nurselearner

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

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 specialized training in evaluating and caring for...

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 important was how to read the questions. Pay close attent...

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, who may have months to live, who have infected wound...

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. You are speaking to manny more people and checking...

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? protocols? supplies? Thanks for any input.

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. Would really appreciate your experience. Are you d...

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. Is the dressing staying dry? For my patient before...

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 help.

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 making. Are her family inviolved? If so- they may be...

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 relieve pressure. Barrier spray and paste work well whe...

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 from the wound. Recommendations for dressings, or a...

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 place and they kept the aces stayed dry - were le...

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, check sheet or in your notes. Are there any specific...

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 info.

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 each patient even if they don't get the care they ne...

tissue viability, What distance learning do you have them complete???

Is there a way to "unstickey" this topic ?

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 hear from them.

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 we need to do? We are currently reviewing documen...

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

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

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 etc

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

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 instructed by the nurse to open it. OR do you review the...