lsyorke

lsyorke RN

Med-Surg, Wound Care

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All Content by lsyorke

  1. working at same hospital as my mom!!!!!

    lsyorke replied to coffee4metech's topic in General Nursing

    My Mom and I worked at the same hospital for 20 years. She was a social worker. I LOVED it! We had alot of contact, but it was never a problem. Our hospital has ALOT of family members working

  2. Patient decompensated on the floor, sent to ICU, Have you had this happen?

    lsyorke replied to Nurseangel10's topic in General Nursing

    Thousands of times.....always trust your gut if you feel a patient is going

  3. Should I wear my white nurse's uniform??

    lsyorke replied to Epona's topic in General Nursing

    It's not the uniform that makes one a nurse....it's what you do on the job. If a nurse is getting confused with housekeeping, then she needs to look at how she's practicing. Sorry, this argument over...

  4. My Room Mate tried to commit suicide tonight.

    lsyorke replied to Idaho Murse's topic in General Nursing

    Taking a blood pressure and dragging an accident victim from a car are two different

  5. My Room Mate tried to commit suicide tonight.

    lsyorke replied to Idaho Murse's topic in General Nursing

    Wow......that's a sad statement on our society. Taking a blood pressure can be done by anyone, regardless of medical

  6. Steps of a wet to dry dressing

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

    Removing a "wet to dry" dressing dry is removing good tissue along with bad. That defeats the purpose of wound care. In wound care we don't use wet to dry,

  7. Was this an appropriate order?

    lsyorke replied to vashtee's topic in General Nursing

    Because we are not personal secretaries! If a doctor wants to talk to another doctor, then pick up the phone and call

  8. Keeping an NG patent with a upper GI bleed?

    lsyorke replied to LovingNurse's topic in General Nursing

    If an NG tube is occluded, the suction is going to get progressively higher in the tube since there's no release of suction due to the clog. This patient needed emergency EGD....doc should have...

  9. Leishmaniasis

    lsyorke posted a topic in Wound, Ostomy, Continence

    Just an FYI....I work in wound care and we have had our first case of this. Watch your patients history for travel to the middle east and south america....and wounds that are getting progressively...

  10. Leishmaniasis

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

    Amphotericin appears to be the drug of choice for treatment. Every case has to be reported to the CDC, and treatment plans come from them. There used to be two topical treatments, but in most cases...

  11. Leishmaniasis

    lsyorke posted a topic in Infectious Disease

    Just an FYI....I work in wound care and we have had our first case of this. Watch your patients history for travel to the middle east and south america....and wounds that are getting progressively...

  12. Leishmaniasis

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

    The patient is doing fine...referred to ID for treatment. He told us it started with what appeared to be bite marks, so the initial diagnosis of scabies would have been logical....but then it...

  13. What Happened To The Nursing Profession?

    lsyorke replied to Anxious Patient's topic in General Nursing

    While this is true, I think that it can be handled. I've had the pleasure of working with some excellent docs for many years. Most appreciate when they are approached with the problem and with a...

  14. Clinitron bed amd Q2hr turns.

    lsyorke replied to regularRN's topic in Wound, Ostomy, Continence

    I'm not big on relying on a bed to do all the work..any kind of bed. I've seen MANY pressure ulcers start when patients were left flat on specialty beds. They should be considered an adjunct to good...

  15. Clinitron bed amd Q2hr turns.

    lsyorke replied to regularRN's topic in Wound, Ostomy, Continence

    Clinitrons will help prevent pressure areas, but positioning a patient is more than just skin care. Positioning helps keep fluids moving in the lungs(pneumonia prevention), extremity movement(ROM) to...

  16. Wound Care - Unna Boot

    lsyorke replied to nuttin2do78's topic in Wound, Ostomy, Continence

    Absolutely you

  17. Should I take on a manager's position??? Help!

    lsyorke replied to Magsulfate's topic in General Nursing

    HUGE red

  18. Abd CT : PO contrast vs IV contrast

    lsyorke replied to saphyre's topic in General Nursing

    There are many hospitals that the docs don't put in their own orders(I'm assuming we're talking putting them in the computer), as a matter of fact I have never worked at a hospital that docs do it....

  19. I need help! What is the nursing assessment for diabetic toe necrosis?

    lsyorke replied to Julie Reyes's topic in General Nursing

    Evaluate his sensation in his feet. Insensate feet are the biggest cause of diabetic foot

  20. Was this really a HIPAA violation

    lsyorke replied to rainbowsfolly's topic in HIPAA Challenges

    Exactly! This isn't about Hipaa,this is about a ****** off employer. This statement highlights the lack of violation. "The investigation continued and it was proven that I had NOT pulled the chart and...

  21. Was this really a HIPAA violation

    lsyorke replied to rainbowsfolly's topic in HIPAA Challenges

    Let me get this straight....your son's doc asked you to get the information in the setting that you were in, you have legal standing and written release to get that information and have many times in...

  22. Rude Resident Physician!!

    lsyorke replied to RNbabe's topic in Patient, Colleague Relations

    And this is why residents feel that they can get away with what they do. Until we stand up as a profession this behavior will continue. No way should be behavior go unchallenged! I have told MANY a...

  23. Hepatitis B vaccination

    lsyorke replied to linda2097's topic in General Nursing

    I've been working in hospitals since this vaccine came out. Had the full series, never converted, had the series again, never converted, and had two additional doses, never converted. That was 10...

  24. Certification - worth it?

    lsyorke replied to silverhead's topic in General Nursing

    I got my wound care certification...the hospital paid for the course and my time when I was there. Nothing more in salary. That said, it was a GREAT course and well worth it for the

  25. HIPPA & Family Members

    lsyorke replied to KatyAtlanta's topic in HIPAA Challenges

    While this sounds like a reasonable request, it never works. Rarely does a floor nurse have the time to monitor someones visitors(nor should she), so this results in a sign on the door, which visitors...