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There are so many things in nursing that we use that could have been built or remodeled to better the quality and comfort of our patients. Personally, I hate gluing fecal pouches on pt's bottoms with fragile skin and breakdown. As soon as, the glue hit their skin they are squirming and screaming. Even with intubated pt's, you can tell its painful because their vitals start doing crazy things. I wish I could reinvent something more comfortable and easier to apply these where it would also be effective for the pt and for me.
"Personally, I hate gluing fecal pouches on pt's bottoms with fragile skin and breakdown."
I just leaned about calmoseptine from a wound care specialist. It's amazing - good for this kind of problem - she actually told us to use it on a leaky g-button site and it has never looked so good in the 15 months I've been taking care of this child.
When I looked it up. it mentioned using it with stoma powder - my second favorite thing! What's not to love? It's an OTC, findable at Walgreens, sometimes behind the counter. It has a menthol and zinc oxide base and provdes a moisture barrier that is very soothing. It's also good for skin folds that are all irritated and red. Kind of an all purpose skin cream.
Would Calmoseptine be good for ostomies or decubi? Pt. has ostomy that is only 3 in. from the 5x3x2 in. abd wound that has a KCI wound vac. Having trouble keeping the ostomy from seeping into the wound. Pt also has 3 decubi within a 4 in area of each other and Dr. is using duoderm which keeps rolling up.
A chux pad that sends an alarm when it is soiled sounds wonderful to me, along with the zapping call button! What else... an IV pole that has sturdy wheels to get over those stupid thresholds between the bathroom and patient room and a place to hang a foley bag on the them. A cattle prod like device to use on the nurses who seem to be able to sit for 7 out of the 8 hour shift. A self release roll belt that is just a little bit harder to get off. A silent air mattress. No rinse shampoo that does not leave a residue. Toilet that automatically collects stool and urine and send it to the lab. A way to attach a condom cath that works for more than five minutes. there are more I am sure... but thats all I can think of.Peace
An IV pole that gets over those huge thresholds and also has a Foley hook?? Your prayers have been answered. We use these....Safepole. I believe it was designed by a patient and they are very sturdy. They are wonderful. http://www.safepole.net
wireless monitors, stretchers that don't get stuck between the floor and the elevator, IV poles for the same reason, a tube system throughout the hospital to send specimens, obtain drugs, etc... instead of having to run everywhere, a motorized stretcher for those 300+ lb patients, an EKG machine that can actually give an accurate reading of the rhythm - rather than knowing it's wrong and having to wait for a Dr. to "formally read" it .... antimicrobial foley - to stop those nasty bladder infections.
NotReady4PrimeTime, RN
5 Articles; 7,358 Posts
I would. By the gross. But I'd need a personal supply for when DH says inane or asinine things. Or comes up out of his crystal cave then starts talking, interrupting me when I'm trying to hear what Dr. Lightman is saying about the current liar he's talking to. Or what Patrick Jane is saying to the person he's trying to "read".
My husband often said when our kids were small that he'd like to invent a "sleep mist" that you could spray at them and they'd instantly stop fill in the blank and fall asleep.