RN1989

RN1989

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All Content by RN1989

  1. Help Needed to treat wounds effectively

    The staff needs to be fully educated and checked off on competencies to use unnas boots and compression wraps such as Profore. The doctors also need to be fully educated on their use. It is...
  2. irrigate or not to irrigate wounds

    There are various schools of thought. The best answer is to follow whatever your hospital policy says so that you do not get into
  3. Yeast infection gone way too far!!!

    Interdry is great. It is impregnated with silver to help with bacteria. You leave part of it outside of the skin folds and it wicks the moisture away from the body. The rep says that it is washable...
  4. Is there some sort of Nurse/Med student rivalry?

    ORs are notorious for gossip and backstabbing among themselves. Which makes the staff more outspoken when they have to babysit med students who get in their way while they are trying to get their...
  5. Going over grid...........

    This is everywhere. Little you can do about it except to stand up and become politically active to try and change things. Be prepared for the worst and hope for the best if you decide to join the...
  6. Iffy practices at my new job...

    In LTC, she is right - she'd never get anything done if she had to give one pill at a time to every patient. You have to make sure that you aren't giving pills together that can counteract/interact...
  7. New Clnc And Night Shift Job

    I don't think I would even let your boss know that you have taken and passed the CLNC exam. It might cause her to find a way to get rid of you because she might be worried that you will cause...
  8. yankauer tubes

    There are not many people with nostrils big enough to allow a yankeur to go in very far. Sucking up snot hanging just inside the nose is possible. Attempting to stick a rigid yankeur up someone's...
  9. Staying in touch with pt after discharge

    I've literally had to hide in clothing racks to get away from people that I have taken care of. They didn't understand that I was no longer their nurse and they wanted me to do all kinds of things...
  10. Watches that pin or clip to you have been around since the 1800s. Wrist watches came much later. Various nursing gift/uniform catalogs carry them. You can also find them with a
  11. I hate the NCLEX-RN Exam

    There has to be some standard to hold people with professional licensure to. The NCLEX is the current nursing guideline for initial competency. I don't believe that the current exam adequately...
  12. Legal Nurse Certification - taught by trial attorneys?

    I understand not wanting to spend a lot of money on the education part. Personally I feel that the money is worth it, not only for the actual education but for the followup assistance after the...
  13. How do you get past the gatekeeper?

    I was thinking of something innocent along the lines of "Oh, I hadn't realized that there was another LNC working in this area. Would you mind giving me their name? I would love to get in touch with...
  14. Waive benefits for an increase in base pay?

    A friend of mine did this and ended up in trouble when she got sick for an extended period of time and had no PTO to cover her and pay her
  15. Its ONLY 115 outside today

    The weather man kept saying that it was officially over a hundred degrees here last week. My thermometer is in the shade and it has been up to and over 100 for 3 weeks. Give me winter anytime. I...
  16. How do you get past the gatekeeper?

    I think I might ask for the LNCs name, just to see if they are blowing you off or
  17. Men can't give complete baths?

    I think we should be making more patients accountable for their own bathing and peri care to start with and this wouldn't be an issue. CNA's especially have a bad habit of wanting to bathe everyone...
  18. Charting Issues that Really Bug Me!!!

    With the new CMS regs on not all the stuff they won't pay for if it is hospital acquired, these nurses are going to have to do a better job or they'll likely get canned. It is going to be even more...
  19. profore question

    It probably needs changing multiple times a day using alginates, 4x4s, and abd pads wrapped with kerlix. Using the wound cover layer that comes in profores or "wound veil" on the sites that keep...
  20. Post-op care of pt's with epidural

    Down here in the US, epidural patients are on the regular floor with a regular load. Some of the hospitals I have been in have great policies and orders that allowed us to increase/decrease the...
  21. Men can't give complete baths?

    The hospital that I worked in as a new grad - years ago - had "urotechs". These guys were responsible for inserting and dc'ing all the catheters on men, doing all the in and outs, as well as doing...
  22. untrusty co-workers

    I would keep a small notebook with you and document immediately anything that occurs between this person and anyone else. Date, time, who was involved, who said what, etc. A notebook can show a...
  23. Liability and giving opinions

    You were trying to educate the daughter by giving her a range of things that could cause a problem. You didn't say she had a tumor or any other problem, you were merely demonstrating that it could be...
  24. Hospital Closing maybe Selling????

    Better to sell than to try to operate without sufficient funds and become a death trap like some other small hospitals I know. When the facilities cannot pay the bills, things like supplies and nurses...
  25. role of charge nurse

    Kimmy - I only have it in hard copy now since I have left the position that I did this at and did not think I would ever have need to share it. If you would like to pm me a fax number, I will be...