cschuess

Latest Activity

1. Utilization/Precert Nurses

   cschuess replied to indynurse#2's topic in Case Management

   are there any websites that train in utilization review? just wondering how to go about getting into this field

2. Bowel & Bladder Retraining/Maintenance

   cschuess replied to LizGaff's topic in Geriatric

   Could you please send me copies of any forms you may have as well...attn: Cyndy Thanks!!

3. KCI wound vac question

   cschuess replied to Schmoo1022's topic in Wound

   When we used the vac we found that we had problems with the black foam and the new granulation sticking to it. Our rep advised us to use adaptic (vaseline impregnated gauze) between the black foam and our problem areas. She also told us that if this ...

4. F 314 and F 315 Tags

   cschuess replied to cschuess's topic in Geriatric

   Capecod and nightmare...these dedicated nurses...the "link nurses" and you, CapeCod the "wound queen" is this the primary role that you play in your facility? What are your other duties. I am having a really hard time doing what I do and running a 40...

5. F 314 and F 315 Tags

   cschuess posted a topic in Geriatric

   I am looking to see what other LTC organizations are doing...is one person dedicated to skin and incontinence or are the RN's on the individual units doing their own "thing." I ask this because I track all the pressure ulcers and other skin issues i...

6. Need help from experts

   cschuess replied to Kir's topic in Wound

   personally, i would use non-sting skin prep and completely cover the areas that keep opening. i would follow this with a little barrier cream after the skin prep dries. this will help to protect these areas...have pt re-assess for transfers. there is...

7. MRSA in wound

   cschuess replied to bebop1's topic in Wound

   Research has shown that silver dressings are effective against MRSA. There is no need to treat systemically when the infection is in the wound. Systemic treatment with antibiotics takes its toll on the body in so many facets.Read the literature regar...

8. Charting

   cschuess replied to Fancy Face's topic in Geriatric

   I really think that's a bad idea...all they need to do it look at the handwriting...and if that nurse doesn't sign off you will be looked at as a "careless nurse" who leaves unsigned notes in charts.

9. Charting

   cschuess replied to Fancy Face's topic in Geriatric

   I won't chart unless I did the assessment. Some people feel that the charge nurse should do all the charting for the floor when they actually have a charge nurse but I am not comfortable with this unless it's a generalized note such as a medicare not...

10. Does anyone like LTC?

    cschuess replied to remched's topic in Geriatric

    Thank you, I just feel that LTC nurses don't give themselves enough credit for what they do!

11. Does anyone like LTC?

    cschuess replied to remched's topic in Geriatric

    i have worked in ltc for over 14 years and i love it (most days...but it's the job that gets to me not the ltc atmosphere). i started as an aide, became a lpn and then rn. once i got my rn i had a moment when i felt that i should go to a hospital, be...

12. Wound Vac System

    cschuess replied to NightingaleCLNC's topic in Wound

    We had the same problem of the black foam adhering to the granulated tissue...the KCI rep told us to use ADAPTIC on the wound bed and then apply the foam...I don't know why people would say NOT to use anything under the foam when the KCI people expla...

13. What Is A Shift Like?

    cschuess replied to mammaoftwo's topic in Geriatric

    Night shift in a long term care facility is far from quiet! Usually people are awake all night with needs. Staffing is lower so the nurse needs to pitch in and help the CNA's. You are responsible for all the 2nd checks of new doctor orders. You are r...

14. pain management in pressure ulcers

    cschuess replied to cschuess's topic in Wound

    :balloons: Thank you! Some I had, some I hadn't. Good luck with the graduation! My oldest is 8, youngest 4...I know that it seems a long way off but I know how time flies!!

15. pain management in pressure ulcers

    cschuess posted a topic in Wound

    I am doing a research paper on pain management in pressure ulcers and am very sad to find little to address this issue. Does anyone know of where I can find information...systemic, topical, nonpharmacological control??