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CarreBarreLPN ASN, RN

Sub Acute and Wound Care
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CarreBarreLPN has 3 years experience as a ASN, RN and specializes in Sub Acute and Wound Care.

I'm an accountant turned CNA, turned LPN, turned RN, WCC.

CarreBarreLPN's Latest Activity

  1. CarreBarreLPN


    I am a Nurse manager of a large ambulatory clinic. As a nurse I know documentation is so important, and I often encourage my staff to chart more...Before I can respond to this post though I need to know the following: 1. How many patients do you see each day vs how many hours are you scheduled? 2. How many RNs are there. 3. What type of documentation are you doing? Paper/EMR. 4. Do you feel well trained on that type of documentation. 5. Do you have any suggestions to improve the documentation process to help you chart more efficiently? 6. Are you the only one who is being called out about overtime etc?
  2. CarreBarreLPN

    WOC Consulting Rates

    Are you part of the WOCN Society? They recently published the 2012 survey results, demographics and rates are a part of the results. If I'm not mistaken I believe they include consultant rates as well.
  3. CarreBarreLPN

    NCLEX-PN in 7 days!!:)

    Well first of all stop saying "First Attempt!" I would be doing 100-200 questions/ day (this is what i did for PN and RN). Do not study the day before the test. and most of all relax!
  4. CarreBarreLPN

    5 Months and no job

    Defiently go into all the nursing homes/rehab centers. I know several in the Chicagoland area have an "open interview" day where you can go in on a certain day and be interviewed. The most important thing is to go in and be seen. o
  5. CarreBarreLPN

    LPN's in wound care?

    Congratulations on finishing school! Check with your BON to be certain but generally speaking LPNs can be wound care nurses- especially in LTC. I started out as an LPN in a Sub-acute/LTC facility. I worked for about 6 months on the floor in Sub-Acute and then transitioned into a WCN. When I transitioned in I only had experience changing the dressings of my patients in Sub-acute. I didn't have much orientation but I took it upon myself to read all the product inserts on our Formulary and acquaint myself with each item. I also bought a few books on WC. I really liked Wounds Made Incredibly Easy and Wounds Made Incredibly Visual. As a brand new grad and an LPN I would suggest being hired on at a facility so you acquire the training and experience that you need to be successful. Once you have experience you can check out WCEI which certifies all levels of practioners. Pesi( I think I spelled it correctly) offers an informative full day lecture on wound care that you might want to check out to start off. I definetly suggest getting as much floor experience as you can first. One option to explore wounds is to look for facilities that are hiring weekend treatment nurses. You may be able to negotiate a plan where you work the floor during the week and then do wounds on the weekends (the added benefit of that is you can usually pick your schedule for weekend tx's!) This will definetly help you become familiar with dressings and be proficient at treatments. As you grow as a nurse and gain experience you'll learn everything else that goes into being a wound care nurse. Hope this helps! Carrie RN, WCC
  6. CarreBarreLPN

    LPN new grad looking for job in illinois

    When it comes to LTC ALWAYS go into the facility. Make sure you have a copy of your resume and you're dressed professionally. Lexington Health Care is a GREAT place for a new grad because they offer a long orinetation and they have sub acute units in most of their buildings where you'll learn a lot! Good luck!!
  7. Hi All, I recently accepted a position in an outpatient wound care clinic located inside a hospital. The previous RN left a long time ago so it's up to me create a plan and put it in place. The current documentation is a packet that is 3-7 pages long! I'm trying to streamline the process (we will eventually be using EMR) and want to get an idea of what other RN's do in the clinic setting. I'm specifically interested in documentation on the non measurement days. I have several patients who come in for nurse only visits 1-2 times per week that require a dressing change...I'm not sure how this should be documented? I was thinking a simple nurses note regarding the tx change/if the pt tolerated it/any changes along with a billing sheet. Does that make sense? I've created a document to log 4 weeks of measurements/assessments on 1 page that will give a month at a glance glimpse at the wound...I was thinking the reverse side of that could be a nurses note page that allows for free text on the assessment date as well as updates on dressing change days. Does this make sense? Thanks! Carrie RN, WCC
  8. Hi All, I just recently picked up a home health continuous care assignment for a home heath agency. The position is on nights and while a tad bit boring I find the spouse has me doing chores like laundry, sweeping the floors, washing dishes etc. I'm wondering where do we draw the line? I'm new to the home health setting as a nurse (did it previously as a CNA) and I've understood it that nurses aren't supposed to do household chores....is this true? The agency sort of lets this client call the shots as they are long standing clients, they even required I give out my cell/home number to the spouse....
  9. Hi Everyone, Was just wondering if there's any others out there?!
  10. CarreBarreLPN

