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CalicoKitty BSN, RN

Med-Surg, Geriatrics, Wound Care

Three cats in the yard. Life used to be so hard...

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CalicoKitty has 9 years experience as a BSN, RN and specializes in Med-Surg, Geriatrics, Wound Care.

Years of  acute medical-surgical, geriatrics and wound care.

CalicoKitty's Latest Activity

  1. CalicoKitty

    Change of shift nurse’s notes. Redundant? Necessary?

    Some places do a "hand-off" thing on the chart when getting/giving report. Not a note per se. I think part of the reason is 'patient abandonment' and accountability.
  2. CalicoKitty

    Advice On Appropriate Head Covering For A Transgender Nurse

    The women that wear head scarves in my area tend to be Muslim. On the other hand, there are scrub caps that are also worn (more by women). There are 2 general styles, one is the buffount (which is poofy) designed more for tucking long hair, and the other is a standard cap that is close-fitting. These days, both styles can often come with buttons to attach masks. There are many patterns. I am a female with a lot of thinning hair, and used to wear simple scarves/headbands, but am more comfortable wearing the scrub caps since they gained popularity with Covid.
  3. CalicoKitty

    Stitches on my finger, go in to work?

    When I sliced my finger (and got fingers), the throbbing was pretty rough. The burning from tiny cuts is terrible with the hand sanitizer. It is stressful, but you're probably better off not going in. When you do go back, I tend to spray a barrier spray/skin prep over any tiny cuts I have. Over and over. Like.. My hand is one big skin prepped hand. You don't want a MRSA infection on your finger.. But, you may end up off orientation a week sooner..
  4. CalicoKitty

    Literature to support measuring depth on surgical wound

    If it is healing by primary intention, I would consider the depth to be 0 since it should be a closed surgical line. If it is an open surgical wound (I&D, debrided wound) or if it begins to dehisce, then I would measure depth.
  5. CalicoKitty

    Newbie needing advice

    If you have education, go through the NDNQI modules. The newest one NDNQI 8.0 is available on our HealthStream (the education system my hospital uses). I think it was really nice and informative. Good explanations, descriptions, photographs. More than _just_ pressure injuries. WCC may take a little time since they require years of experience as a wound care nurse I believe. May be better off as a CWCN (or CWOCN if you want ostomy and continence).
  6. CalicoKitty

    Fast-Food Ads Target Minority Youth

    I still recall some of the crap I was "subjected" to in the '80s. The school food was crap. When I lived with my grandmother, she packed my lunches. But, when I lived with my mom, it the "free" school lunches. Yuck. 😕
  7. CalicoKitty

    Webwoc program anyone?

    The certification exams have 120 questions for each specialty (wound, ostomy, continence, foot). You have 2 hours to complete the exam. You can take more than 1 exam during a test day. I do not understand the scoring but you can print out the results (score, areas for improvement). I passed the exams, but, I also got A's while taking the courses (A's required a 95% average). When sitting for the exams, though, I would typically "flag" about half of the questions initially, too look over a second time (or third, depending on how much time I had left). I literally took about the full 2 hours for each exam because of the flag/review.
  8. CalicoKitty

    Which On-Line WOCN Programs + Clinicals

    I read the questions. I look at the answers - all of the answers. I throw out the ones that are wrong. I am often left with 2 choices. Sometimes I see I have 3 correct answers and realize I've read the question wrong (the negative words like except, not). When studying, if I am not sure (even if I guess right), I put it in the "kinda don't know" pile. I also remember that the test is testing the book knowledge, not "common practice".
  9. CalicoKitty

    Which On-Line WOCN Programs + Clinicals

    I am a good test taker, so I am not sure what to tell you. There are a lot of clinical hours for certification. It is required by the WOCNCB for certification.
  10. CalicoKitty

    How many jobs have you had in your career?

