carl5480

Latest Activity

1. The Controversy: Mandatory Flu Vaccines

   carl5480 replied to Julie Reyes's topic in General Nursing

   1)__ Do you take the flu vaccine yearly? If you do not, what is the reason you do not participate (if you don't mind answering this question)? *Yes 2)__ Does your employer have a mandatory influenza...

2. Dilemma With Documentation

   carl5480 replied to carl5480's topic in General Nursing

   So you're saying as long as you identify yourself as a scribe or the equivalent it should be fine? Would that not need to be sanctioned by superiors? It is my understanding that dictation and...

3. Dilemma With Documentation

   carl5480 posted a topic in General Nursing

   There is currently a difference of opinion in my office, so I'd like to get a few outside opinions if I could. I work within the wound care department in my hospital. One of my coworkers is currently...

4. Obamacare? what are your thoughts

   carl5480 replied to nija315's topic in Activism, Healthcare

   My first personal experience with ACA: Patient X has "Obamacare" insurance. There are two major hospital systems in my area - one does not accept the pt.'s new insurance, the other does but refuses...

5. Helo please: Iodoform packing!

   carl5480 replied to RN4life08's topic in Wound, Ostomy, Continence

   I probably wouldn't be using iodoform at all after the initial dressing. Iodoform, while it does have antimicrobial properties, has recently been shown to discourage tissue growth. I think you'll find...

6. Conservative Sharp Debridement

   carl5480 replied to thulchatt's topic in Wound, Ostomy, Continence

   My hospital allows CWOCNs to do bedside debridement, as well as physical (and sometimes occupational) therapists. In Texas, any nurse is technically allowed to debride. However, there are strong...

7. You need a WHAT?

   carl5480 replied to Janerivers's topic in Wound, Ostomy, Continence

   I disagree, somewhat. I don't think having a BSN necessarily makes you a better nurse. But part of what makes the WOC nursing so highly sought after (and a higher pay grade, unless you work where I...

8. Is this correct practice?

   carl5480 replied to Gaby63's topic in Wound, Ostomy, Continence

   I've also never heard of the term "resolved with a defect" before. To me, this would be more like a wound that has healed but will always have a noticeable, er, defect. Like it is actually concave...

9. PA didn't use sterile technique, then said it wasn't a sterile procedure!

   carl5480 replied to alwayschanging's topic in Wound, Ostomy, Continence

   Sorry, but that's just not true. All wounds, excepting (possibly) only those directly from the OR, have some level of bacterial colonization. For this reason, wound care, and most particularly wound...

10. Necrotizing Fasciitis

    carl5480 posted a topic in General Nursing

    It seems that my area has a growing number of these cases recently, and the preferred treatment is to remove extremely large amounts of tissue, which results in wounds that are then left open for a...

11. White Board Credentials

    carl5480 replied to jadelpn's topic in General Nursing

    This seems like asking for trouble, if you ask me. What if, one day, the patient has a nurse with multiple credentials. Then, the next day, they have a nurse who is "just" an RN and something is less...

12. What to do when a doctor won't let you read back an order

    carl5480 replied to aem31's topic in Patient, Colleague Relations

    If that was me, and I'm being honest, I would have written down the order as I'd taken it and I WOULD have written TORB. You tried to do the right thing and he wouldn't let you. So CYA and let him...

13. pet peeves when nursing students arrive

    carl5480 replied to sandanrnstudent's topic in General Nursing

    That is the theory, but in reality it makes little difference except in multi-use vials like insulin. I think it just annoys me because every single day I get asked about this and there are just so...

14. pet peeves when nursing students arrive

    carl5480 replied to sandanrnstudent's topic in General Nursing

    My pet peeves re: nursing students - 1) I honestly (usually) don't mind if you follow me around so that you can see/learn more. However, if you have a patient assignment, your responsibility is that...

15. Ready to toss in the towel

    carl5480 replied to chcgoblue's topic in General Nursing

    That I did say, but that is not what you were referring to in your last post. This is a VERY different statement from "Malfunctions with the computers have...to do with user age". If you didn't...