON about regulations

   nursbaybie replied to nursbaybie's topic in Geriatric

   are you sure you mean title 42 and not cfr 42? I haven't seen any federal "titles" only codes or regs. thanks

2. What is it with the nurses in LTC?

   nursbaybie replied to lilypad2424's topic in Geriatric

   i work in ltc because it is not stressful compared to acute care. I've been a nurse long enough to know the difference. I used to leave acute care 2 hours late on a good day, and I was the most efficient (meaning most left 3-4 hours late) this was at...

3. stroke in LTC

   nursbaybie replied to ajaxgirl's topic in Geriatric

   sometimes people wonder if a patient is dnr why transfer? what would they do for them anyway, especially if the window of quick treatment is gone. well, one thing is to determine if the stroke is hemmorrhagic or ischemic. If its a bleed vs. ischemia,...

4. stroke in LTC

   nursbaybie replied to ajaxgirl's topic in Geriatric

   I have suspected strokes in several residents over the past year. Out of 5 suspected strokes I've seen, 4 were confirmed. First thing I noticed in each of them was a change in mental status. Lethargic, weak, speech changes, or lack thereof. Once I n...

5. work in er now,but want to do wound care

   nursbaybie replied to Emmjay's topic in Wound

   Hi, MMJJ I have always wanted to work in ER, but circumstances have forbid, believe it or not there are not openings in my area. So.....I am now a treatment nurse in long term care. I have worked med/surg, ICU, pediatrics, telemetry, and acute heart ...

6. Unna boot

   nursbaybie replied to bethroew's topic in Wound

   First of all, the correct terminology is Unna's Boot. Second, no it is not acceptable to go back down the leg. to First, you clean the skin thorougly, then flex the knee. NExt, position the foot at a right angle to the leg, wrap firmly but not tigh...

7. Decubitus ulcer prevention

   nursbaybie replied to Nvr2Old's topic in Wound

   Yes, APP mattresses, or actually low air loss mattresses are better, applying something like a and d to certain areas is good to keep the skin greasy therefore prventing things from sticking to it such as for wounds that occur in folds of skin for ob...

8. Undermining: What it is?

   nursbaybie posted a topic in Wound

   I've read so many descriptions of undermining, I just want to know, in simple terms, what exactly is it? How is it different from tunneling? And how are both different from sinus tracts? If you have any photos of the 3 please share. I've read many co...

9. For DON about regulations

   nursbaybie replied to nursbaybie's topic in Geriatric

   I am not a DON. I am just a staff nurse in LTC, actually treatment nurse, but whatever. Anyway, I am just interested in learning all the regs. As I've stated above, I believe I have actually found what I'm looking for, but I just want to be sure that...

10. For DON about regulations

    nursbaybie replied to nursbaybie's topic in Geriatric

    thanks for your replies. I believe i have found the federal and state laws, but i have no idea where to find the local laws. the only people that survey our facility is the state, but they are contracted by cms to conduct the surveys according to th...

11. For DON about regulations

    nursbaybie posted a topic in Geriatric

    I live in california. our state regs are title 22. then there are the cms federal regs. so which ones are we to go by. the state? or the federal? and in title 22, if anyone is in cali, is it just that division 5, chapter 3 (licensing is chapter 5) an...

12. common meds in LTC

    nursbaybie replied to ajaxgirl's topic in Geriatric

    Sinemet is the most common where I work. why don't we all list the common ones where we work that'll give a real good list, even if we duplicate it will show that it really is common in most places. I just started so my list is short: sinemet, os cal...

13. Telemetry staff ratios

    nursbaybie replied to lee1's topic in Cardiac

    At the facility where I used to work, we had a small community hospital med surg/tele/peds combo...38 beds. The ratio was 1:5 on all shifts, 1-2 cna's depending on the census. Generally tpc was expected with cnas taking vitals and passing trays, etc....

14. unable to get a job

    nursbaybie replied to nursbaybie's topic in Management

    way.

15. unable to get a job

    nursbaybie replied to nursbaybie's topic in Management

    well