panurse101

panurse101

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All Content by panurse101

  1. Xenaderm?

    panurse101 replied to CoffeeRTC's topic in Wound, Ostomy, Continence

    The papain ingred. agents.. such as panafil and accuyzme on those that are sloughy. I also use Intrasite. I love it.. carrosyn gel on the st 2, good clean tissue. We are slowly... and I mean...

  2. Hypoglycemic

    panurse101 replied to Nurse Hatchett's topic in Geriatric, LTC

    Is he on an antibiotic? Levaquin is big for doing this? Look at meds..

  3. picc certification

    panurse101 replied to panurse101's topic in Infusion, Intravenous

    Thank you for the information, I am looking up the website for Medtexx.. to see what they have available. Thank you again,

  4. new cms guidelines on wound care

    panurse101 posted a topic in Geriatric, LTC

    I am starting to in service our nurses, then the cna's on the new cms guidelines, as well as basic wound issues, such as assessments, prevention, etc. I am wondering what kind of weekly body...

  5. new cms guidelines on wound care

    panurse101 replied to panurse101's topic in Geriatric, LTC

    One of our RNAC's gave me an article from her ANAC magazine, which said, to use the MDS RAPS, for an assessment, instead of the Braden or any other assessment. What is your opinion to using that over...

  6. Giving meds in a timely manner

    panurse101 replied to debbiemig's topic in Geriatric, LTC

    Our ltc facility has the same problem, I think this is a common problem in ltc. One thing that we do try to look at, is to see if any med times can be changed. If its a daily med, ask why cant the med...

  7. CSM guidelines for Pressure Ulcers

    panurse101 replied to CapeCodMermaid's topic in Geriatric, LTC

    Just wondering, have you changed your wound documentation. Presently, we have weekly wound rounds. However, the staff are "supposed" to be documenting on wounds when any changes occur, which does not...

  8. How to get in to Forensic Nursing

    panurse101 replied to Jackie F.'s topic in Forensic

    you said you presently do forensics in ltc/geriatric's. that is interesting, im not a whole lot familiar with forensics..especially with ltc. What exactly is it that you do, and how did you get into a...

  9. ltc infection control nurses

    panurse101 posted a topic in Geriatric, LTC

    anyone out there working as a infection control nurse..in ltc? I am new to this postion and would like to know how you track your infections... mainly UTI's. What information do you track? How do you...

  10. ltc infection control nurses

    panurse101 replied to panurse101's topic in Geriatric, LTC

    thank you for those that replied.. i seem to be heading in the right track from the posts im reading, and i got some good ideas as well. have a nice christmas

  11. Xenaderm?

    panurse101 replied to CoffeeRTC's topic in Wound, Ostomy, Continence

    we started using xenaderm about 2 years ago.. when the DON found out it is MA rebursable; so the facility doesnt have to pay for it. Most of our other treatments, the facility pays for. We arent 21st...

  12. re: flu vaccines

    panurse101 posted a topic in Infectious Disease

    To all infection control nurses out there. I am an Rn, presently working on getting my APIC certification, but that just started. The flu vaccines are being given FIANALLY at my place of employment....

  13. re: flu vaccines

    panurse101 replied to panurse101's topic in Infectious Disease

    You are absolutely correct. However, our DON is saying it "has" to be done.. for 3 days. It used to just be common practice for the first 24 hours, but I dont see a reason why. Just want to know what...

  14. nurse's aides doing accuchecks

    panurse101 posted a topic in Geriatric, LTC

    I am wondering what everyone else is doing in their ltc facility. We used to educate our cna's and supervise them doing accuchecks. Recently however, this has become an issue at our facility with the...

  15. nurse's aides doing accuchecks

    panurse101 replied to panurse101's topic in Geriatric, LTC

    I appreciate everyone opinion and advice.. I did recieve two seperate emails from pa dept of health.. both emails stated that in ltc the cna's cannot do accuchecks on the residents. It is an invasive...

  16. Mandatory meetings and night shift

    panurse101 replied to Blackcat99's topic in Geriatric, LTC

    Last year I went from supervisor to staff development. I have worked as a CNA for 9 years and now as an RN for 5. I have worked all three shifts..and tried to attend meetings and inservices at...

  17. physician orders

    panurse101 posted a topic in Geriatric, LTC

    I was wondering what the rest of the long term care facilities do regarding orders not "really" recieved by a md. For example: patient's family requesting family member gets sent to ER for...

  18. Protocols for Central Lines Dressing Changes

    panurse101 replied to HoJo's topic in Infusion, Intravenous

    HoJO, We recently had to review our policies on central line dressing changes. We had other facilities fax over their policies on the same...and found out that they are doing there dressing changes...

  19. dealing with PB 22's

    panurse101 posted a topic in Geriatric, LTC

    Hi...I work in a long term care facility which hold a 121 beds. Recently our health department is now focusing on "neglect". We have been filling out PB 22's alot more than we ever did. Is anyone else...

  20. dealing with PB 22's

    panurse101 replied to panurse101's topic in Geriatric, LTC

    Sorry...a PB 22 is a formal complaint that gets filed if abuse or neglect is suspected, and this is on anyone's part. All healthcare workers, family members,

  21. monthly summaries in LTC

    panurse101 replied to ktwlpn's topic in Geriatric, LTC

    In our 121 bed facility, we do monthly summaries. Ours are one page...front and back. The front is like a checklist re: careplan. The charge nurse, writes the number of the careplan, checks yes or no...

  22. Hours per patient day staffing

    panurse101 replied to Shellie RN's topic in Nurse Management

    Wow...8.98 hppd..where do you work? We staff at 3.1 hppd. Pa state requires 2.7 hppd. This is really effecting us though...we used to be up anywhere from 5-7 hppd. In fact..since we had to cut...

  23. any long term care management there?

    panurse101 posted a topic in Nurse Management

    Hi...Is anyone out there in nursing administration for a long term care facility. I have many questions and would like to talk to some others about how they are handling issues. For one...suddenly our...

  24. websites for LTC staff development

    panurse101 replied to smc's topic in Nursing Educators, Faculty

    Hi! I, too, am new to ltc staff dev./ infection control/ safety/ etc. I am interested in making learing fun. No one likes to sit in an inservice for 1 hr or more....listen to someone talk and talk and...

  25. Frequent Faller

    panurse101 replied to StormyCD's topic in Geriatric, LTC

    i too would like info on the laser light thing. We too have a "frequent faller" that has parkinsons. I have noticed that when her falls become a daily or couple times a day however, she has a uti....