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topkat

topkat

NICU, DC planning, Neurosurgery, Inf Dis
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topkat has 37 years experience and specializes in NICU, DC planning, Neurosurgery, Inf Dis.

topkat's Latest Activity

  1. topkat

    Certification Renewal...need advise please

    Thank you for your comment. I have been taking these assessments for many years. I'm just beginning to feel a little "out of the loop" as time goes on....
  2. Hello fellow NICU nurses. I worked NICU for about 17 years. During that time I sat for my Low Risk Neonatal nursing certification thru NCC. Since 1997 I have only worked intermittently. The last time I actually worked has been well over 10 years. I have chosen to keep my certification as I worked very hard to obtain it. I just renewed my certification and it's time to take the assessment to let me know which areas I need to focus on. Have any of you found a resource to study before taking the assessment? I feel like I'm at a big disadvantage since I've not worked in the field in such a long time. I sent an email to NCC, but they really didn't respond with any resources. Any recommendations are most welcome!! thank you in advance. Kathy Laminack RN,C Temple, Tx
  3. topkat

    UT Arlington ABSN Online Program Spring 2018

    I would like to be added to your group. I'm going for my BSN after 37 years as an ADN. wish me luck!!! email address: topkat_40@msn.com
  4. topkat

    Who is clogging up our ER's???

    there seem to be two completely different schools of thought here.....will a socialized type healthcare solve the problem...or should we go with the MEC's.....it seems to me that it depends on where you live and what your resources are which direction to go....and about the race card....it's been played out................stop beating the dead horse please!!!:bowingpur:bowingpur
  5. topkat

    Families can now call the code team

    We have had it at our hospital for about 18 mths and I have noticed a much lower incidence of pt's coding. I haven't heard anything negative regarding family members abusing this either...
  6. topkat

    Stock up on your drug pens while you still can...!

    I agree with this if they do pass on the savings to the public.....but I too shall miss the "grab-bags" of free stuff I've collected thru the years at seminars...
  7. topkat

    Why it is better to be a Nurse than a Physician.

    I've had people actually ask me " so why don't you go back to school and become a Dr.?" like that makes me second rate....I love nursing....I have been able to re-create myself over my 28 years in nursing....if I feel like I've done all I can in one area, I just transfer to another area and work with a completely different type of pt, pediatric, cardiac, renal, geriatrics.... I feel sorry for docs because they spend so much of their time training to do medicine in one field.....except family medicine...that has a lot of variety... I especially feel sorry for the proctologists of the world.....what a way to spend 35 years of your life looking up rectums every day....no way!!!!
  8. topkat

    Crocs banned :(

    why did your facility ban them??? if you don't mind me asking....topkat
  9. topkat

    Any clinical research nurses out there?

    thanks for the advice...I'm hoping to keep my same pay...the place I work at is not very competitive in the nursing job market....topkat
  10. topkat

    Any clinical research nurses out there?

    Hope you're still out there..that was a pretty old post...I am applying for a CRC position in central Tx. I anticipate I will work with numerous docs on various research projects. I'm excited and a little scared...some of these posts are talking about lots of stress...I'm pretty compulsive and enjoy tedious things, but I don't care much for stress!!!! any advice in this arena???
  11. I didn't attend the rally on Austin Nov 14th introducing this act. I did, however receive a packet in the mail asking for my support and to pledge $, and to join the NNOC from the California nurses assoc. I need more info on this to make sure it is something that it is in our best interest not needing more amendments before I jump on the bandwagon. Anyone out there familiar with this act and have a passion for it??? thanks in advance topkat
  12. topkat

    Enraged (venting)

    too bad the OP didn't have the tazer available in the CT scanner..although it sounds like this guy was so blitzed he probably didn't care or had so much "anesthesia" already on board he couldn't feel it....hope the OP is working thru this..best wishes topkat
  13. topkat

