oldiebutgoodie RN

oldiebutgoodie's Latest Activity

1. 

   Adult CNS-EXAM

   oldiebutgoodie replied to ER823's topic in CNS

   I would strongly recommend you take the ANCC review class, it is a telephone conference class. They send you a book of Powerpoints, and it "meets" (via telephone) once a week for 8 weeks. I did that, and passed. Here is the information: Adult Health Clinical Nurse Specialist Study Group Event Type: Study Group Start Date: 5/14/2012 - 8:00 PM End Date: 6/11/2012 - 9:30 PM Location: Telephone Conference Calls Good luck, Oldiebutgoodie
2. 

   LPN taking wound care course; skin tear question

   oldiebutgoodie replied to followyourbliss's topic in Wound

   I don't recommend Tegaderm at all. Many folks getting a skin tear are elderly or with fragile skin from steroids, and trying to removed the Tegaderm can be impossible without causing more skin tears. I have seen patients from nursing homes covered with Tegarders, with wound fluid bubbling up and leaking out the sides. For skin tears with a flap, just irrigate with normal saline, put the flap back down over the tear, and you can secure with Steristrip or put a non-adherent dressing on it, like a foam (Polymem), vaseline gauze, or Adaptic. You may only need to change dressing every 2 or 3 days. Telfa pads seem to stick, don't use them. Here is a good article on skin tears: http://findarticles.com/p/articles/mi_qa3977/is_200005/ai_n8894280/?tag=content;col1 Oldiebutgoodie (certified wound RN)
3. 

   Breast Cancer Wound Care

   oldiebutgoodie replied to cbski's topic in Wound

   It depends on what the wounds are from. Are these radiation burns? Surgical wounds from lymph node resection? Fungating tumors? (I hope not). Mepilex Lite foam is a wonderful product that conforms to the skin, can be tucked under the axilla. If too much drainage, could use a regular Mepilex foam tucked under. They have a gentle adhesive that will adhere to the skin, but should not be traumatic to take off. Other options would be Mepilex Transfer, tuck under armpit. This allows drainage to come through, and then regular dry gauze underneath. Securement can be challenging. May try a leotard sort of top with short sleeves to keep the dressings in place. If these are radiation burns, I recommend an ointment called Miaderm, seems to work well. http://www.miaderm.com/ Good luck, Oldiebutgoodie
4. 

   i cursed somebody at work, somebody overheard and filed a complaint. what can i do?

   oldiebutgoodie replied to willowRN's topic in Relations

   Oh for heaven's sake, your manager is foolish to allow tattletaling like this. We will never be a real profession if some RNs "run to mommy" to tell, and the manager allows it. Oldiebutgoodie
5. 

   If I see one more post titled....

   oldiebutgoodie replied to PinkRocksLikeMe's topic in General Nursing

   This may have been already asked, but... can I still get a license as an RN if I am a convicted felon and am a registered sex offender? (The whole sex offender was just a big misundestanding... I thought the paperboy was 21, not 13).
6. 

   Teach me about Thyroid Problems

   oldiebutgoodie replied to KateRN1's topic in General Nursing

   Yeah, but she didn't even say please. Jeez.
7. 

   New grad orient possibly going to get fired...Plz help!

   oldiebutgoodie replied to gr9153's topic in CCU

   Is anyone giving you concrete examples of time management and prioritization issues? If not, and they are just picking on you, you might think about transferring to a med-surg floor to get a better handle on nursing, and then go back to the ICU. ICUs have a certain culture which is sort of unspoken. If you don't "get" the culture, the RNs there will be all over your backside. Good luck to you! Oldiebutgoodie
8. 

   How does your unit orient new nurses?

   oldiebutgoodie replied to Schuur451's topic in CCU

   You might want to check out this article by Linda Morris and others: "Designing a Comprehensive Model for Critical Care Orientation". http://ccn.aacnjournals.org/content/27/6/37.full Here is their evaluation of the program: http://ajcc.aacnjournals.org/content/18/3/252.full Oldiebutgoodie
9. 

   Do Nurses Eat Their Young?

   oldiebutgoodie replied to Brian's topic in Relations

   Unfortunately, I think too much of the horizontal violence in nursing is a result of managers either ignoring it or encouraging it. They encourage it by allowing "tattling", "writeups" without appropriate documentation, and just plain favoritism. Until nursing management puts its collective foot (feet?) down and refuses to allow this, it will continue. Been eaten, won't be eaten again! Oldiebutgoodie
10. 

    Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    oldiebutgoodie replied to Fribblet's topic in Professionalism

    I just think that it is interesting that as soon as I entered grad school for my MSN, nursing diagnoses were never mentioned again. EVER. It was all medical diagnoses. Oldiebutgoodie
11. 

    "Not a Good Fit"

    oldiebutgoodie replied to lannisz's topic in NP

    It's very sad, but it just reinforces that it just doesn't pay to dedicate yourself to your job. Companies that bemoan lack of loyalty in their workers need to look inward. Oldiebutgoodie
12. 

    Do Nurses Eat Their Young?

    oldiebutgoodie replied to Brian's topic in Relations

    Yes, they eat their young, and I still have the bite marks to prove it (5 years later). Oldiebutgoodie
13. 

    Disturbing Job Ads: 'The Unemployed Will Not Be Considered'

    oldiebutgoodie replied to TheCommuter's topic in Headlines

    I dunno, but I learned as a child to never kick a person when they're down. Oldiebutgoodie
14. 

    Disturbing Job Ads: 'The Unemployed Will Not Be Considered'

    oldiebutgoodie replied to TheCommuter's topic in Headlines

    Very sad. It makes me wonder, did any of these hiring managers a) read the Bible b) go to Sunday school/temple/whatever c) learn right from wrong d) hear of the Golden rule e) ever deveop a sense of morality? Oldiebutgoodie
15. 

    Making Acetylcysteine bearable?

    oldiebutgoodie replied to kaliRN's topic in General Nursing

    Just an aside: It is refreshing to read a clinical thread in which the participants disagreed on a civil level, and I learned something. Thanks! Oldeibutgoodie
16. 

    Pushing Dilaudid?

    oldiebutgoodie replied to chacmool's topic in Medications

    Pass the popcorn. Oldiebutgoodie