oldiebutgoodie

oldiebutgoodie RN

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All Content by oldiebutgoodie

  1. Diabetes Foot Care

    I think the issue is that the diabetic could develop a fungal infection between the toes, and since many diabetics have neuropathy (impaired or absent sensation in the feet), the fungal infection...
  2. Futile Care

    You sound like a wonderful, compassionate nurse. I know how frustrating it is to keep these folks hanging on. But you sound like you are doing a great job.
  3. Online program recommendations

    I was not "overgeneralizing", I was stating my experience. Furthermore, I said that "often" online programs do not use the richer technology that is available. That is also not a generalization. A...
  4. Online program recommendations

    Ooooh, yikes! The flames would be SCORCHING.
  5. Online program recommendations

    Tammy, Why would I be threatened by distance education programs when I have written that in my program I take both brick and mortar and online classes?
  6. Online program recommendations

    We could argue ad nauseum about "my program can beat up your program", and until actual research provides us with some data, we can't declare one is better than the other. Tammy, you assert that...
  7. Online program recommendations

    Wow! Everybody's hatin' on ANPFNPGNP! But I have to agree with him/her, that I think a lot is lost in programs that have most of their classes online. I am in an NP program now with both brick and...
  8. Older Nursing Students

    I'll join! Graduated with BSN as a 52 year old, now 55 and am a certified wound/ostomy nurse. I really doubted my choice at first, but now I have found my niche. Go, oldies!
  9. When I have resigned, I have also (unless I really hated everyone's guts) included statements such as, "I appreciate the experience I have received as an employee of St. Elsewhere." or something like...
  10. I suppose it would be illegal and stuff, but wouldn't it be nice to be able to post hospitals and units who are awful, and preceptors to avoid? I know, I know, not right, etc. But I can fantasize,...
  11. Detox against their will.....

    One of the (many) reasons I left ICU nurses was the number of ICU beds being taken up by patients going through withdrawal, and we had to administer Ativan or Valium and do the stupid CIWA scale every...
  12. To much focus on care plans for students

    I don't expect a nursing program to make someone PROFICIENT in a procedure. I do expect the program to EXPOSE the student to various procedures. I have had students nervous to do a moist saline gauze...
  13. To much focus on care plans for students

    I am a wound and ostomy nurse, and I have a student from the local ADN program 1 day a week. They are always THRILLED because I let them DO things. They get to touch patients, do dressing changes,...
  14. NP Education and Practice

    Hi, Dancie, I am in an NP program, and am over 1/2 done now, and so far, I don't feel any of my classes have been/will be helpful in practice. I think these NP programs waste too much time on...
  15. 75 mcg Fentanyl patch a day early on lethargic patient?

    Well, first of all, I think it's good that you are nervous. That means you have the patient's safety in mind. Do you know why the patient is lethargic? Does the patient complain of pain? How are...
  16. PreMed nursing

    I would focus on premed, and not nursing. Then, if you don't get into medical school, you can take an accelerated BSN program and become a nurse. The military provides scholarships for medical school,...
  17. New Grad Blues

    gailannflorida, You sound like a fabulous preceptor. Wouldn't it be nice if management recognized that precepting is a special skill which demands a differential, like at least an extra $5 to $7 an...
  18. New Telemetry Nurse

    Hi Angelfish, Here is what I finally came up with. Some people made grids and stuff like that, but that got too complicated for me. I had a legal pad, and made 5 or 6 columns on it (holding it so...
  19. New Grad Blues

    I'm wonder, however, how many new grads might become great ICU nurses with a little more kindness? People have a lot of learning styles. I wonder if ICUs are limiting themselves by only taking quick...
  20. New Grad Blues

    Alphadog, That's a little harsh. You don't know for sure that the poster is immature, with an attitude, etc. We need to support our new grads. I don't want to start a flame war, but when new nurse...
  21. New Grad Blues

    I'm also sorry you had to go through this. My first job was an MICU in a large hospital after getting a BSN at a prestigious nursing school. What disaster. I had 15 (yes, count 'em) preceptors, some...
  22. I am a wound and ostomy nurse. Things I see not done: 1. Patient comes in from (nursing home/other hospital/outpatient/whatever). There is an icky dressing on wound. Nobody takes it off to check it...
  23. ICU RN Jobs w/ sign-on and/or relo

    Remember, sometimes hospitals with big sign on bonuses have a reason for doing so---they may be awful. However, perhaps hospitals will pay a bonus for seasoned ICU nurses like yourself. Just be...
  24. Wound Vac Tips and MRSA sterile dressing

    Go to http://www.kci1.com and check out their Clinical Guidelines document. That is KCI's "bible" on how to use the VAC. In general, they suggest that the first 48 hours of VAC therapy is continuous,...
  25. First mistake hanging blood

    Your preceptor should have been keeping a closer eye on things. Don't worry, you'll never do it again! We all make mistakes! Hang in there!