Its has been a while since I posted to this topic. I am glad to see that it is still a topic which attracts interest. At my facility we compare each and every culture and sensativity report ( the...
I have worked with trach patient for the last 7 years. When we get nurses who are new to the everyday aspects of trach patients I often open a spare trach up and let them fiddle around with it. You...
When we work with our patients we can not see the microorganisms. We can only see the effects of the microorganisms. Bedpans once used even one time are considered soiled. You can not see...
Kara, Do you really think that a bedpan full of urine is not potentially infectious????? It is highly infectious. We, as health care workers do not know what is in any blood or body fluid unless it is...
This is a good question? A patient on a vent doesn't always mean they have a closed system. There is still the existance of the natural airway. Even with a cuff you will see patients bring up...
I often wonder if I will end up in a hospital in my life and if so if I will have the chance to be there at survey time. I always say I will make them pay for all the stupid shi* they put us through....
I find the comment on usage of the Dynamap machines very interesting. Does your facility have disposable isolation blood pressure cuffs? That is what we use. We have had a time keeping up with the...
I buy this product from Walmart. I think there is an Walmart everywhere in the U.S. The small can will cost you about $3.99 and if you buy the larger one it will cost you about $4.99. ?? The large can...
Julie, I can't quote Indiana law, but in California every staff member from the house keeping crew to the cook to the administrator to the nursing staff to everyone in the building MUST call APS/CPS...
Nursing is like another profession in what ever country you are in. You have to have the BASIC communication skills of that country. On my unit we have about 6 hispanic nurses. They fit in like anyone...
We have a NO tolerance to abuse committed by anyone. It is reported. Occurence reports !!! Document everything, even if it is on a scratch note. Don't give up your fight. To many of us have in the...
We regard VRE extremely serious at my facility. This includes the long term care units and the acute units. We practice Contact Isolation with VRE. If you follow Standard Precautions you will be fine....
I have been a DSD for 3 years now. I creat everything by hand because there doesn't seem to be a budget for items that are not used in the patients rooms. I enjoy writting lessons plans but don't...
Wow, its interesting to see what others are doing in other states. MRSA - requires contact isolation. If the location is sputum YES YES YES you need a mask, gown, gloves. If it is in a wound you only...