lsyorke

lsyorke RN

Med-Surg, Wound Care

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All Content by lsyorke

  1. Failed drug test with prescription & HIPPA Law???

    I was thinking the same thing. Drug tests don't show brand names, they show categories. Adderall is amphetamine aspartate; amphetamine sulfate; dextroamphetamine saccharate; dextroamphetamine...
  2. Bathroom Inservicing

    LOL! It's where I do my best thinking!!! Offensive...nah, it's a location where people actually see them. This location has been a favorite in every hospital I've worked
  3. I started the RN program in 1976, dropped out in 1977(got married...BIG mistake). Got my LPN in 1984. Started taking prequisites for RN in 1990...one at a time. Graduated from the RN program in 1998....
  4. This is not my job?!?

    You will learn soon enough that being a nurse means that everything that relates to your patient IS your
  5. Severe Hypoglycemia before Death?

    If the patient was on oral diabetes drug, those effects can last for 72 hours after the last dose. Stopping the TF would result in low blood sugars that would only temporarily be reversed by bolus...
  6. acute renal failure scenario

    Maybe I'm not understanding what they're supposed to be doing. Are they supposed to find the signs of ARF, or figure out the priorities and their possible causes with this
  7. acute renal failure scenario

    I have to disagree. The fall in urine output occurred after the discontinuation of IV fluids and in the presence of vomiting. Dehydration should be the first consideration, in the absence of labs. Not...
  8. acute renal failure scenario

    You can't determine acute renal failure without a bun/creatinine. Remember...this may be a scenario that is testing your knowledge in renal failure...which means that you have to be able to tell when...
  9. acute renal failure scenario

    Flat and upright xray of the abdomen to rule out ileus/obstruction/perforation....NGT if confirmed. Ambulate the patient, IV fluids, hold po meds(switch to IV antihypertensives). Low grade temp 72...
  10. Unna boot

    ummm, I would question that order. LOL! I believe that would be called a
  11. Getting a course CEU eligible

    Thanks guys! This information gives me good starting
  12. Does anyone know how you go about getting a course approved for
  13. MRSA in wound

    Dakins wet to dry on a clean, granulating wound is not a good idea. If there are no signs of active infection(a + MRSA on culture does not "have" to be treated) then you support the wound healing with...
  14. 130 miles/2 hours 15 minutes each way to work?

    This schedule will physically take it's toll in a very short period of time. If this is truly your dream job, then move closer to
  15. RMA licence

    I was going to ask the same thing! Maybe Registered Medical
  16. white skin around wound

    Wow...that's not good wound care at all. Wound vacs should not be changed everyday, way to much trauma to the wound. Why was he only getting 12 hours of suction? And wet to dry is proven to make...
  17. wound care certification

    I just took the WCEI exam here in NJ. You can look on their site for more information. Excellent course and doesn't require a
  18. Hmmm, I don't believe she said that he was ungloved or hadn't washed his hands. While his comment was ignorant, reporting a doctor to the medical board for not using sterile gloves in a non sterile,...
  19. Nope, you're not in the minority. I can't remember the last time I saw someone use sterile gloves for a dressing change.....clean yes, sterile no.(just try to find a sterile bowl in your hospital! ) I...
  20. Urinating around catheter

    And catheter curled in the prostatic fossa...not in the
  21. Appropriate to go to funeral?

    I have gone to MANY of my patients funerals. The families are very appreciative. I think it gives them some peace of mind knowing that you weren't just "doing your job", but truly cared about the...
  22. Wound Care.

    As far as I know, the only company with a "portable" vac unit is KCI. Bluesky and Prospera do not have a portable unit,
  23. Admin RX

    We used Admin RX....and we couldn't look up drugs on the system. It's not a bad system, but you will have to learn how to "get around it" at times. The one aspect that was a problem was that pharmacy...
  24. Do Hospitals in New Jersey pay for schooling?

    The Robert Wood Johnson University Hospitals also offer tuition reimbursement and tuition
  25. Sleep is a vital part of good health. Patients deserve uninterupted sleep whenever possible. They are not "sleeping there life away".....they are sick and sleep is a key part of recovery. Minimizing...