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...
alphabetsoup replied to Mandy LVN's topic in Wound
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...
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?
alphabetsoup replied to sonstermonster's topic in General Nursing
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...
alphabetsoup replied to RNtslifka's topic in New Nurse
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...
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...
alphabetsoup replied to KaringOne's topic in General Nursing
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...
alphabetsoup replied to almost30's topic in Relations
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...
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?
alphabetsoup replied to bcskittlez's topic in General Nursing
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, ...
alphabetsoup replied to CNA Dinky's topic in General Nursing
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...
alphabetsoup replied to missladyrn's topic in General Nursing
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...