FranNHRN

FranNHRN specializes in Home care, LTC, subacute/acute rehab.

Latest Activity

1. daily baths?

   FranNHRN replied to organdonor's topic in Rehabilitation

   Funny that you should ask this question because it has been an issue of debate on my rehab unit recently. I've been working on this particular unit for about 1 year. We have never followed a bathing schedule for showers, but patients were showered ...

2. Demerol is passe?? Can anyone fill me in?

   FranNHRN replied to steel magnolia's topic in Pain

   Ahhh, Dermerol. I've had two experiences with Demerol as a patient. The first time was 17 years ago when I had my gallbladder removed the old fashioned way. I had a large abdominal incision and was given Dermerol IM Q 3 hours round the clock. It was ...

3. new to acute rehab...how is it different from med-surg/ortho?

   FranNHRN replied to dee_nurse1's topic in Rehabilitation

   I work on an acute rehab unit. To me, it's different from med/surg because patients are expected to get dressed and out of bed daily for rehab. they are encouraged to do as much for themselves. We do get sick patients that need blood transfusions ...

4. Is job shadowing possible?

   FranNHRN replied to SwampCat's topic in General Nursing

   When I worked in home care, shadowing was very popular because many nurses don't know if home care is something they want to go into. Our agency used to have a policy for students and anyone shadowing that they were to sign a "confidentiality agreem...

5. under the influence at work/sleeping on the job

   FranNHRN replied to cafenurse1112's topic in General Nursing

   If I were you, I would continue to complain in writing and cc a copy to HR. I would totally stop during her work, as you said. Eventually her errors are going to catch up to her. I think it's okay to close your eyes on break, but to sleep at the d...

6. Ethical and moral dilemma

   FranNHRN replied to pdaddy's topic in General Nursing

   I agree with everyone that said you must have a ethics commitee that you can consult as well as risk management. I think the family has a right to know, I just don't think it's your responsibility to give that info out.

7. Do you find it hard to leave work at work?

   FranNHRN replied to slsmithe's topic in General Nursing

   I have always found myself wondering how patients are doing if I've had a particularly sick patient. I left for vacation and thought about a patient that I knew was having a back sacral ulcer debrided while I was laying on the beach. I had a brief ...

8. Unstagable/Suspected Deep Tissue Injury

   FranNHRN replied to LTCRN4LIFE's topic in Wound

   I also agree with Smokey. Deep tissue injury would present as purple...more like a fresh bruise. The presence of eschar makes it older and unstageable.

9. What type of nursing is best for an introvert?

   FranNHRN replied to Llynn's topic in General Nursing

   I worked home health for several years, and although I am not an introvert I could see how an introvert may enjoy it. You work alone most of the time and are 1:1 with the patient. We used to only meet once a week with our coworkers for team meeting...

10. What type of nursing is best for an introvert?

    FranNHRN replied to Llynn's topic in General Nursing

    That's funny!!!

11. Help me with my dad

    FranNHRN replied to AmericanChai's topic in General Nursing

    Just a couple of thoughts....does your dad have insurance? If he does, the insurance could be paying for his bandages. Also, I would recommend that he see a wound specialist. If he is draining that much he possibly could be a candidate for a wound...

12. AMAZED at what some students get away with!!!

    FranNHRN replied to nervousnurse's topic in General Nursing

    We get different groups on students at a time in the fall and spring. I hate to say it, but I find that how the students behave can be a reflection on the instructor. One of the instructors I work with will have her students help out with answering...

13. Stage III and growing...Please help!!!

    FranNHRN replied to bluegeegoo2's topic in Wound

    A wound vac would be perfect for this wound. Hopefully the wound clinic will recommend it. How can your facility refuse? It should be covered by Medicare and continue when she goes home.

14. Help Needed to treat wounds effectively

    FranNHRN replied to KimRN41514's topic in Wound

    Patients need to have their circulation checked in their lower extremities prior to applying unna boots. Applying unna boots on someone with poor circulation could be dangerous.

15. We are trying a new wound vac company

    FranNHRN replied to gettingupthere's topic in Wound

    I have seen the Blue Sky system once in home care. I like KCI's system better. I only had the one patient on it, but it seemed as though his wound did not heal as fast. I think KCI's system is easier to use, too.