oldiebutgoodie

oldiebutgoodie RN

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All Content by oldiebutgoodie

  1. new grad: resignation from job hurting my chances for new job

    oldiebutgoodie replied to Punkin5's topic in General Nursing

    Hi, Punkin, I'm so sorry this happened to you. I have been a nurse for 3 years now, but my first job I quit after 4 months, because I had 15 preceptors! Most of them were awful, I was just passed...

  2. Nurses that "eat your lunch" during report!

    oldiebutgoodie replied to allthingsbright's topic in General Nursing

    These are all reasons why I will never work the floor again.

  3. HELP...non-healing pressure wound...

    oldiebutgoodie replied to LTCgrl's topic in Wound, Ostomy, Continence

    How old is the patient? May I assume the ulcer(s) are on her buttocks? If my assumptions are correct, you have to find a chair cushion that will work for the patient. If pt is in a wheelchair, there...

  4. Wound vac help!

    oldiebutgoodie replied to melissahunter2's topic in Wound, Ostomy, Continence

    Sorry your rep wasn't any more help. Did you check the clinical guidelines book on the KCI website? http://www.kci1.com/Clinical_Guidelines_VAC.pdf Page 47 has their guidelines for grafts. Good luck,...

  5. Wound vac help!

    oldiebutgoodie replied to melissahunter2's topic in Wound, Ostomy, Continence

    I would suggest you call your KCI representative and ask them to send out a consultant to help you with the first application over the skin graft. In my area, they are pretty helpful.

  6. How Do you Give Enemas Thru a Colostomy?

    oldiebutgoodie replied to kc319's topic in Wound, Ostomy, Continence

    Irrigation is done with a special short cone-shaped end (called a stoma cone) to the irrigation tubing. This is designed this way in order to 1) keep the fluid being instilled from leaking out, and 2)...

  7. What overwhelms you the most? What did NS NOT prepare you for?

    oldiebutgoodie replied to ReinventingMyselfAgain's topic in First Year After Licensure

    Hi, nurse educate, I don't want anyone mislead--you quoted my post as well as a new grad's post in the same posting. The first two quotes were mine, the second two quotes were from Kiringcat. And I...

  8. "Nurses eating their young" Can anyone give specific examples of this?

    oldiebutgoodie replied to hollyberry678's topic in General Nursing

    While arranging a personal leave with my manager because my father was dying, she decided that this was a good time to tell me about all the complaints about me from the other staff, including that...

  9. Teaching Pharm

    oldiebutgoodie replied to vscsrmrn's topic in Nursing Educators, Faculty

    I would suggest you use multiple strategies to present the material. When I took Pharm 4 years ago, it was strictly lecture/Powerpoint. However, there are many animations on the internet, as well as...

  10. How many preceptors did you have during new nurse orientation?

    oldiebutgoodie replied to NsgChica's topic in First Year After Licensure

    At my first job, I had fifteen preceptors. Yes, you saw that right--15! I left that job after 4 months, as it was a zoo. At the next job, I had about 5-6. I had to "fire" one of them, because she was...

  11. What overwhelms you the most? What did NS NOT prepare you for?

    oldiebutgoodie replied to ReinventingMyselfAgain's topic in First Year After Licensure

    Oh, thank goodness! The voice of reason! It seems that only you, Educator1234, and jjjoy agree with me on the importance of skills. I am quite distressed that everyone else on this thread thinks that...

  12. Wound Care Certification question

    oldiebutgoodie replied to Sunflower3's topic in General Nursing

    Well, I only did the wound and the ostomy modules, each of which was about 300 pages long. The ostomy module has 2 tests, the wound module has one test. There is also a professional practice module...

  13. Wound Care Certification question

    oldiebutgoodie replied to Sunflower3's topic in General Nursing

    Hi, UnitRN01, I'm also in school for my MSN! Anyway, Emory has 3 different tracks: 1) All at Emory (I think it's 8-10 weeks) 2) Split (Class at Emory, clinicals at home) 3) Distance learning (this is...

  14. very frustated

    oldiebutgoodie replied to plilia's topic in General Nursing

    I worked a year in the ICU (hated it) and a year in med-surg (wasn't crazy about it). I am now in wound and ostomy care and LOVE it. You get to see patients one at a time, and it is more than just...

  15. Wound Care Certification question

    oldiebutgoodie replied to Sunflower3's topic in General Nursing

    Hi, I posted an explanation of the various certifications under the Wound, Ostomy and Continence Forum (look under the Specialty tab). Keep in mind that the WCEI is 4 days of training, vs the programs...

  16. HELP!! Ostomy problems

    oldiebutgoodie replied to Daysleeper's topic in Wound, Ostomy, Continence

    I had a similar problem a while ago with a patient. Ended up doing the following: Stoma powder on excoriated skin, then covered with Cavillon no-sting sealant. Then put Adapt (from Hollister) ring...

  17. A Tad Bit Sad

    oldiebutgoodie replied to pagandeva2000's topic in General Nursing

    Check out this Youtube video on "Diagnosis Wenkebach". You will remember Mobitz One forever. Have fun!

  18. Do your nursing supervisors do anything?

    oldiebutgoodie replied to tirednursedude's topic in General Nursing

    At my hospital, they either lock themselves up in their offices, or they walk around looking for "transgressions" committed by the nurses, who are usually up to their ears in work. Heaven forbid they...

  19. Study: Nurse staffing ratio hasn't improved patient care

    oldiebutgoodie replied to NRSKarenRN's topic in Activism, Healthcare

    Well, I have several comments. The Association of California Nurse Leaders, who were part of the sponsorship of the study, are nurse managers. Here is their membership criteria from their website:...

  20. You Know the patient is going bad when...

    oldiebutgoodie replied to Nurseboy1's topic in General Nursing

    You get report from the ER, and they say BP is 60/40. Oh, and patient is 95.

  21. Removal of a wet to dry dressing

    oldiebutgoodie replied to muddyduckies's topic in Wound, Ostomy, Continence

    It depends on why the dressing is used. If it is used for debridement, the answer used to be to not wet it, because it would then remove the dead tissue, but unfortunately also the new granulation...

  22. WCS certification question

    oldiebutgoodie replied to Codypatody's topic in Wound, Ostomy, Continence

    Just to review: 1) The CWS certification (Certified Wound Specialist) is offered by the AAWM (American Academy of Wound Management). First time exam fee is $550.00. In order to take the exam, you...

  23. What is nursing school like?

    oldiebutgoodie replied to smallwonders07's topic in General Nursing

    Nursing school is like basic training in the military. Whatever preconceptions you may have, you will be torn down, and built back up as a nurse.

  24. Question: Dakins Tx of Pressure Ulcer

    oldiebutgoodie replied to RPN_2006's topic in Wound, Ostomy, Continence

    At my facility, we have used Dakin's for a limited time, such as a week, on a wound which is malodorous. Then we switch to a different treatment. once the odor is gone (and we presume there is now a...

  25. Pyoderma Gangrenosis

    oldiebutgoodie replied to jnette's topic in Wound, Ostomy, Continence

    Hi, Jnette, I have heard of success with topical steroids. I even heard of success putting Flonase directly onto the lesions! Also, I recently completed an internship for my CWON certification at a...