RiverNurse

RiverNurse

Certified Wound Care Nurse

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All Content by RiverNurse

  1. On call, but missed call

    The hospital should have a back up plan in the event the nurse is not reachable. I also do not think writing the nurse up is appropriate, given the situation. Reliability is important, however,...
  2. Low Profile Buttons and Hypotonia

    Yes. I did remove the pt's MIC-Key button for one day. The pt does not have prune belly syndrome, but her abdominal muscles are hypotonic. In addition, she has a history of button displacement which...
  3. Hi all, I am fairly new to pediatrics. I'm a wound care nurse and have been working in pediatrics for a year now. I work primarily with the infant population that have had issues with gastric mucosa...
  4. help, bedside nursing not for me?

    First off - hang in there. I think almost every nurse has experienced this sensation and stress related illnesses. Mine was diabetes (II). It is definitely a crucible, trial by fire. It's like eating...
  5. Stoma Site Marking...

    Hi all, Any tips on stoma site marking?
  6. Stoma Site Marking...

    Not yet. In fact, I just finished up the distance learning Ostomy module yesterday (through Emory). I have read about it - now I'm just wondering about the "Oh my Lord" moments that aren't always...
  7. How do you cheer yourself after a bad day at work?

    Scream? LOL... Rant? Not as much as I used to! Now if I have an off day, I usually refinish a piece of furniture or do something creative to get my mind off of it and to gain
  8. Hello all, I have a question about wound vacs. Scenario: Ped pt in foster care and is on wound vac. Wound is about 9 x 7 x 2 cm with approx. 75 cc drainage per day. Pt needs a vac for home. Foster...
  9. I did the distance learning option for my CWCN last year. Back then, that module for the didactic portion only was $1200.00 (not including registration fees, books, clinicals, lodging). I attended...
  10. Any tips, tricks, advice?

    Yes. PM me privately and hang in
  11. Charity wound vac option

    Thanks for this. Apparently I received the wrong info from KCI. I was told by our KCI rep that there were income requirements and that the family "made too much money". I did find out from them that...
  12. All I can say is, I wore those "shoes" when I turned 40... If you want it, go get it. Another "word of advice" from the peanut gallery - take care of your back (think Yoga), your feet (always by the...
  13. The Hardest Job You Will Ever Love! - Nursing

    Yes, nursing is hard, but has it's rewards in the end - like a bad back and bunions. LOL
  14. Burned out and hate nursing

    How long have you been a nurse? Now then, onto options: 1. Get out of Med-Surg. Sounds like you're burned to a crisp. 2. Continue your education (i.e. specialize) 3. Consider nursing informatics...
  15. Hello all, I am working with a pediatric patient that has midline prolapsed fistulae complicated by old surgical creases and divets from former surgeries. In addition, due to poor pouch fit, the pt...
  16. Stomadhesive alternatives?

    Update: We had a 3M brand of durable barrier cream. I tested it on my hand/arm before introducing it to the pt. Love, LOVE the stuff! However, the pt refused to try it.
  17. Crazy for wounds...

    Rock on! YES! Sometimes I just have to get on YouTube and look at excisions, etc... :-0 TMI, TMI... Depends on the "type" of wounds you "enjoy". If it's pressure ulcers, nursing homes have their...
  18. Stomadhesive alternatives?

    Thank you! I will try that - and will let you know my experience with
  19. My first med error... Yikes!

    Hi all, So, I've been a nurse for 3.5 yrs now. I guess it was bound to happen??? How could I have been so stupid? Synopsis: Working midnight til 8 am... No nursing assistants on the floor so we are...
  20. Healthcare is NOT a basic human right.

    I don't often share this story anymore - it's been so long ago - but it has shaped who I am today. When I was 24, I was the mom of two little boys. I needed healthcare for them and couldn't get it....
  21. Healthcare is NOT a basic human right.

    I'd like to live in Canada to have that perspective on healthcare. I'd like to experience it for myself so I could make a side by side comparison. As to rights, the only comment I have is that I'm...
  22. I went back to school when I was 40. In fact, I'm still in school... I jokingly say that I spent the last decade with my nose in a book (well, only halfway joking). You can do this.
  23. Leaving a job while in orientation

    I worked in an ER setting after working nine months on a med/surg floor. Big city, downtown ER - Me? I was from a little town... I was a very little fish in a huge pond. I could go on and on about...
  24. Do Not Work Off The Clock, Nurses!

    That's exactly what I heard at my last place of employment. I was told that I couldn't stay past the end of the shift - and yet - I had to complete my charting, LPNs assessment charting (sometimes as...
  25. Answers to "Which Dressing Should I Use"?

    NRSKarenRN - has anyone told you today just how amazing you are? I'm currently doing my wound care clinical rotation (CWCN boards to follow) and all your tips and links are most helpful! Many...