tamari07

tamari07 has 11 years experience and specializes in Wound and Ostomy care, Neuro, Med-Surg.

Latest Activity

1. What is the next step to getting certified?

   tamari07 replied to boojeboy's topic in Wound

   I've been in wound care for 5 years and more recently ostomy care for 1 year. I received my CWON from Emory University last year. I began my wound care experience fresh from floor nursing 6 years ago. I worked in an outpatient wound care clinic for 5...

2. EXTREME Wound Odor Hospice, please advise

   tamari07 replied to Raicho's topic in Wound

   I would recommend quarter-strength Dakins solution dsgs BID. Depending on the severity of the wound I have used half-strength from time to time. From your post I'm assuming this patient is on Hospice care. If aggressive care was warranted then a sac...

3. wound vac with infected wound?

   tamari07 replied to athenamcafee's topic in Wound

   Depends on what you classify as "infected". I've had nurses and even MDs see yellow slough and dead tissue in a wound bed and say it was "infected." Usually if a wound has excessive dead tissue and slough it is not ready for wound VAC. The wound need...

4. Dry Gangrene to Lower Leg

   tamari07 replied to notanumber's topic in Wound

   Obviously he/she has severe arterial disease that will not resolve and is an infection waiting to happen-- especially if the gangrene is wet. From your post it sounds the gangrene is pretty extensive. Any type of non-occlusive dsg (tegaderm) will tra...

5. Good moisturizer under compression or TCCs

   tamari07 replied to Turtle in scrubs's topic in Wound

   In our clinic we use Remedy lotion (a Medline product) to intact skin on the leg. We use a moisture barrier cream to the periwound. So far good results with no maceration. ETA: if they have really dry, scaly skin on the ankles and heels we also use U...

6. What are these wounds??!

   tamari07 replied to NurseQT's topic in Wound

   Kennedy ulcers were my first thought.

7. The rudest thing that's ever been said to you by a patient or family

   tamari07 replied to nikkole318's topic in Relations

   I work in an outpatient clinic and had a patient I was making casual conversation with. I was pregnant at the time with my baby girl. She asked me what I was planning on naming her and when I told her she said, "So what are you going to tell her afte...

8. NPWT question

   tamari07 replied to NN2BVE's topic in Wound

   Agree with the previous poster. We use coloplast to help seal drape around crevices such as the perineum. Also I have used eakin rings to help with seals. Considering the fact that the dsg is contanstly losing a seal and having to be changed twice da...

9. 1 month new ICU job. I want to run

   tamari07 replied to RNMeagz's topic in Critical

   I at one point transferred to the Med-Surg ICU and quickly realized it just wasn't for me. I had 4 years of floor experience and decided to try something new. I found out that it just wasn't for me. Our hospital actually had an excellent orientation ...

10. Is it possible to get the holidays off?

    tamari07 replied to Joe V's topic in Humor

    Before I had kids I would volunteer holidays, esp Christmas. I enjoyed the double time pay and didn't mind. Now I have two kids and am very fortunate enough to work in an outpatient setting. My clinic is closed major holidays and weekends. ?

11. Scared of MD

    tamari07 replied to tamari07's topic in General Nursing

    Thanks! I guess I didn't mention this in my original post, but this MD is a woman. For some reason they tend to get to me more than men. Sounds crazy. I can deal with male docs being mean and hateful, but for some reason female docs really get to me ...

12. Scared of MD

    tamari07 posted a topic in General Nursing

    I've been nursing for about 4.5 years on a 30 bed Neuro unit. I love my job (for the most part) and feel pretty confident. I feel comfortable approaching most of the doctors and feel I have a good rapport with most of them, except one. This doc is kn...

13. Getting thrown under the bus

    tamari07 replied to Sugarcoma's topic in General Nursing

    We never have a second nurse listen to take a telephone order. The only time I have a second nurse to listen is for a DNR order. Fortunately we have CPOE and docs put in their orders on the computer. But I do get a lot of telephone orders. We just ha...

14. Can You Believe This?

    tamari07 replied to NewTexasRN's topic in General Nursing

    Fortunately where I work they do consider your experience level. I was not oriented to charge until I had about 2 years experience. If I was floated to another unit, I never charged. But unfortunately it sounds as if this is becoming more of the norm...

15. Calling ALL Walden Univ BSN-MSN Nursing Leadership and Management Students

    tamari07 replied to BMORE-CSU-RN's topic in Post Graduate

    I am looking at enrolling in Walden soon. I refuse to stay a floor nurse forever I am unsure of which route to take though. I have my BSN so I am going to be on a BSN track. I have pros and cons of each program. Education: I'm not sure that I want t...