    "I'm NOT going to support his habit...." LONG

    I went to a seminar on acute pain mgmt. It had some good ideas for guidelines on treating chemically dependent patients. Here is an excerpt: " Pain Mgmt Guidelines Periods of acute illness often represent opportunities for meaningful intervention in addictive disease Aggressively encourage entry into addictions treatment But, addiction treatment is not the priority during the period in which the patient is experiencing acute pain" As nurses, we have a responsibility to assure our patients receive adequate pain relief. Treating acute pain doesn't equate to feeding in to their addictive habits. remember the pledge: With loyalty will I endeavor to aid the physician, in his work, and devote myself to the welfare of those committed to my care. best wishes to all those that care for these patients...they can be very manipulative and demanding...remember they often develop drug/alcohol addicitions because they have poor coping mechanisms to begin with...disease only exacerbates the issues.... topkat
  14. topkat

    surgical prep shave vs clip???

    thanks augigi...I did find one article on the CDC website!!
  15. topkat

    surgical prep shave vs clip???

    I work for a Neurosurgeon that has always shaved the scalp in preparation to perform a craniotomy. Our Infection Control dept. has sent an article to me regarding the controversy surrounding this... Question: "In 1996, convinced by an operating room nurse and the literature, our cardiac sugical team abandoned the use of razors to prep patients for any procedure. At the same time, we limited the amount of hair removal to a minmum. Most surgeions, when presented with the literature (even though it may not be perfect and answer every question), do not cling to the razor prep. We instituted using clippers for all surgeries. However, the neurosurgeions want to use razors just for their craniotomy cases. They are telling me that they need to get a close shave to properly prepare the patient. Please share with me how people are dealing with this in their hospitals. Are they making exceptions and allowing razors for use on craniotomy cases? Answer: This is a common question, but there are places that have solved it. No razors really means no razors in successful hospitals. When one uses clippers properly, it is possible to get the same "close shave" as with a razor, but with less risk of cuts to the skin. The important thing is to ensure user training, because clippers in an untrained hand are worse than a razor. I would suggest seeing if you can get a neurosurgeon to agree to a small test of change: test removing the hair on one patient with clippers, and see if the surgeon feels that it is acceptable." My Neurosurgeon is not willing to change his practice. I am looking for practice guides from other Neurosurgeons. Does anyone out there have any information on this topic? articles, infection control study results, etc. thanks in advance for any help...topkat
  16. topkat

    are "fake nails" okay for nurses?

    3. Cole C. Nail bacteria linked to baby deaths. Available at: http://www.earthchangestv.com/biolog...ilbacteria.htm. Accessed April 1, 2004. I read this article. It doesn't really prove to me that it was the "acrylic nails" that caused the deaths of these premature infants...if you disagree, please re-read...as for the other articles I tried to access them, but they're too old and not able to bring them up on the website... I have worn acrylics for many of the reasons mentioned earlier.... I have worked NICU and other areas for many years...to my knowledge I've never caused any harm to any patient in regards to my nails...I wear gloves.. wash appropriately....if I ever found out the contrary I would do anything in my power to remove the danger from my patients... I have never had a fungal infection on any nail...mine don't "lift" because they're put on with a powder and liquid...don't use the "glue" that likes fungi.. I used to bite my nailbeds, had chipped nails, weak nails, etc. since I've had acrylics I've never bitten my nailbeds..I keep them clean, short, and healthy...I get lots of compliments on them from fellow nurses, lay people, etc. I have gone to the same nail salon for about 9 years...never heard of any problems from the state inspection agencies regarding complaints against this establishment....(I know a number of people who have gone there and no problems reported) I know this is a touchy subject for nurses..I'm from the time when we couldn't wear perfume, nail polish, etc. I haven't seen any recent information regarding whether the banning of acrylics in hospitals has improved the infection rate... if there is any new information out there, I haven't found it on google either... does anyone have any recent info regarding whether the banning has made a difference??? I love evidence-based practice and am very interested in this subject for obvious reasons...btw...I work in a clinic now...wear gloves with any patient contact...
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