bebop1

bebop1

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About bebop1

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  1. black toes

    ok....I work in LTC On a friday I told the staff to get the patient to the hospital, or call the doctor due to his "black toes" were no longer hard and black. they were "wet and black" we know what that means. they said ok...we will do that. I l...
  2. Stalled wound

    I have just asked for a pre-albumin, so i will see.....it is drainig a mod-large amount. it is a wound that dehisced from a gastric bypass. so yes we are packing the wound with the "wet 4x4's" from the smith and nephew NPWT system. she has so much...
  3. Stalled wound

    I have a Young 28 y/o female living in a LTC due to an open abd wound. it tunnels over 15 cm from 8-11 oclock.....this wound l and w is getting smaller but not the tunnel. the "weekend" manager ordered the smith and nephew for her over two or three...
  4. Steps of a wet to dry dressing

    I have a patient that has a huge stage IV on her sacral area. She is hospice, and we are using w/d on her, due to the doctor states, we do not intend it to heal, so keep the wound care products at a minimal. Which I understand, but....ya know! the...
  5. New home health nurse here...seeking advice

    Well the economy is "changing" home health in ways like, patients are more and more being taken care of by family members, and not by nurses. Or a lot of the insurances do not approve home health, or even LTC for patients to help. The home health c...
  6. when to muscle flap?

    I was told by a nurse to let the MD know when a patients wound was ready for a muscle flap. the patient has bilateral isch tub wounds on a wound vac. they are doing well, and progressing wonderfully. How, or what criteria am I supposed to look at ...
  7. New home health nurse here...seeking advice

    Home health is wonderful. But you have to be ready for a lot of paperwork...if you are a RN. OASIS!!!! a lot of paperwork. But you get to become a "part of the family" a lot. you get to know your patients. You can walk into a patients home, say...
  8. please help if you would......

    Hi....I work in a LTC unit, and have a pt with a pacemaker. she has afib, and she is "going all over the place". at one moment her heart rate will be 40, but most of the time her heart rate is in the 110-130's. the md states the pacer will not ki...
  9. Leishmaniasis

    I was just writing to tell ya all...I am a military wife. My husband has been "in the sandbox" as they say. He is very aware of this, and he knew how to pronounce this...I had no clue! he said ya...we all just about get this and get bit by the san...
  10. wound vacs, NWPT what do you like?

    oopps...I see I did my title wrong too....sorry!!!!!!! Please I need help and feed back. I work in a LTC facility, and I am currently going through webwoc program to attain my WOC nurse. I am totally torn on the KCI and the new smith and nephe...
  11. hired on as a unit manager

    I wanted to leave the home health company I was with because, I pretty much did not like the "politics" in the office. It was horrible. It was like high school, and everyone trying to be the best, most popular and not listening to the field staff. ...
  12. vac question, and xcell question

    I thought somewhere I have either place adaptic or was told to do that if bone. thanks! I will try and contact KCI and ask them!! thanks...anyone have any info on xcell? the wound product thanks!!!
  13. vac question, and xcell question

    Hi. I am a student in the webwoc program. I am very excited, and love it. I have a few questions that I have not had answered, maybe they are wanting me to wait until clinicals for this...but I want to know NOW!!! LOL... wound vacs. who likes KCI...
  14. alcohol pads and cleaning

    Thank you thank you thank you. I was like....how in the world did my 4.5 years working in home health did the rest of the world go crazy! lol...... the same I found out with the blood sugars! I was down a nurse yesterday so I did the med cart. and...
  15. need help ltc ileostomy

    make sure you dust off any excess powder, the eakins seals are wonderful, or especially with the ileostomy I love using the moldable wafers. its from convatec, its great. it doesn't need any kind of past or anything the wafer itself is like the pas...