nursbaybie

nursbaybie BSN, RN

Med Surg

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All Content by nursbaybie

  1. Undermining: What it is?

    nursbaybie posted a topic in Wound, Ostomy, Continence

    I've read so many descriptions of undermining, I just want to know, in simple terms, what exactly is it? How is it different from tunneling? And how are both different from sinus tracts? If you have...

  2. For DON about regulations

    nursbaybie posted a topic in Geriatric, LTC

    I live in california. our state regs are title 22. then there are the cms federal regs. so which ones are we to go by. the state? or the federal? and in title 22, if anyone is in cali, is it just that...

  3. For DON about regulations

    nursbaybie replied to nursbaybie's topic in Geriatric, LTC

    are you sure you mean title 42 and not cfr 42? I haven't seen any federal "titles" only codes or regs.

  4. What is it with the nurses in LTC?

    nursbaybie replied to lilypad2424's topic in Geriatric, LTC

    i work in ltc because it is not stressful compared to acute care. I've been a nurse long enough to know the difference. I used to leave acute care 2 hours late on a good day, and I was the most...

  5. stroke in LTC

    nursbaybie replied to ajaxgirl's topic in Geriatric, LTC

    sometimes people wonder if a patient is dnr why transfer? what would they do for them anyway, especially if the window of quick treatment is gone. well, one thing is to determine if the stroke is...

  6. stroke in LTC

    nursbaybie replied to ajaxgirl's topic in Geriatric, LTC

    I have suspected strokes in several residents over the past year. Out of 5 suspected strokes I've seen, 4 were confirmed. First thing I noticed in each of them was a change in mental status....

  7. work in er now,but want to do wound care

    nursbaybie replied to Emmjay's topic in Wound, Ostomy, Continence

    Hi, MMJJ I have always wanted to work in ER, but circumstances have forbid, believe it or not there are not openings in my area. So.....I am now a treatment nurse in long term care. I have worked...

  8. Unna boot

    nursbaybie replied to bethroew's topic in Wound, Ostomy, Continence

    First of all, the correct terminology is Unna's Boot. Second, no it is not acceptable to go back down the leg. to First, you clean the skin thorougly, then flex the knee. NExt, position the foot at...

  9. Decubitus ulcer prevention

    nursbaybie replied to Nvr2Old's topic in Wound, Ostomy, Continence

    Yes, APP mattresses, or actually low air loss mattresses are better, applying something like a and d to certain areas is good to keep the skin greasy therefore prventing things from sticking to it...

  10. For DON about regulations

    nursbaybie replied to nursbaybie's topic in Geriatric, LTC

    I am not a DON. I am just a staff nurse in LTC, actually treatment nurse, but whatever. Anyway, I am just interested in learning all the regs. As I've stated above, I believe I have actually found...

  11. For DON about regulations

    nursbaybie replied to nursbaybie's topic in Geriatric, LTC

    thanks for your replies. I believe i have found the federal and state laws, but i have no idea where to find the local laws. the only people that survey our facility is the state, but they are...

  12. common meds in LTC

    nursbaybie replied to ajaxgirl's topic in Geriatric, LTC

    Sinemet is the most common where I work. why don't we all list the common ones where we work that'll give a real good list, even if we duplicate it will show that it really is common in most places. I...

  13. Telemetry staff ratios

    nursbaybie replied to lee1's topic in Cardiac

    At the facility where I used to work, we had a small community hospital med surg/tele/peds combo...38 beds. The ratio was 1:5 on all shifts, 1-2 cna's depending on the census. Generally tpc was...

  14. unable to get a job

    nursbaybie posted a topic in Nurse Management

    hello

  15. unable to get a job

    nursbaybie replied to nursbaybie's topic in Nurse Management

    way.

  16. unable to get a job

    nursbaybie replied to nursbaybie's topic in Nurse Management

    well

  17. Skin Tears........

    nursbaybie replied to BIG T's topic in Wound, Ostomy, Continence

    I am also looking for the best treatment for skin tears. Do opsites tear fragile skin when removed? If the skin tear if bleeding, itcan get messy under the opsite. I was taught in school that if the...

  18. Calif RN disagrees with CNA in many ways. Am I alone?

    nursbaybie replied to imkw_np's topic in California Nursing

    Thanks for your information. I have read all of that information several times, but I still have some questions. First of all, we do utilize an acuity system, and base staffing on that for the most...

  19. What is your least favorite kind of med-surg patient?

    nursbaybie replied to DutchgirlRN's topic in Medical-Surgical

    I'm not the one saying this thread is unprofessional, but its amazing to see what a stigma there is attatched to the DISEASE of alcoholism/addiction. I encourage everyone to attend an AA meeting and...

  20. Calif RN disagrees with CNA in many ways. Am I alone?

    nursbaybie replied to imkw_np's topic in California Nursing

    I'd like to make a comment about staffing ratio laws. At the hospital where I work (Med surg), we seldom have more than 5 patients however we have total patient care with no CNAs. Everyone I work with...

  21. Help! I need great shoes

    nursbaybie replied to spicynolanurse2B's topic in General Nursing

    I agree. Z coil are the best. they are very expensive but it is the first time my feet haven't hurt. They are supposed to be excellent for back problems, knee problems, leg problems, etc. They are...

  22. Question about inmates

    nursbaybie replied to nursebaby22's topic in Correctional

    These are the stories i like to hear. Without someone calling me "a few cheerios shy of a full bowl" but telling me real life situations that happen, examples of exactly how a person can be conned and...

  23. Question about inmates

    nursbaybie replied to nursebaby22's topic in Correctional

    Usually those who criticize the intellectual capacity of others are those who are themselves insecure. I am here to seek advice, to see how things really are on the inside so that I can make a better...

  24. Question about inmates

    nursbaybie replied to nursebaby22's topic in Correctional

    I appreciate your advice, however, I resent the remarks regarding the possiblity of me being anything less than the intelligent and compassionate person that I am. I do like to hear how it is on the...