carl5480

carl5480

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About carl5480

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  1. The Controversy: Mandatory Flu Vaccines

    1)__ Do you take the flu vaccine yearly? If you do not, what is the reason you do not participate (if you don't mind answering this question)? *Yes 2)__ Does your employer have a mandatory influenza vaccination policy as a condition of employment? ...
  2. Dilemma With Documentation

    So you're saying as long as you identify yourself as a scribe or the equivalent it should be fine? Would that not need to be sanctioned by superiors? It is my understanding that dictation and transcription is performed by people who have been trained...
  3. Dilemma With Documentation

    There is currently a difference of opinion in my office, so I'd like to get a few outside opinions if I could. I work within the wound care department in my hospital. One of my coworkers is currently on light duty a therefore is unable, per our boss,...
  4. Obamacare? what are your thoughts

    My first personal experience with ACA: Patient X has "Obamacare" insurance. There are two major hospital systems in my area - one does not accept the pt.'s new insurance, the other does but refuses him outpatient wound care because his plan does not ...
  5. Helo please: Iodoform packing!

    I probably wouldn't be using iodoform at all after the initial dressing. Iodoform, while it does have antimicrobial properties, has recently been shown to discourage tissue growth. I think you'll find that most surgeons and wound care specialists are...
  6. Conservative Sharp Debridement

    My hospital allows CWOCNs to do bedside debridement, as well as physical (and sometimes occupational) therapists. In Texas, any nurse is technically allowed to debride. However, there are strong warnings that you are probably not legally protected if...
  7. You need a WHAT?

    I disagree, somewhat. I don't think having a BSN necessarily makes you a better nurse. But part of what makes the WOC nursing so highly sought after (and a higher pay grade, unless you work where I work) is that these nurses are more highly educated ...
  8. Is this correct practice?

    I've also never heard of the term "resolved with a defect" before. To me, this would be more like a wound that has healed but will always have a noticeable, er, defect. Like it is actually concave compared to the surrounding skin, or the resulting sc...
  9. Sorry, but that's just not true. All wounds, excepting (possibly) only those directly from the OR, have some level of bacterial colonization. For this reason, wound care, and most particularly wound care at the bedside, is rarely a sterile procedure....
  10. Necrotizing Fasciitis

    It seems that my area has a growing number of these cases recently, and the preferred treatment is to remove extremely large amounts of tissue, which results in wounds that are then left open for a period of weeks to months (often with daily or twice...
  11. White Board Credentials

    This seems like asking for trouble, if you ask me. What if, one day, the patient has a nurse with multiple credentials. Then, the next day, they have a nurse who is "just" an RN and something is less than satisfactory (for instance, the patient must ...
  12. If that was me, and I'm being honest, I would have written down the order as I'd taken it and I WOULD have written TORB. You tried to do the right thing and he wouldn't let you. So CYA and let him deal with the consequences. The correct answer would ...
  13. When will being an RN stop sucking?

    Gonna have to agree with some people that it is NOT that easy to change jobs, and that it is no longer true that a nurse can work in any of the nursing "fields." It has been my experience that, by and large, a nurse who begins in one area is painted ...
  14. pet peeves when nursing students arrive

    That is the theory, but in reality it makes little difference except in multi-use vials like insulin. I think it just annoys me because every single day I get asked about this and there are just so many more important things to focus on. But I did wa...
  15. pet peeves when nursing students arrive

    My pet peeves re: nursing students - 1) I honestly (usually) don't mind if you follow me around so that you can see/learn more. However, if you have a patient assignment, your responsibility is that patient (or patients). It is NOT acceptable to fol...