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Search Results Type: Posts; User: Melina

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  1. Blood clots & IV/central line tubing...When does this become a hazard!?
    This case didn't even involve a central line or drawing blood for lab tests, and no medical professionals were found to be culpable.
    May 22, '14
    Forum: Nursing Issues On Patient Safety
  2. Sweating The Small Stuff
    My thoughts exactly! While no one is perfect, the lack of accountability demonstrated by your post was concerning.
    Sep 25, '13
    Forum: Nursing and Professionalism
  3. UCH Pharm and Tele new hire exam
    If you want to try out a Prophecy test, offers access to a free exam. You can take any of the competencies. Melina
    Aug 7, '13
    Forum: Colorado Nursing
  4. Family/Individual across the Lifespan CNS?
    This is already being implemented as part of the APRN Consensus model. The move is to a population-focus instead of setting-focus. For instance, the acute/critical care CNS program I am in is now an...
    Jul 5, '13
    Forum: Clinical Nurse Specialists (CNS)
  5. nursing dilemmas
    Do you have a nursing research department at your university? The RAs can be really helpful. I would contact the author of the tool directly if it isn't publicly available.
    May 12, '13
    Forum: Critical Care Nursing
  6. Nurses talk to Nurses, Doctors talk to Doctors
    I love this thread! The LTACH where I work has a lot of the issues you all speak of. I am planning on taking on this issue for my master's comps. I was inspired by the reports by the ACCN (Relevant...
    Apr 17, '13
    Forum: General Nursing Discussion
  7. To clamp or not to clamp
    I was wondering the same thing on my last shift! It wasn't covered in our policy, so I looked it up. Depending on the manufacturer, some end caps do not require clamping to function. Clamping between...
    Mar 11, '13
    Forum: Critical Care Nursing
  8. Please help with a  difficult ostomy
    Have you tried Cymed? They have a novel, appliance that adheres to the skin with a tegaderm-type material. Because it is so thin, stool cant easily leak underneath. You can see them at...
    Jan 24, '13
    Forum: Wound / Ostomy / Continence Nursing
  9. ECHMO game?
    I found this: ECMOjo Simulator and Trainer - Home by searching "ECMO simulator." Not sure if it is the one you are looking for, but it's kinda cool.
    Nov 12, '12
    Forum: General Nursing Discussion
  10. Chafing
    There are many anti-chafing lotions on the market. I've never tried the lanacane brand, but a lot of althetes use Bodyglide. There is also a product called Luvees ( that might be worth...
    Oct 6, '12
    Forum: Health / Stress Management 101
  11. How do you maintain a cooperative relationship with colleagues?
    Brainstorming: Always ask what you can do to help another nurse if you aren't busy. Never ignore an alarm, even if it's not your patient. Make sure all your lines are in order and labeled. ...
    Aug 8, '12
    Forum: Critical Care Nursing
  12. BP arm VS calf while running pressors
    A calf BP can be significantly higher due to calcification of the lower extremity arteries. We see this all the time when taking ABIs for wound assessment. I would be hesitant to to use this to take...
    Aug 4, '12
    Forum: MICU / SICU Nursing
  13. Calling all current cns students
    I'm currently enrolled in University of Cincinnati's online CNS program, but I am transferring to CU Denver this Fall. Nice to connect with you all.
    Jul 6, '12
    Forum: Clinical Nurse Specialists (CNS)
  14. Please help pt with leaking colostomy
    Have you tried switching brands? Cymed makes an excellent product that uses a transparent film instead of a hydrocolloid wafer. I've used it with great success on several occasions.
    Sep 29, '11
    Forum: Wound / Ostomy / Continence Nursing
  15. Memorial Day weekend night shift - canceled w/only 4hr notice?!
    I have worked intake, and I can tell you that we would often not get d/c notices until after 5pm the evening of discharge, especially on the weekend. There would be know way to let you know by...
    May 31, '11
    Forum: Home Health Nursing
  16. Wound Vac Tips and MRSA sterile dressing
    As long as the infection is being treated a wound vac is appropriate. Silver foam seems more reasonable than sterile technique. You can always call and ask the doc for his or her rationale. Melina
    Mar 6, '11
    Forum: Wound / Ostomy / Continence Nursing
  17. LPN''s HH working for you?
    No caseload? How many nurses will see a single pt? I've never heard of this either. Is there any issue with continuity of care? Mel
    Jan 19, '11
    Forum: Home Health Nursing
  18. charting, scantron charting
    I chart vitals and make notes of anything exceptional with a pen (a fine tipped TUL gel pen, in fact) in the pt's home then bubble everything after the visit, usually in my car before I leave for the...
    Jan 5, '11
    Forum: Home Health Nursing
  19. charting, scantron charting
    Our agency uses them. We are currently transitioning to their electronic version, but right now it's "bubble, bubble!!" Raven
    Jan 5, '11
    Forum: Home Health Nursing
  20. How many is too many?
    My agency researched what an "appropriate" patient load should be for a full time HH nurse. They came up with 5-6 visits a day, with SOC counting as two and other oasis visits as 1.5 I don't have...
    Nov 28, '10
    Forum: Home Health Nursing
  21. Awkward area to dress: adjacent Labia majora
    Can she wear some sort of girdle that extends down the thigh a way? Something snug enough to hold a dressing in place without tape. Mel
    Oct 22, '10
    Forum: Wound / Ostomy / Continence Nursing
  22. If new grads can't find jobs in hospitals...What about Home care ?
    I wouldn't call it relaxed, but I definitely feel like I am giving better care than I was ever able to in the hospital. I have 15-20 pts, but for the hour or three I spend with each every week, I can...
    Sep 12, '10
    Forum: General Nursing Discussion
  23. pay per visit?
    We get $45 a visit; $75 to admit. Meetings, case conferences, CE classes, and other non-billable hours are paid hourly @ $36. We don't get mileage, tho, so I definitely keep track for tax purposes....
    Sep 12, '10
    Forum: Home Health Nursing
  24. pain with mesalt - advice, alternatives?
    Oops, sorry. You did mention the vac. Is it only because they are shallow that you are ruling it out? There are dressings for shallow wounds available.
    Jun 2, '10
    Forum: Wound / Ostomy / Continence Nursing
  25. pain with mesalt - advice, alternatives?
    Have you ever considered a wound vac? I didn't see it in your list. You can even instill lidocaine into the dressing prior to removal to ease the pain of dressing changes. Mel
    Jun 1, '10
    Forum: Wound / Ostomy / Continence Nursing