    I used WebWOC. It takes 3 weeks for each "program" (wounds, ostomy, continence), it includes recorded lectures and powerpoints, weekly quizzes and a final exam. Then you need clinical hours for each scope (40? each). You'll get a list of potential preceptors, but you gotta work it out. You have a certain amount of time to complete the hours. Then the exam. I used the WOCNCB "flashcard" on my phone a lot, and reviewed my exams. Many of my coworkers have used Emory and liked it.
  11. My hospital fitted all the patient care staff with those half-face masks, we use those for our covid/rule-out patients. We remove them and clean them with wipes. I think my face does not like the wipes because I 'break out' a little after wearing them a while. My old one used "disposable" n95s and we were given 1 to last each day (if they broke we could replace them). The plastic filter face masks make talking to people very difficult, especially in rooms with the huge N95 air filter machines running. You pretty much have to yell, and still be misunderstood, unheard. So, they were only used in patient rooms, and basically people would take them off first chance after leaving room because conversations (including between staff) were impossible. Since they are re-used and cleaned between patients, infection risk starts to boil down to how good are you at cleaning your mask.
  12. CalicoKitty

    Most hilarious/creative/inventive names you've been called...

    I've been the "White Devil" (from the mouth of a homeless schizophrenic man). When I was his nurse, I would do my best to care for him, but he often wouldn't let me near him, so I would work with my coworkers to do various things (change his linens - which became filthy since he refused most cares) while they occupied him otherwise. Another woman that I worked with was called a "nappy-haired little girl" and was threatened with "the comb". (to my adult coworker mother of children who had some awesome natural hair, but she did have a thin frame).
  13. CalicoKitty

    Why is LTC so hated

    I'm pretty sure it is the patient ratios the most. Med-surg nurses can get overwhelmed with 6+ nurses, and there's talk of many LTC nurses having 50+ patients. There's often a different "hierarchy" such as "med-techs" to pass some medications. I feel when working when the nurse to patient ratio is too high, I can't give my patients the care they need/deserve. And that makes for a frustrated nurse. Even if I "love" my job/patients, etc, when I feel unable to do my best because there's just not enough time.... it leads to burnout. Plus, the annoying nursing home patients that come into hospitals, well, we get to send them "back home" once they are well enough, but for those nurses, the annoying patients have nowhere else to go..
  14. Actually, I was pretty excited. I kinda wish I had been in a clinical trial. I used to work in virology and immunology before becoming a nurse. So, I may be biased. I ended up with Covid, so I was slightly worried about getting a stronger reaction to the vaccines, but I had pretty much no symptoms.
  15. I realize you are afraid of getting the vaccine because you do not understand it. You should educate yourself on the facts. Yes there are risks. You know what is riskier? Getting Covid. The vaccine for this specific variant may be new, but the technology and vaccine theories used for these variants is not new. Currently about half of the country has been vaccinated. That means the vaccine has been tested on half of the US population (40% fully vaccinated with 2 doses). Millions of people in the United States have received COVID-19 vaccines since they were authorized for emergency use by FDA. In my hospital system, it seems like about 10% of our hospitalized covid patients died. Sure, not everyone gets hospitalized. Blood clots area HUGE risk factor for Covid. The D-Dimer (a coagulation test that predicts risks of pulmonary embolism - PE, strokes, deep vein thrombosis -DVT) are very high. I've watched patients survive covid only to be left with a stroke, tracheostomy, etc. Researchers have been studying and working with mRNA vaccines for decades. Interest has grown in these vaccines because they can be developed in a laboratory using readily available materials. This means the process can be standardized and scaled up, making vaccine development faster than traditional methods of making vaccines. mRNA vaccines have been studied before for flu, Zika, rabies, and cytomegalovirus (CMV). As soon as the necessary information about the virus that causes COVID-19 was available, scientists began designing the mRNA instructions for cells to build the unique spike protein into an mRNA vaccine.
  16. My hospital will have mandatory Covid vaccines this year. There are also mandatory flu vaccines every year, and titers/vaccines for many other contagious illnesses required on hire. I got Covid, luckily pretty mild case. I got my vaccines first chance I had. You let this virus scare you from working for a year. And now you don't want to get a vaccine to give you (and your patients) a lower risk of contracting it? Especially if you want to work with the vulnerable frail elderly? As a hospital nurse, I've watched younger people die (healthy in their 40s), as well as plenty of elderly. It can get spread before you have symptoms. Your workplace should have PPE (wipes, gloves, etc). But, all the PPE won't do anything if basic precautions like handwashing are done. Also, vaccination is a great way to not infect people.