nursbaybie BSN, RN

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 any photos of the 3 please share. I've read many co...

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 division 5, chapter 3 (licensing is chapter 5) an...

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

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 efficient (meaning most left 3-4 hours late) this was at...

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 hemmorrhagic or ischemic. If its a bleed vs. ischemia,...

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. Lethargic, weak, speech changes, or lack thereof. Once I n...

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 med/surg, ICU, pediatrics, telemetry, and acute heart ...

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 a right angle to the leg, wrap firmly but not tigh...

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 such as for wounds that occur in folds of skin for ob...

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 what I'm looking for, but I just want to be sure that...

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 contracted by cms to conduct the surveys according to th...

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 just started so my list is short: sinemet, os cal...

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 expected with cnas taking vitals and passing trays, etc....

hello

way.

well

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 skin can be pulled back in place, steri strips woul...

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 part. But say our acuity calls for 8 staff members ...

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 learn a little about the disease and what these pat...

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 would much rather have 7 or 8 patients with suffi...

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 custom fitted and adjusted to fit. Some stores let yo...

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 what the inmate is really after or what "could" p...

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 decision. If I were a complete idiot, I would not ...

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 inside, thus my reason for inquiring on these board...