    Stage III not responding to hydrogel

    Well there are a lot of factors consider in order to come up with a proper dressing. Here are a few more questions I'd ask myself before changing the dressing: 1. How long has this particular dressing been ordered? 2. Has the dressing been working (ie have the numbers been changing the tissue bed improving etc)? 3. How much drainage is there? 4. What am I covering it with? 5. Is there an odor? 6. What does the wound bed look like? Is it pink, anemic, sloughy? 7. Is the pt continent or incontinent and have they had loose stool lately? 8. Is the dressing being changed properly, on time, too often, or not enough? 9. What are their labs and nutrtional status like? Are supplements needed? 10. Are they actually being turned?
  11. CarreBarreLPN

    Can a skin tear evolve into a pressure ulcer?

    To answer the question, technically no. The etiology of a wound will not change however, it can be complicated by any number of things including pressure.
  12. CarreBarreLPN

    Nurses Enjoy LTC

    Thats great, your facility is paying you what you are worth. you are making more than some RNs in LTC. do you like being a treatment nurse? My mom was a treatment nurse at a Ltc facility but left to be a night supervisor at another nursing home, starting off at $31 an hr, she made 28/hr as a treatment nurse, and was able to work the floor for overtime, as there was lots of OT available. I do! Our wound program has come a long way and I can honestly say that I truly enjoy it! And you're right the $$ is VERY good, especially for only having gone to school for 1 year!
  13. CarreBarreLPN

    Nurses Enjoy LTC

    Actually I work in the chicagoland area as an LPN and make more then 26 as a wound care nurse (not certified). Been in the field about 1.5 years. Can't complain at all!!!!
  14. CarreBarreLPN

    Nurses Enjoy LTC

    I'm very sorry that you look at LTC as sad, especially after 20 years. I'm not sure I could do it that long if I thought that way. I look at my job in LTC as being given a great honor to be allowed to care for someone on the last leg of their walk thru life. As a PP said listening to their stories is an amazing experience that unfortunately some of us don't take the time to do. Is it sad when people die? of course. Do I cry? Like a baby. Am I glad I was there to hold their hand and say a prayer? absolutely. I wouldn't have it any other way.
  15. CarreBarreLPN

    Nurses Enjoy LTC

    Ya know when i started out taking my pre reqs for nursing i refused to even thing about LTC. When it was so hard to get into an RN program I decided to to LPN and work for a year and then bridge with the thought that I'd only do LTC for 2 years tops. The thing is.... I LOVE IT! I love the residents, work, the hours. It's not easy and quite honestly I learn something new everyday. I had a non nursing friend ask me what the difference was between my nursing and that of another friends who works in a big university hospital. Immediately big nursing hosptial friend said "Oh you learn absolutely nothing in LTC." I decided to keep my mouth shut. If that's how she feels then I wasn't going to change her mind....and I certainly wouldn't want her working along side of me in the LTC facility getting all rusty. :roll:
  16. CarreBarreLPN

    Xeroform: sterile or clean?

    hmmm...I'd probably clarify the entire order doesn't sound like the doc is certain about the whole thing. As far as in our LTC facility though we only use sterile technique if ordered- otherwise wound management is clean. Hope this helps!