sharlynn

sharlynn

ICU, CCU,Wound Care,LTC, Hospice, MDS

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All Content by sharlynn

  1. Nursing professional liability insurance

    sharlynn replied to tinta06's topic in Illinois Nursing

    I graduated from a school in Chicago 39 years ago and have used NSO as long as I can remember. I've never needed it, but I won't drop

  2. Epilepsy Information

    sharlynn replied to suzy45's topic in General Nursing

    My neurosurgeon uses seizure disorder rather than epilepsy due to ththe stigma attached. 1. Age 33 after an ear infection. 2. Seizures. My aura is a funny metallic taste and a sort of ringing in my...

  3. Please Help

    sharlynn replied to ks_cop_nurse's topic in Wound, Ostomy, Continence

    Where's the foam? Is this a real Wound Vac or someone trying to make do with just a suction machine and dressings available? And I thought my place was

  4. Pay Increase for Becoming Certified?

    sharlynn replied to nurseke's topic in Wound, Ostomy, Continence

    WCS requires a BSN and the yearly dues are a LOT more than my RN license. The one week course is not a requirement for WCC. You can just take the test. It does not require a BSN. LPN's and PT's can...

  5. Losing your skills in LTC

    sharlynn replied to Cubby's topic in Geriatric, LTC

    I'm glad to know this isn't just a problem in the US! I've seen it in the three states I have worked in. I agree these are basic nursing

  6. Illinois nurse new to the site with a question

    sharlynn replied to Nurse Betty Boop's topic in Illinois Nursing

    LPN's can become WCC through the NAWC. Easiest way, but expensive is to go to a one week class with WCEI (Wound Care Education Institute). Classes are held in Chicago area frequently. I did a year...

  7. Barrier Cream

    sharlynn replied to sharlynn's topic in Wound, Ostomy, Continence

  8. Ma vs CNA

    sharlynn replied to Lost in Nebraska's topic in General Nursing

    Check in to the nursing school of your choice. Here in the panhandle they are now requiring you to be a CNA before starting LPN

  9. Unna boot question

    sharlynn replied to snowconemouth's topic in Wound, Ostomy, Continence

    Your ADON needs a crash course in Wound Care! You want to disturb the wound bed as little as possible. It slows the healing process. Unna boots are definitely weekly unless drainage dictates...

  10. Granulex, afraid I messed up!

    sharlynn replied to Jo Dirt's topic in Wound, Ostomy, Continence

    Granulex states it can be used up to Stage IV right on the can. Xenaderm is the ointment form of Granulex. I didn't realize there was such a difference in cost

  11. New Policies

    sharlynn replied to wildcard47833's topic in Geriatric, LTC

    We start baths at 5AM, but only on people who are already awake. We are farm-ranch country,so have many life-long early risers. Middle of the night baths are done only if awake (to relax them) or...

  12. Med Pass/interruptions

    sharlynn replied to violetrose's topic in Geriatric, LTC

    Two Med passes- that's it? For how many residents? We have Breakfast, Lunch, Supper and HS, plus 6-7 AM mostly eye gtts,TX and Fosamax, 10-11 AM eye gtts, TX,supplements and misc. and 3-4 PM...

  13. Giving report in LTC

    sharlynn replied to night owl's topic in Geriatric, LTC

    We haven't had a Kardex in years. We have a 24 Hour Sheet made up by the secretary. It is similar to the census sheet with more room. Pertinent details like lab, x-rays, appts are typed on. New orders...

  14. Question about practicing out of state.

    sharlynn replied to pdaddy's topic in General Nursing

    When I moved in the past, I was able to get a temporary license to work immediately while the paper work was processed. They were good for three months and could be renewed if

  15. Debriding enzyme?

    sharlynn replied to NrsJena's topic in Wound, Ostomy, Continence

    I would never use Silvadene as a treatment for a Stage

  16. alternating air mattress????do heels need to be floated

    sharlynn replied to Rnltc's topic in Wound, Ostomy, Continence

    I agree with this one! Prevention is easier than the

  17. What should I expect to see in LTC?

    sharlynn replied to nsnina's topic in Geriatric, LTC

    I have to disagree with this one. If it is really a problem and if nothing is done about it, I would be looking for another job. We recently had a problem resident. With enough documentation we were...

  18. Wound care education

    sharlynn replied to HappyJaxRN's topic in Wound, Ostomy, Continence

    Check out Wound Care Education Institute or WCEI. They give a one week course all over the country. At the end of it you take the NAWC exam to become a WCC. This certification is good for five years...

  19. Losing your skills in LTC

    sharlynn replied to Cubby's topic in Geriatric, LTC

    Suctioning is another story - yuck - we don't have trachs because our building is older - no wall suction. Oh well, we can't have everything. We don't have wall suction either, just portable, and we...

  20. Changing to 24 (military) time

    sharlynn replied to trudy88's topic in Geriatric, LTC

    We switched a few years back. It was easiest for me to remember to just add 12 to whatever time it is. 3:15PM becomes 1515. 8:20PM is 2020 etc. That way you don't have to have a clock around to look...

  21. Steps of a wet to dry dressing

    sharlynn replied to oxyjen's topic in Wound, Ostomy, Continence

    Doctors may still order wet to dry dressings, but they also order betadine and hydrogen peroxide, too. All are no longer frecommended for wound care. My biggest problem since becoming certified is...

  22. Nail care restrictions by nursing aides

    sharlynn replied to bchapin's topic in Geriatric, LTC

    At my facility CNA's can trim nails on anyone except diabetics. Medication aides can do diabetics with an RN' approval. The bath aide does most of it because they are easier to clean after soaking....

  23. Need help re: time of wound healing

    sharlynn replied to DutchgirlRN's topic in Wound, Ostomy, Continence

    I told her it debrieds the wound bed each time you remove it. She asked me how does it heal and how long does it take? I didn't have any answer for her. I did tell her it takes at least several weeks...

  24. Skin Tears........

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

    My facility is very cost conscious. BID dressing changes are avoided whenever possible. Our medical director and our policy recommends cleaning with NS, using tincture of Benzoin to intact skin...

  25. New to LTC/SNF - Does this sound right?

    sharlynn replied to CMLPNnowRN's topic in Geriatric, LTC

    I also wonder about the 1:20. How many aides will ther be? That seems pretty high for sub-acute with vents, trachs, NG/TF