Turtle in scrubs

With the RaDonda Vaught trial underway I'm curious how often an ICU nurse, on the unit, gives Vecuronium. Of course ICU's treat different patient populations and different acuity patients, but trying to get a rough idea.

Agreed. How often you give a paralytic is a better question. The drug was pulled from the Neuro floor and taken down to imaging, so, not pulled in imaging. But still, not cool. Generally the only time I override meds is in semi-urgent ...

I have a pt with a pretty bad skin tear. I was able to place flap over approx 70% of wound although its long term viability is questionable. I had smothered the whole wound with Coloplast triad. 1 week later the flap is adhered but looking rather d...

I find most physicians don't really know what a traditional wet to dry is, or it's consequences. Most don't know what else to order. I don't really see "true" wet to dry dressings done intentionally anymore. I only see them done when dressings are...

For skin protection (before tape application), I like Cavilon No Sting Barrier Spray. I would recommend using this (or another skin barrier) to clean, dry skin before applying tape. If skin is impaired and it is a sacral injury you could also skip...

Yes, using foam dressing for cover dressing. Her skin is way too fragile to be left uncovered while it heals. And it was pretty exudative in the beginning. I've had her shower twice now with her dressing off, about a week between each dressing cha...

Thanks. I haven't tried mineral oil, but I haven't really tried very hard to get it off either. I was more comfortable leaving a thin layer in the wound after cleansing than I was risking causing any more trauma to the wound. I think next I will h...

Thank you!

I'm curious to see if anyone has, or knows of, any research out there on safe practices for washing scrubs at home. I've read through posts here on allnurses of what people do and think should be done, but I'd love to see some research data if there...

Hi Inthepipeline, From my experience WOCN's are in demand (in the couple of States I've lived in). I am not familiar with a DWC. It may be popular in different areas of the country however. I think the question is, 'are there jobs out there that r...

While I absolutely understand where you are coming from in regards to a HIPPA violation, I do not agree with your conclusion that these providers are not advocating for their patients. The circumstances in which I have seen this done, and from the a...

Hi everyone. I'm looking for some recommendations of a good moisturizer for regular to dry legs to be used under compression wraps, and total contact casts. I'm looking to moisturize while avoiding maceration. Any ideas?

Hi everyone! Wondering if anyone has gotten an RN license through Endorsement from another State recently. Specifically I'm wondering how long after they specified that it was "In Review" did it take? They have all my info, fingerprints, and I've...

Definitely check to see what your hospital policy is. This may clear things up one way or the other. If there's a hospital policy against something you're doing then you can either cut your hair, or respectively challenge the hospital policy. If t...

Hi everyone. I'm a Wound Ostomy nurse relocating to SA and curious about CSR hospital. Can anyone tell me what EMR charting system you use? Is it a good place to work? Any thoughts on their Wound Ostomy team? Thanks!!

Thanks HouTx! I'm pretty open at this point. There are no jobs with CSR posted at this time in my field. I have sent over my resume in case something comes up. This past weekend I was in town and stopped by the CSR at the Medical center and it ha...

I'm currently working as a WOCN and looking for a WOCN job in the Richmond VA area, but haven't seen much of anything. Most of the WOCN's I know got their job at the place they were already working, or by word of mouth. I'm not sure how best to go ...

Thanks woundnurse4u, ... so was it on Monster.com that you found your job, or did you use a headhunter?

Not a dumb question. But when you say "do I have to", do you mean from an employer standpoint, or the certification board? From the certificate board standpoint, it looks like you have 5 years to take the exam after finishing your course work. (I ...

Hello Everyone, Is anyone out there practicing the "4 Eyes Assessment" on their inpatient units? This is where 2 nurses (or other staff members) go in together once a patient is admitted to the unit and do a thorough skin assessment together while g...

1. You assess a wound for the first time and it is 100% covered with adherent slough. You cannot see the wound bed. Unstageable. You apply santyl and with two weeks you can see the wound bed and there clearly is no bone, tendons, etc. How do you...

Thanks RachRN11! In my reassessment I can (and do) write out a description, and I agree with what you said. Problem is, we expect the nurses on the unit to be documenting the PU's in a EMR with little drop down boxes that don't allow for all that. ...

Good discussion. As for pt's I have no problem holding their hand, bowing my head, etc as they pray, but if they want a prayer led I call in the chaplain. If a patient asks me directly about my religion I say "my family is Lutheran". Which is true...

Congrats coolbreezegirl!!! Sounds like things are really falling into place for you. All the best :)

Ah yes.. I get it. If you were staying at the same facility and just asking to stay on in the ICU you were already trained in, that may work, but it would be a whole different deal going to a different facility. Sounds like you are itching for a c...