carl5480

carl5480

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All Content by carl5480

  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. 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...

  10. 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...

  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...

  16. Ready to toss in the towel

    carl5480 replied to chcgoblue's topic in General Nursing

    You misunderstood my point - those were two separate thoughts. Let me try again. 1) If you have computers, you have an IT department. Utilize it! 2) If you are older, you are more likely to be less...

  17. WOW! The public really doesn't like us, huh?

    carl5480 replied to Mrs. SnowStormRN's topic in General Nursing

    Sometimes I feel like the majority of my patients actually are understanding that you have other patients besides them. But it's the ones who can't or won't accept this who stick out in our minds. I...

  18. Ready to toss in the towel

    carl5480 replied to chcgoblue's topic in General Nursing

    I understand the frustration everyone is having, but if I may: computer charting is relatively new. Yes it can be incredibly sucky, but it takes time to get things right. I have to think that the...

  19. What is the better shift? Would you rather work night shift or day shift? Curious :)

    carl5480 replied to tikilpn2's topic in General Nursing

    I've worked night and day shifts, and I'm going to have to say days, mostly because it's AWFUL to have to deal with the outside world when you are a night shifter. I could never flip back and forth to...

  20. I have your meds, please take them:)

    carl5480 replied to makes needs known's topic in General Nursing

    This is a case of a few bad apples ruining the bunch. No, it's not crazy to ask adults to display responsibility for their own health, but there will always be a select few who can't or won't. Not to...

  21. I have your meds, please take them:)

    carl5480 replied to makes needs known's topic in General Nursing

    I make it a practice to never leave pills with patients, for that very reason. Especially if she'd already been warned. Luckily, we have lockboxes in our rooms where we can store medications, so if a...

  22. Job Suspension

    carl5480 replied to charmayn05's topic in General Nursing

    Have you told us the whole story? Because I agree with the others, this doesn't make sense. There's no way a "helping" nurse would be blamed for this situation when the primary nurse was right...

  23. Sexist Comment by Unit Director

    carl5480 replied to whill08's topic in Patient, Colleague Relations

    this seems to fit the op to a t, at least on this thread. sorry, op, but it does seem as if you are looking for ways to be offended, from the seemingly innocuous comment that generated the thread to...

  24. Hospital Innovations

    carl5480 posted a topic in General Nursing

    I was just wondering if anyone has seen any cool new ideas or innovations where they work that make their lives easier? Things like a tube system for medications/lab samples (not really NEW, but a lot...

  25. Olde English in nursing

    carl5480 replied to cristyanne's topic in Nursing Humor

    This literally made me laugh out loud.