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LDRP, Wound Care

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  1. Peetz

    Testify in court - accent?

    I cant see how an accent can be a negative issue in court. You are not being judged on your accent you will be judged on your knowledge and presentation. It is good to fully understand the English language but being bilinual is also a great asset. From what I understand to get a SANE job you must have taken the week long class , at a minimum.
  2. Peetz

    Top medications used in LTC

    Hahahah. yup. Basically study all meds, ya never now.
  3. Peetz

    Top medications used in LTC

    I worked in LTC/SNF for almost two years, as an RN I did it all, including push meds. The most common were colase ( everyone was on that, regardless) Norco, Insulin, blood pressure meds ( brush up on them all) omeprazole, many different chronic pain medications and all kinds of cardiac meds. Best to brush up on all of those. )
  4. Peetz

    How do I become a Postpartum Nurse?

    You could get in the door of the hospital you want then work your way to that unit. Get some med/surg nursing under you and get to know the staff, then make your move. May start with an On-call position while you work your regular unit then wait for a part time or full time slot to open.
  5. Peetz

    Wow...just wow.....

    Sure sounds like the mother is the one that needs medical help. Glad the boy is not suffering with Cancer.
  6. Peetz

    Odourous wound

    First, you have to ask yourself, why is it stinky? Necrosis? Infection? Yeast? That needs to be treated first. Debridement, different antibiotics, anti-fungal cream. Dankins is good but you can only use it for a short period of time. If the odor continues the would should be cultured again to find out why. Charcoal dressings are great for odor absorption too. I also use Hydraphera blue to control odor in wounds. The other advice give, i.e change bandage frequently, remove all garbage after change, is also a must in controlling odor.
  7. Peetz

    Signing your title in everyday signature

    I have two different signatures, one for work and one for "other" stuff. My last name is long so I write it out during work for legibility purposes and of course that includes the RN and on formal letters to Docs and what not it is RN, BSN. On banks stuff its a non-readable ball of scribble, but it's mine. ) Having two keeps me from accidentally writing RN by accident.
  8. Most is EMT work I would imagine. I am comfortable with the requirements but not sure if EMT work in in my scope? Any advice would be great. Also, they asked an LPN to do the same thing, I am really unsure of what is in the scope of an LPN. I was told by co-workers that they were not allowed to do an assessment, is that true?
  9. I work in a SNF, going on a bit over a year now. I shake my head often at things that I would never do yet are being done by other RN's and LPN's. I understand that things are different in the world of long term care but some things just seem not okay. Maybe I am wrong but taking an antibiotic from one pt to give to another because you were to lazy to pull the dose from the pixis or look in the fridge for the patients meds seems wrong. A nurse "borrowed" two bottles of 1 gram antibiotic meant for IM from one pt to give to another who has an order for the same drug but IV at 2 grams. Now patient with IM AB is short two doses and IV pt has one extra we can 't use. Not sure how I will feel if everyone tells me this is okay practice. I really don't know anymore, I feel very lost as a new nurse when things like this happen. Any advice would be appreciated. Also, can someone tell me why IM Antibiotic is given BID X 10 days vs. IV ? This lady has no muscle mass, what would be some reasons for this being ordered this way? Also what is the reason to give a pt 1000 ml of 0.9% ns over 2 hrs, times two days for dehydration. Should that be given over a longer period of time? When things like this happen, I feel so darn stupid for not knowing. One part of me says " it was ordered by a doctor it has to be okay" another part of me says, " question it if it feels wrong, that's how we learn." Which is right? UGG, when does this get easier?
  10. Peetz

    Should I ask for a raise?

    or to re-negotiate my wage? I work in a SNF and just found out they hired an LPN,( I am an RN half way done with my BSN) at the same wage I make. Not sure how to feel about that, but this LPN quit without notice after a few weeks, we are stuck without cover for shifts and vacations. I was thinking of approaching my DON after the first of they year with a wage increase request but have no idea how to go about it. I have been there for over a year with no raises at all, not even cost of living. I am grateful to have a job so not sure if it's worth the effort to bring it up. Anyone renegotiate their wage without to much hassle? Would like to hear your stories.
  11. Peetz


    The short answers is NO. The control of when a person evacuates the bowels is driven by the colon muscles and sphincters inside the rectum, therefore there is no contraction control over muscle movement in the areas where the stoma is located. The first person to post a response had the correct answer, and the following responses were great too. There is a lot to be learned just in those posts.
  12. Peetz

    Nurse charting stuff she did not do.

    A large part of me knows that but the new nurse in me is very naive regarding the outcomes of these things and have yet to come to terms with the fact that she simply is a lousy nurse and should not be taking care of people. I feel bad, but then I don't. I am really unsure of what will happen with this case but the more I see the more I question any of the things she does. I don't like working like this. I changed a bandage today that still had the one I put on on the 28th!! It was nasty and was never checked. I feel so lost as to what to do, I have never been in this situation and really want some advice on what to do next. I guess my question is, now that the DON is aware of the issue will she take it from there or is it my duty to report this nurse to the board? I will defend my license at all costs, if reporting her is what I am to to then I will, I just don't know how to go about it yet. Thanks for the advice, I appreciate it.
  13. Peetz

    Nurse charting stuff she did not do.

    We had a med aide who charted they gave meds to a person after they died. I called her on it and she admitted to charting ahead.
  14. Peetz

    Nurse charting stuff she did not do.

    There is a treatment for one patient that I know is not being done because I asked the patient. She is A&O x4 so I trust what she says. The treatment is not a life sustaining treatment but still being signed for and NOT being done, and this particular "treatment" is not one a person would forget happened daily either. lol
  15. Peetz

    Nurse charting stuff she did not do.

    This is the same indecent that started the dating and initialing of bandages. I found a bandage that had a smiley face on it, one I did a few days prior yet it was marked in the treatment book it had been changed. If things like this are done one time with one patient , it makes me wonder how many others are being mistreated and not having wounds properly cared for. I was the wound care RN for a while when census was up and before medicare cuts almost killed up.