nurselearner

nurselearner

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All Content by nurselearner

  1. self adaptive wound dressing

    nurselearner replied to Georgia peach RN's topic in Wound, Ostomy, Continence

    I just received a generous supply of samples and I am trialing them. They are expensive, but maybe?????? in the long run cost

  2. How do you respond when you tell people you are a hospice nurse?

    nurselearner replied to RachelRN25's topic in Hospice, Palliative

    Interesting topic - because it can just stop a conversation. I have been working on an "elevator" speech - an introduction to what I do rather than what I am. It starts out "I am Registered Nurse with...

  3. Hospice certification exam

    nurselearner replied to hcan's topic in Hospice, Palliative

    My preparation was to take the test that goes along with the core curriculum multiple times as well as the online test. First it showed me the areas where I needed to study more, but just as...

  4. WOUND CARE for end of life/hospice/palliative care

    nurselearner posted a topic in Wound, Ostomy, Continence

    How do you change your treatment plan for patients who are end of life. I know if they are actively dying it is all about comfort but what about patients who are not in the last few days of life,...

  5. National average for pt caseload

    nurselearner replied to Em1995's topic in Hospice, Palliative

    I agree. The only difference is that you are not driving. But patients may be on different units. And You must also document on the facility chart. You may be done and thena family member comes....

  6. Standing orders - wound care

    nurselearner posted a topic in Hospice, Palliative

    We have standing orders for symptom management and are thinking of adding standing orders for wound care- stage 1, 2 and 3. Does anybody have standing orders for wound care and how was it done?...

  7. When you have a patient with a necrotic sacral wound

    nurselearner posted a topic in Hospice, Palliative

    How are you treating it? What dressings do you find are most effective in this area - in terms of staying in place, not letting incontinece get into the wound, and being effective for absorbing etc....

  8. venous stasis dsg problem

    nurselearner replied to terrapin's topic in Wound, Ostomy, Continence

    one hint - after applying the ace - it should be snug but able to get your fingers under it - aplly tape length wise. It keeps it from raveling down. we used this in ortho for kids with success....

  9. Standing orders - wound care

    nurselearner replied to nurselearner's topic in Hospice, Palliative

    Ok - if no body has standing orders for wound care-then how do you do it? Write the orders and get them signed with every change? Please

  10. how to speak to pt regarding prognosis

    nurselearner replied to fusster's topic in Hospice, Palliative

    Do you have a palliative care team at your facility? Our hospital does and any one can order a palliative care consult - it is not just for "hospice" but also for symptom management and decision...

  11. stage I, II, and a III

    nurselearner replied to bebop1's topic in Wound, Ostomy, Continence

    Even if medicare will not pay for an air cushion they are usually less than $25 and can be purchased in some drug or medical supply stores. Shifting weight side to side (rolling hips up) helps...

  12. wound odor

    nurselearner posted a topic in Hospice, Palliative

    We have an end stage patient on hospice with a necrotic sacral wound. Pain is well managed and the family does not want aggressive treatment for the wound. She is in LTC and the staff is c/o odor...

  13. Weeping legs and wounds

    nurselearner replied to rnkalee's topic in Hospice, Palliative

    When I had a patient with that kind of weeping in her legs we used poise pads (for urinary incontinence) instead of abds and ace wraps- wicked away the moisture - the "sticky" backing held the aces in...

  14. Documenting hospice pt wound care

    nurselearner posted a topic in Hospice, Palliative

    We are currently reviewing documentation at our hospice. Our staff will be computerized in the future but for now it is paper. How do you document wounds - do you use a separate wound care form,...

  15. Hospice Pharmacia- wounds

    nurselearner posted a topic in Hospice, Palliative

    Does anyone use this service? How does it work? Do you evaluate the wound and tell them what you need ? How is the cost and what product line do they uuse - thanks for any

  16. A Serious Problem

    nurselearner replied to windsong's topic in Hospice, Palliative

    Not all hospices are run the way yours is. Look for another employer - or work the inpatient suite. Your employer keeps taking patients without the staffing because they get paid a daily rate for...

  17. Skin care question

    nurselearner replied to MedSurgeNewbie's topic in Wound, Ostomy, Continence

    tissue viability, What distance learning do you have them

  18. Managing symptoms for a �good death�

    nurselearner replied to NRSKarenRN's topic in Hospice, Palliative

    Is there a way to "unstickey" this topic

  19. Documenting hospice pt wound care

    nurselearner replied to nurselearner's topic in Hospice, Palliative

    Thanks. I am currently working on an algorithm for our hospice on palliative wound care............while trying to be cost effective. If anyone has developed anything to this effect I would love to...

  20. Documenting hospice pt wound care

    nurselearner replied to nurselearner's topic in Hospice, Palliative

    But I only want to know how hospice nurses are documenting........... others such as home health are reimbursed based on their documentation. Hospice isn't.so my question is how much documentation do...

  21. Documenting hospice pt wound care

    nurselearner replied to nurselearner's topic in Hospice, Palliative

    doesn't anyone document wound care?????????????????

  22. Managing my time :-(

    nurselearner replied to weetziebat's topic in Hospice, Palliative

    stick to nursing info in your notes. The social worker will add the

  23. wound care in eol patients

    nurselearner replied to hcan's topic in Hospice, Palliative

    For patients who are not in the last few days of life, who may have months to live, who have infected wounds or stage 3 wounds - or chronic wounds................. what are you using, doing

  24. wound care in eol patients

    nurselearner replied to hcan's topic in Hospice, Palliative

    What would you recommend for a good resource book, course, or company providing info on wound care -to help set up treatment

  25. medications and emergency kits in the home

    nurselearner posted a topic in Hospice, Palliative

    I am new to hospice - looking for info I have a question about the emergency kits that are placed in the home. Do you place it there on admisssion with instructions to "leave it alone" unless...