tamari07

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...

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...

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...

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...

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...

Kennedy ulcers were my first thought.

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...

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...

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 ...

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. ?

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...

I'm interested in obtaining my Master's degree online. I have been looking around at different schools including Walden and Phoenix University. Problem is, there are sooo many different Master's programs and I'm not sure which one is best for me I k...

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 ...

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...

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...

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...

I'm going to start studying for the exam soon. I plan to take it sometime next year. From what I have heard the exam contains a lot of anatomy and rehab questions. I guess I'm really nervous because I am not sure what to study. I have not seen any st...

I know this thread is old, but have to continue :-D You might be a neuro nurse if... You find your patient eating the Thick-It Powder Your confused little lady has folded every towel and washcloth on the unit and is ready to fold more "laundry" You w...

Hi everyone- I'm fairly new to this website but have thoroughly enjoyed reading the posts in this forum.. I don't feel so alone anymore! Anyways, I'm starting my new job in a few weeks (second round in a different hospital, long story, different post...

I am interested in possibly applying to Northside in Cumming. Any feedback? Do they have good benefits? Patient-Nurse ratios? Any current employees or former with feedback would be appreciated! Thanks!

I wish I could give you more information, but I ended up not applying there. I will probably be considering a job change this summer when my husband finds a more permanent location for his job. Wish I could have been more help! But I have heard good ...

I've been a nurse a little over a year now and I can honestly say I love my job. I'm blessed to be on a unit where everyone has a good relationship and you always have help. Most of my co-workers are now good friends of mine. I can remember though qu...

I work on a neuro floor and deal with crani's all the time... sounds like you did all you could do... I'm surprised they waited as long as they did to send this pt. to the unit. I'm sure as you know, neuro patients never go bad suddenly. Sounds like ...

10 patients!

When you're in nursing school you probably have one or two patients in clinical who you maybe pass out a few meds, chart a little bit, do AM care. But when you're the RN, you have 5-6 patients who you have to do EVERYTHING for. You have to pass meds,...