I don't know if this is a woundcare specific thing or what, but the woulda-coulda-shoulda game is strong in this field (IMO). The thing is, there are so many products out there and modalities for wound healing... combine that with a field that is ch...
Wicked Wahine replied to RachRN11's topic in Wound
We use TCCs a lot in my clinic for plantar diabetic foot ulcers. As long as the wound is not deep, not infected and not too wet, it usually has good outcomes. In my experience (1.5 years of using TCCs now), the best outcomes are with pts that keep t...
The point I forgot to make in my previous post is that even though I know the family members won't know whether or not their loved one is in a gown or sheet or whatever, I know and I just wouldn't feel comfortable not having a deceased patient placed...
At my last facility, we bathed and then gave the deceased patient a clean sheet and a clean gown before going into the body bag. The sheet was to make maneuvering the body into the bag a little easier and the gown was just for dignity and was never ...
Wicked Wahine replied to lpnwkids's topic in Geriatric
What to do? Stay out of it, that's what. You won't be able to stop other people from speaking badly about her (and who knows, maybe they have a reason to but that's not your business either) but you can just stay out of it. Don't let others draw y...
I often work with patients who are very ill and frequently have no hope of surviving or no hope of having any type of meaningful recovery. Our patients are often with us for a few months, so I usually get a good feel for the family dynamics and the ...
Where can I find a list of exactly what is considered a medical restraint and what isn't? If I'm reading it correctly, the Joint Commission says that basically anything that restrains a person from moving freely is a restraint but that just seems to...
Wicked Wahine replied to Wicked Wahine's topic in General Nursing
Thank you, everyone. I'm glad to see that I'm not the only one who considers something that restricts someone's movements (I.E. "restraining" them, lol) as restraints.
Wicked Wahine replied to Wicked Wahine's topic in General Nursing
What if the facility had a list of acceptable restraints including wrist restraints, freedom splints, bedrails x2, etc when ordered for safety (but not for falls, which is something I have a big problem with when someone is not able to be oriented an...
Wicked Wahine replied to smstar1996's topic in General Nursing
Speaking as a new RN who works at a facility that uses team nursing with lots of very experienced LPNs, my first thought is that maybe you need to take a step back and reevaluate these situations. Also, what specifically are you delegating? I don't...
You know, some of the learning curve I'm working through right now is figuring out who to ask for what. If I want a completely by the book, "this is how we do it in 100% perfect land" type answer, then I ask so-and-so. If I need help with an IV (I'...
When you hear a code blue announced over the loud speaker, please do not take that as a personal attack on your right to have an Ativan right then and there. No, I can't possibly muster up even an ounce of sympathy for you when you hear that and cry...
Wicked Wahine replied to perfectly_4given's topic in New Nurse
I'm a new grad working at a LTAC facility that uses team nursing. We usually have 10 pts per team, with an RN, an LPN and a CNA. We split up the group of patients based on accuity and IV pushes during the day shift. Sometimes, if it's an IVP heavy...
Wicked Wahine replied to NurseLoveJoy88's topic in General Nursing
From a disoriented but very sweet elderly patient, "Honey, when are you due?" Me: "huh?" Patient: "The baby, dear, when are you due?" Me: "Oh! Um, 5 years ago? Haha!" For the rest of the day several people at work were commenting on my "glow" bec...
Wicked Wahine replied to NursingStudent5548's topic in General Nursing
Honestly, I'd rather have that other nursing student (the one who tries to answer questions and admits she doesn't know something) taking care of my son than a nursing student like the OP who is clearly too busy focusing on judging other people.
Wicked Wahine replied to missninaRN's topic in New Nurse
So it's not just me. One of the things that's really stressing me out (on top of everything that's already been mentioned) is that I am so completely overwhelmed that I don't have time to stop and LEARN anything. I feel like I'm only really earning...
You will need to get your fingerprints cleared and all that before you can take the NCLEX, so I would call the Arizona State Board of Nursing to find out where to start. The website is http://www.azbn.gov.
Wicked Wahine replied to rn4babies63's topic in General Nursing
The physician is having a hissy fit, but he is not your boss. You need to hold your head high because you know you gave good care to your patient and you were an excellent patient advocate. Dr. Whiny Pants can stomp his feet and make a complaint bu...
Wicked Wahine replied to Cindy-san's topic in General Nursing
A tattoo is not a legal document and personally, I wouldn't pay any attention to it if a patient had that tattooed on them and coded. Who knows what the circumstances were when he or she got the tattoo? Drunk? Depressed? Thought it would be funny...
Wicked Wahine replied to RootedRedwood's topic in Ob/Gyn
That isn't true, opiates will cross over into breastmilk. Usually in doses so small that it doesn't really affect the infant, but in any case a postpartum unit really should have a copy of Hale's Medications and Mother's Milk. He has studied this s...