kc319

kc319

Wound Care, Infusion, ER, HH

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All Content by kc319

  1. Mature Nurses over 50

    I am 54 and have been in Home Health for the last 8 years. Before that I was an E.R. nurse for 10
  2. I have a female pt. who was just admitted to my Home Care Agency from another Home Care Agency. She had a colostomy done on her in Dec. 07. Right now, it is an angry red all around the opening. Looks...
  3. I have a pt with a transverse colostomy who will be undergoing a colonoscopy. She is to have enemas given to her through her colostomy and I've never done, seen it, nor been inserviced on it! Can...
  4. Venous Stasis Ulcer & RA

    She actually uses Dilaudid for pain control. But with the use of the wound vac, it does not
  5. I have a pt with a HUGE venous stasis ulcer encompaassing nearly her entire left lower leg. Her co-morbidities: age (83), advanced RA, wheelchair bound, diabetes, HTN, OA, arterial insufficiency. She...
  6. Venous Stasis Ulcer & RA

    Yes, the pain is controlled w/ wound vac off, increases significantly when on. You're right, I forgot about not using compression w/ arterial insufficiency. A wound care doc would be good, she's just...
  7. How many miles do you drive to work each day?

    I work in Home Care so on average, I travel between 200-300 miles per day! 5 days a
  8. Do you care if they want you to remove your shoes?

    I would only take them off in an extremely clean home for cultural purposes only. Other than that, shoe covers go on, no questions asked. Bet you're surprised as the number of responses, aren't...
  9. CNA Educator

    I have been asked by my company to look into the requirements for teaching a CNA class. However, no matter where I look, I don't seem to looking in the right places for the training module,...
  10. Venofer infusion complications

    I would ask the pharm. if they would mix it in 100 ml of N/S instead of 50 ml. That is the way we infuse it at the HH Agency I work
  11. Wound Vac

    I have worked in Home Health for a long time as a Wound Care Nurse and as long as the physician has put on a dressing (and I'm sure he/she has), it is ok to leave the wound vac off for up to 24 hours...
  12. Need help with Ostomy patient

    She has had multiple abdominal surgeries with more to come. The stoma is irregularly shaped, it is a transverse colostomy on her right side. Unfortunately, I'm not an ET nurse, so I'm not sure how...