I have a patient who's vascularity is so poor, he's been denied for amputation because the surgeon feels that he will not heal. So, I am left to treating his numerous wounds that start just below his knees and continue to his heels. Bandage changes ...
garnetgirl29 replied to tsm007's topic in Geriatric
What are you cleansing her skin with? My guess would be that it's either the gloves or something in the cleanser that is causing her rash. How long do the rash & itching last? I would leave a note for the MD. Are you using skin prep on her? I've ...
garnetgirl29 replied to Just_Kidney's topic in Geriatric
I've dealt with difficult, combative residents and I always report aggressive behaviors to the MD so they can address the issues. We usually treat the behavior with a combination of medications (depakote, Ativan, Ativan/Bendaryl gel, Haldol) if other...
garnetgirl29 replied to islandnursemama's topic in Wound
I love the spiral idea! I've only used one KCI wound vac but I loved the experience. I cut the foam into about 3 pieces to fit correctly in that very oddly shaped wound I was filling, but I will try the spiral next time around! The wound we're using ...
In my facility, the the nurses put out a list of what resident's they need vital signs completed for at the very start of their shift. The CNA's are supposed to complete the vitals and return the list to the nurse. We (the nurses) use this as a refer...
garnetgirl29 replied to garnetgirl29's topic in Geriatric
Ok. So I'm trying to wrap my head around this and I do feel empathy for this patient, but there are now reports that's he's becoming aroused and masturbating immediately after the stimulation. I have not yet been in the position to perform this treat...
garnetgirl29 replied to garnetgirl29's topic in Geriatric
OK. Thank you for the input. He is allowed to have this done 3x daily and he asks for it much more frequently and even asks for it immediately AFTER having a BM. He became very upset with a nurse who refused to do it because the CNA said he had just ...
garnetgirl29 replied to angeloublue22's topic in Addictions
When I worked in detox, the majority of my patients were IV drug users, so I did a lot of research on all the things they are at risk for just from the use of the needles. They were always very involved with this group and asked lots of questions. I ...
So, there is a new order for a patient whom is my age to stimulate the rectum digitally for one minute every day after dinner. This patient has paralysis but still has sensation in this area. There were already orders for suppositories Q4H PRN, which...
Thank you. I couldn't have done it without my fiancee. I stopped working when I went to school. It was rough and we nearly lost our house, but I really don't think I could have made it if I had worked during the program. A few of my classmates worke...
I heard the same about Mercy and last I heard Queens was on probation, but I haven't looked into for awhile. I graduated from Gaston's LPN program in 2012. It was tough & we lost half our class before graduation. I know numerous people who are tr...
garnetgirl29 replied to sassyann85's topic in Addictions
I work in a mental health/drug detox clinic. We use the COWS for opiate withdrawal & once the client scores a 13 or higher, we use suboxone (naloxone + buprenorphine) to treat withdrawals. Within 30 minutes, the client is feeling better. We start...
That clinic sounds awful. I work in a detox/mental health clinic and this is my first LPN job. The job is pretty easy, but my main concern is that I don't get to use many of my nursing skills. I mainly just pass meds & asses clients for effective...
garnetgirl29 replied to onepowerfullady's topic in LPN/LVN
Community college is definitely cheaper. Fortunately for me, Pell grant has covered everything up to this point & I'm hoping it will cover the ADN program as well. I'm working on my last pre-requesite now and am planning to apply to the LPN-RN br...