Nittybelle

Nittybelle

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About Nittybelle

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  1. Kaplan has a great NCLEX Prep program! They have a huge QBank and if you buy the package with the Decision Tree, that will help you with clinical judgment and critical thinking. It was rough at first learning the Decision Tree but it really got me ...
  2. Touching blood without gloves

    What do nurses do in emergency situations, where damage could be severe? Roadside accidents, etc... no gloves around... isn't it by law as nurses we render aid even without gloves? I'm not sure about that. Like, can we refuse to give CPR without ...
  3. Unna boot

    I see there are different ways to apply the Unna's (Unna) boot. We use the whole role. I've witnessed a physician do it and he used the whole boot too. He even went over the toes! I guess the main point is to not compress to much because of the da...
  4. Transparent dressing and skin moisturizers

    Can you put the dressing on first then carefully moisturize around the dressing? I'm not sure skin prep will work over moisturizer. In WC, I dress the wound and a lot of the time, the patient will ask me to put moisturizer on so I just go around th...
  5. Bullying

    I just don't get how nurses can be so mean to each other... since my post, I have been able to foster morale with everyone and things are turning around. I noticed they are treating Nurse A better and are accepting me. I can't believe you are goin...
  6. Wound Care - Unna Boot

    Yeah you are quite right, it is important to pull a length from the roll and lay the coban lightly while wrapping. If you have to use coban, be careful. Good point
  7. Wound Treatment Question

    Maybe because od the bureacracies of health care and her age. Too bad. Hope you can get her there, all you can do is keep trying... She really needs more than what you can provide, such a going to the wound clinic
  8. how to deal with the funky smell?

    When i first started wc i dealt with the odors psychologically. Basically i told myself the patient needs me to be focused on treatment, not the smell. When i am concentrating on the wc itself, the smell doesnt bother me. Now i am at a point wher...
  9. Wound Care - Unna Boot

    So are you going to put gauze over the folds, wrap with unna boot than secure with coban? Maybe it won't roll as much. Sounds like you are well on your way to figuring this out.
  10. Wound Treatment Question

    Get her to wound care. They can debride, arabella, put her on abx. Get the wound in proper shape for the vac or hyperberic treatment.
  11. Wound Treatment Question

    Our doc would arabella misting to remove slough. What about wound vac? Debride, get rid of infection and slough. If there is no infection and you have healthy granulation, the vac should prove to be beneficial. Don't forget about hyperberic treat...
  12. Wound Care - Unna Boot

    If you are doing it to prevent further breakdown why not? As long as you are not using it where the breakdown is. I have some pretty big patients and with them i try to keep themunna boot two finger widths below the patella. The compression at the...
  13. Wound Care - Unna Boot

    We never put any other dressings OVER the Unna (except Kerlix and Ace or Coban)
  14. Pct refused delegation

    Maybe she DOES need more training or experience doing it; humans tend to avoid situations they are just not competent with. Especially what to do if there are complications.
  15. Bullying

    I started working at a place where staff seem to be like a clique and talk about another staff member behind her back because she doesn't meet their standards; its wierd to me... So now i feel like because i am new i am taking the load off of her an...