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Search Results Type: Posts; User: americanTrain

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  1. Medical Specialty Unit in Long Term Care
    Yes they are always skilled, the difference is I have a separate unit for private suites, the dining is separate as is all the activities. We have a wonderful 8000 sf gym for rehab. The ones who...
    Jan 5
    Forum: Geriatric Nurses / LTC Nursing
  2. Medical Specialty Unit in Long Term Care
    mso819, sorry about the name mix up, it's been a while since I've been on here and they have added the color codes, lol
    Jan 2
    Forum: Geriatric Nurses / LTC Nursing
  3. Medical Specialty Unit in Long Term Care
    Thank you Bronze 2, I am really surprised I haven't gotten more responses.
    Jan 2
    Forum: Geriatric Nurses / LTC Nursing
  4. Need help for CNA training in Ortho
    Does anyone know where I can find a good comprehensive test for CNA's who work in Ortho? Our facility is opening a new unit and I'am putting together training modules. I have researched numerous...
    Dec 31, '13
    Forum: Orthopaedic Nursing
  5. Medical Specialty Unit in Long Term Care
    Several larger nursing homes are adding Medical Specialty Units. ( MSU ) This is separate from Skilled Care but more advanced than Rehab where the focus is on quality indicators, outcome measurements...
    Dec 27, '13
    Forum: Geriatric Nurses / LTC Nursing
  6. experienced and empowered?
    Do what makes you happy, if they are begging you to come back, weigh out the pros and cons. As a nurse you need to be happy where you are. I drove a commute for 3 years and loved the job until a lay...
    Dec 27, '13
    Forum: Medical-Surgical Nursing
  7. Medical Specialty Unit in LTC
    Several larger nursing homes are adding Medical Specialty Units. ( MSU ) This is separate from Skilled Care but more advanced than Rehab where the focus is on quality indicators, outcome measurements...
    Dec 24, '13
    Forum: Long Term Acute Care (LTAC/LTACH)
  8. Supra Pubic Catheter Question
    Seems to me that the Urologist would have inserted a larger one, not smaller, which they usually do on intervals until the right size fits the stoma. Im not a Urology nurse, and if I'm wrong, I...
    Oct 20, '12
    Forum: Wound / Ostomy / Continence Nursing
  9. What to manage a painful dry eschar?
    Is this resident Diabetic? You may be looking at gangrene instead of eschar.
    Oct 20, '12
    Forum: Wound / Ostomy / Continence Nursing
  10. What to manage a painful dry eschar?
    In our facility eschar is left dry and OTA, with offloading, LAL, etc. The eschar provides protection. Unless there is an underlying infection, which it sounds like may be the case with yours, with...
    Oct 20, '12
    Forum: Wound / Ostomy / Continence Nursing
  11. Hospitals discharging patients to nursing homes with pressure ulcers-no documentation
    Christy, you are exactly right! I just wanted to hear it from another nurse. There is one particular hospital that refers to us, these patients become our residents and we are supposed to fix their...
    Oct 20, '12
    Forum: Wound / Ostomy / Continence Nursing
  12. Hospitals discharging patients to nursing homes with pressure ulcers-no documentation
    OOPS! They did it again! Arggggg..... I really dislike some hospitals who want to say that LTC causes all the wounds.
    Oct 15, '12
    Forum: Wound / Ostomy / Continence Nursing
  13. Returning to work and want to get into wound care nursing
    I agree with the others, get your certification in wound care. Im not sure with a BSN if you have to have the hours or can just take the class. AD RN's have to have 2 years of full time wound care...
    Sep 28, '12
    Forum: Wound / Ostomy / Continence Nursing
  14. Cutting VAC foam
    The first vacc foam fitting is the hardest for me, I measure the L,W,D of the wound bed and calculate in my head about how much I will need, I like to use a separate piece if needed the first time....
    Sep 28, '12
    Forum: Wound / Ostomy / Continence Nursing
  15. Hospitals discharging patients to nursing homes with pressure ulcers-no documentation
    What's the deal with hospitals today, do they not get reimbursed for a hospital stay if the patients develops a wound? When I worked in Med surg, all wounds had to be documented on admission and...
    Sep 28, '12
    Forum: Wound / Ostomy / Continence Nursing
  16. How many residents can use safely care for as full time wound care nurse
    Bblessing2u , we don't have any of the charge nurses doing skin assessments or treatments, I do it all. Iam full time, so I really don't want to complain too much, but it takes a steady pace to get...
    Sep 11, '12
    Forum: Wound / Ostomy / Continence Nursing
  17. Transitioning to Wound Care Nursing
    Please read my thread " how many residents can a wound care nurse safely care for"
    Sep 1, '12
    Forum: Wound / Ostomy / Continence Nursing
  18. How many residents can use safely care for as full time wound care nurse
    Iam a wound care nurse at a very large facility. I currently have 80 residents and growing. Iam interested in knowing about other nurses who have the same title. I have the responsibility for doing...
    Sep 1, '12
    Forum: Wound / Ostomy / Continence Nursing
  19. May be a dumb question but curious!!
    Measure the entire area. Since stg 1 is nonblanchable redness, stg 2 is an open area. Measure wound using the clock method; measure the redness surrounding, because this could open up even further...
    Apr 8, '12
    Forum: Wound / Ostomy / Continence Nursing
  20. Stage 2 PU on coccyx, keeps reopening
    Resident admitted, has history of stage 3 PU on coccyx, healed. Lots of scar tissue. Recent opening up and healed, but continues to reopen and close. Unable to find anything that will help this...
    Apr 8, '12
    Forum: Wound / Ostomy / Continence Nursing
  21. how to deal with the funky smell?
    Spearment or peppermint oils on the sheets if patient at home, not so sure that would go over well at a LTCF
    Nov 19, '11
    Forum: Wound / Ostomy / Continence Nursing
  22. Dx Non healing wound
    I have a patient with a diagnosed non healing wound to the sacrum. Complications include Diabetes, Bilat BKA, Colostomy, Urostomy, Spinal Stenosis, non compliance with diet, obesity. Stage 4, no...
    Nov 19, '11
    Forum: Wound / Ostomy / Continence Nursing
  23. Pressure Ulcer?
    Any fluid filled blister while intact is usually already considered a stage 2 ,( some might say unstageable, but our protocol is stage 2, unless there is eschar involved). The blister now open, stage...
    Nov 19, '11
    Forum: Wound / Ostomy / Continence Nursing
  24. Rn's are better than lpn's???
    I hear every post refer to LPN, but here in Texas, we call them LVN's. I guess Im the only one here in Tx. Howdy Folks! Lol
    May 9, '11
    Forum: LTC: Directors Nursing / Assistant
  25. DON interview
    I know you had friends before because you stated you had been in LTC for 17 yrs. But now, its different. You are their leader, not their friend. Just be careful. I say, trust no one. Cozy up to your...
    May 9, '11
    Forum: LTC: Directors Nursing / Assistant


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