americanTrain

americanTrain has 14 years experience and specializes in ICU, ER, MS, REHAB, HOSP ICE, LTC DON.

Latest Activity

1. Medical Specialty Unit in Long Term Care

   americanTrain replied to americanTrain's topic in Geriatric, LTC

   Yes they are always skilled, the difference is I have a separate unit for private suites, the dining is separate as is all the activities. We have a wonderful 8000 sf gym for rehab. The ones who...

2. Medical Specialty Unit in Long Term Care

   americanTrain replied to americanTrain's topic in Geriatric, LTC

   mso819, sorry about the name mix up, it's been a while since I've been on here and they have added the color codes,

3. Medical Specialty Unit in Long Term Care

   americanTrain replied to americanTrain's topic in Geriatric, LTC

   Thank you Bronze 2, I am really surprised I haven't gotten more

4. Medical Specialty Unit in Long Term Care

   americanTrain posted a topic in Geriatric, LTC

   Several larger nursing homes are adding Medical Specialty Units. ( MSU ) This is separate from Skilled Care but more advanced than Rehab where the focus is on quality indicators, outcome measurements...

5. experienced and empowered?

   americanTrain replied to confusedattimes's topic in Medical-Surgical

   Do what makes you happy, if they are begging you to come back, weigh out the pros and cons. As a nurse you need to be happy where you are. I drove a commute for 3 years and loved the job until a lay...

6. Medical Specialty Unit in LTC

   americanTrain posted a topic in Long Term Acute Care

   Several larger nursing homes are adding Medical Specialty Units. ( MSU ) This is separate from Skilled Care but more advanced than Rehab where the focus is on quality indicators, outcome measurements...

7. Supra Pubic Catheter Question

   americanTrain replied to jigi's topic in Wound, Ostomy, Continence

   Seems to me that the Urologist would have inserted a larger one, not smaller, which they usually do on intervals until the right size fits the stoma. Im not a Urology nurse, and if I'm wrong, I admit....

8. What to manage a painful dry eschar?

   americanTrain replied to small_potato's topic in Wound, Ostomy, Continence

   Is this resident Diabetic? You may be looking at gangrene instead of

9. What to manage a painful dry eschar?

   americanTrain replied to small_potato's topic in Wound, Ostomy, Continence

   In our facility eschar is left dry and OTA, with offloading, LAL, etc. The eschar provides protection. Unless there is an underlying infection, which it sounds like may be the case with yours, with...

10. Hospitals discharging patients to nursing homes with pressure ulcers-no documentation

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

    Christy, you are exactly right! I just wanted to hear it from another nurse. There is one particular hospital that refers to us, these patients become our residents and we are supposed to fix their...

11. Hospitals discharging patients to nursing homes with pressure ulcers-no documentation

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

    OOPS! They did it again! Arggggg..... I really dislike some hospitals who want to say that LTC causes all the

12. Returning to work and want to get into wound care nursing

    americanTrain replied to Momofbubbas's topic in Wound, Ostomy, Continence

    I agree with the others, get your certification in wound care. Im not sure with a BSN if you have to have the hours or can just take the class. AD RN's have to have 2 years of full time wound care...

13. Cutting VAC foam

    americanTrain replied to islandnursemama's topic in Wound, Ostomy, Continence

    The first vacc foam fitting is the hardest for me, I measure the L,W,D of the wound bed and calculate in my head about how much I will need, I like to use a separate piece if needed the first time....

14. Hospitals discharging patients to nursing homes with pressure ulcers-no documentation

    americanTrain posted a topic in Wound, Ostomy, Continence

    What's the deal with hospitals today, do they not get reimbursed for a hospital stay if the patients develops a wound? When I worked in Med surg, all wounds had to be documented on admission and...

15. How many residents can use safely care for as full time wound care nurse

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

    Bblessing2u , we don't have any of the charge nurses doing skin assessments or treatments, I do it all. Iam full time, so I really don't want to complain too much, but it takes a steady pace to get...