alphabetsoup

alphabetsoup

LTC,med-surg,detox,cardiology,wound/ost

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About alphabetsoup

alphabetsoup specializes in LTC,med-surg,detox,cardiology,wound/ost.


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  1. Difficult seals in VAC therapy

    If you do not have "ostomy putty" then use stomahesive paste to fill in any crevices. Just use a small amount. Also, use a bridging technique to bring the trac pad over to the patient's side. This will help decrease tension on the trac pad tubing and...
  2. need some wound advice

    I would not apply duoderm on open wounds that are around the anus. Getting those dressings to stay in place will be next to impossible. In cases like this, if the wounds are due to incontinence, manage the cause. The patient needs to be frequently ev...
  3. gangrene in a very private area.

    Is the scrotal wound due to Forniers gangrene? Cancer? Pressure ulcer? What is the goal of treatment? Comfort only? Drainage control? Odor control? Is it dry gangrene or wet gangrene?
  4. wound care

    You need to check with the surgeon for specific wound care orders for a surgical wound. If the surgeon wants it irrigated then it should be irrigated. If the surgeon doesn't want it irrigated then it shouldn't be irrigated. It's that simple. Irrigati...
  5. Graduated 12/10, still no job, giving up...

    Sounds like you have an ADN/ASN, new grad, looking for entry level position, no prior experience in healthcare. So yeah, it's gonna be tough. My advice is to re-evaluate your resume because it might be lackluster. You might want to have someone coach...
  6. 2nd Interview after a year!!!!

    First, I would look up the potential employer on the web and see what services they offer. Then, look up those services and see what is involved in terms of care. Be honest that you do not have the experience. But DO announce that you would be very e...
  7. States with Real Nursing Shortages?

    I think some of the issues of "shortages" and geographical locations have something to do with the worst economic downturn since the Great Depression. Some nurses ended up delaying their retirement. Some nurses re-entered the workforce when their spo...
  8. cheapest online RN to BSN?

    In state first and see if your employer will kick in some tuition.
  9. What do you consider to be nursing's biggest setback?

    Someone asked a while ago about why I have that perception about entry levels and education. I think I have seen these issues posted on the blog, whether it is a nurse with a certain educational background supervising another nurse with a certain edu...
  10. Failed NCLEX 5 times

    That was an excellent point! Perhaps you are overthinking the questions (easy to do and even easier when you are a nurse). Are you also second guessing yourself during the exam?
  11. Part Time BSN programs

    Have you looked at online programs out of state? There are several reputable universities that offer online programs. They are no less rigorous than onsite programs. I have completed online coursework and some of my classmates lived in other states, ...
  12. Areas of the country with jobs for new grads?

    Florida.
  13. Did i do the right thing?

    Yes, always report a problem to the resident's nurse. Do you know for sure that the house supervisor was relaying information to the resident's nurse or to another nurse who just happened to be standing in the hallway? And if that nurse in the hallwa...
  14. What would you do?

    You should point out the error on the schedule to your manager (maybe it was a honest error or maybe the manager was given some erroneous information by another party). If you do not get an appropriate response, then you will need to concede that thi...
  15. What does it mean??!!

    Don't worry about this at all. It's not worth the stress of worrying about it.