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Search Results Type: Posts; User: carl5480

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  1. Obamacare? what are your thoughts
    My first personal experience with ACA: Patient X has "Obamacare" insurance. There are two major hospital systems in my area - one does not accept the pt.'s new insurance, the other does but...
    Jun 24
    Forum: Nursing Activism / Healthcare Politics
  2. Helo please: Iodoform packing!
    I probably wouldn't be using iodoform at all after the initial dressing. Iodoform, while it does have antimicrobial properties, has recently been shown to discourage tissue growth. I think you'll...
    Jun 24
    Forum: Wound / Ostomy / Continence Nursing
  3. Conservative Sharp Debridement
    My hospital allows CWOCNs to do bedside debridement, as well as physical (and sometimes occupational) therapists. In Texas, any nurse is technically allowed to debride. However, there are strong...
    Jun 24
    Forum: Wound / Ostomy / Continence Nursing
  4. You need a WHAT?
    I disagree, somewhat. I don't think having a BSN necessarily makes you a better nurse. But part of what makes the WOC nursing so highly sought after (and a higher pay grade, unless you work where I...
    Jun 24
    Forum: Wound / Ostomy / Continence Nursing
  5. Is this correct practice?
    I've also never heard of the term "resolved with a defect" before. To me, this would be more like a wound that has healed but will always have a noticeable, er, defect. Like it is actually concave...
    Jun 24
    Forum: Wound / Ostomy / Continence Nursing
  6. PA didn't use sterile technique, then said it wasn't a sterile procedure!
    Sorry, but that's just not true. All wounds, excepting (possibly) only those directly from the OR, have some level of bacterial colonization. For this reason, wound care, and most particularly wound...
    Feb 24, '13
    Forum: Wound / Ostomy / Continence Nursing
  7. Necrotizing Fasciitis
    It seems that my area has a growing number of these cases recently, and the preferred treatment is to remove extremely large amounts of tissue, which results in wounds that are then left open for a...
    Feb 24, '13
    Forum: General Nursing Discussion
  8. White Board Credentials
    This seems like asking for trouble, if you ask me. What if, one day, the patient has a nurse with multiple credentials. Then, the next day, they have a nurse who is "just" an RN and something is less...
    Sep 29, '12
    Forum: General Nursing Discussion
  9. What to do when a doctor won't let you read back an order
    If that was me, and I'm being honest, I would have written down the order as I'd taken it and I WOULD have written TORB. You tried to do the right thing and he wouldn't let you. So CYA and let him...
    Sep 29, '12
    Forum: Nurse Colleague / Patient Relations
  10. When will being an RN stop sucking?
    Gonna have to agree with some people that it is NOT that easy to change jobs, and that it is no longer true that a nurse can work in any of the nursing "fields." It has been my experience that, by...
    Sep 12, '12
    Forum: General Nursing Discussion
  11. pet peeves when nursing students arrive
    That is the theory, but in reality it makes little difference except in multi-use vials like insulin. I think it just annoys me because every single day I get asked about this and there are just so...
    Nov 23, '11
    Forum: General Nursing Discussion
  12. pet peeves when nursing students arrive
    My pet peeves re: nursing students - 1) I honestly (usually) don't mind if you follow me around so that you can see/learn more. However, if you have a patient assignment, your responsibility is...
    Nov 23, '11
    Forum: General Nursing Discussion
  13. Ready to toss in the towel
    That I did say, but that is not what you were referring to in your last post. This is a VERY different statement from "Malfunctions with the computers have...to do with user age". If you didn't...
    Jun 3, '11
    Forum: General Nursing Discussion
  14. Ready to toss in the towel
    You misunderstood my point - those were two separate thoughts. Let me try again. 1) If you have computers, you have an IT department. Utilize it! 2) If you are older, you are more likely to be...
    Jun 3, '11
    Forum: General Nursing Discussion
  15. WOW! The public really doesn't like us, huh?
    Sometimes I feel like the majority of my patients actually are understanding that you have other patients besides them. But it's the ones who can't or won't accept this who stick out in our minds. ...
    Jun 3, '11
    Forum: General Nursing Discussion
  16. Ready to toss in the towel
    I understand the frustration everyone is having, but if I may: computer charting is relatively new. Yes it can be incredibly sucky, but it takes time to get things right. I have to think that the...
    Jun 3, '11
    Forum: General Nursing Discussion
  17. What is the better shift? Would you rather work night shift or day shift? Curious :)
    I've worked night and day shifts, and I'm going to have to say days, mostly because it's AWFUL to have to deal with the outside world when you are a night shifter. I could never flip back and forth...
    Jun 2, '11
    Forum: General Nursing Discussion
  18. I have your meds, please take them:)
    This is a case of a few bad apples ruining the bunch. No, it's not crazy to ask adults to display responsibility for their own health, but there will always be a select few who can't or won't. Not to...
    Jun 2, '11
    Forum: General Nursing Discussion
  19. I have your meds, please take them:)
    I make it a practice to never leave pills with patients, for that very reason. Especially if she'd already been warned. Luckily, we have lockboxes in our rooms where we can store medications, so if a...
    Jun 2, '11
    Forum: General Nursing Discussion
  20. Job Suspension
    Have you told us the whole story? Because I agree with the others, this doesn't make sense. There's no way a "helping" nurse would be blamed for this situation when the primary nurse was right...
    Jun 2, '11
    Forum: General Nursing Discussion
  21. Sexist Comment by Unit Director
    this seems to fit the op to a t, at least on this thread. sorry, op, but it does seem as if you are looking for ways to be offended, from the seemingly innocuous comment that generated the thread to...
    Jun 2, '11
    Forum: Nurse Colleague / Patient Relations
  22. Olde English in nursing
    This literally made me laugh out loud. :)
    Jun 2, '11
    Forum: Nursing Humor / Share Jokes
  23. Hospital Innovations
    Thanks for all the input, guys. Much appreciated. :)
    Jun 2, '11
    Forum: General Nursing Discussion
  24. Hospital Innovations
    Once again you are very good at saying what won't work, but strangely silent on actually contributing to the point of the thread. I don't really care about tube systems or discharge lounges, I was...
    Jun 2, '11
    Forum: General Nursing Discussion
  25. After almost a year, I finally landed myself a job
    Congratulations! That's pretty awesome, CM is very difficult to get into in my area, especially for a newer nurse. I also found it difficult to get hired on anywhere within the last several years,...
    Jun 2, '11
    Forum: General Nursing Discussion


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