NC29mom

NC29mom ASN, LPN, RN

Hospice, Geriatrics, Wounds

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All Content by NC29mom

  1. wound numbing spray

    NC29mom posted a topic in Wound, Ostomy, Continence

    Can someone please tell me the name of a numbing spray I can try to get for a pt of mine? Pt has large vibrating wound, which encompasses the entire side of her face. Eye swollen shut, deep wound with...

  2. wound numbing spray

    NC29mom replied to NC29mom's topic in Wound, Ostomy, Continence

    Isn't the hurricane spray for TOPICAL use? This particular wound is deep (bone\tendon). It's gotten so bad my pt has drainage coming from nose and mouth all the time from tunneling ...soooooo sad and...

  3. Palliative wound help

    NC29mom posted a topic in Wound, Ostomy, Continence

    I'm back again, begging for help ...... I have a hospice patient with a deep facial wound r/t cancer (basically encompasses the entire R side of her face, eye swollen shut, tunneling depth near nare...

  4. Palliative wound help

    NC29mom replied to NC29mom's topic in Wound, Ostomy, Continence

    Ok, so I can impregnate guaze with the regenecare hydrogel? Great! I'm thinking it will help considerably with pain. I have thought about using a charcoal foam dressing; however, due to the...

  5. mileage reimbursement question

    NC29mom replied to Squeaky44's topic in Hospice, Palliative

    Actually your reimbursement is nothing to frown about. I get .32/mile and have from day one. I live 28.44 miles from office, so everyday that amount gets taken off my mileage,, unless I go to the...

  6. wound numbing spray

    NC29mom replied to NC29mom's topic in Wound, Ostomy, Continence

    Wow..this could really help I think....trying to see where I can get it from..... definitely gonna

  7. fungating facial wound

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    Yes please send to me....because I'm not familiar with it. Thanks so

  8. fungating facial wound

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    I don't think its dermaplast.....this wound is deep with several areas if bone exposed. Stage

  9. Symptoms of end-stage Parkinson's? When should hospice step in?

    NC29mom replied to zelda2012's topic in Hospice, Palliative

    I can tell you from experience..parkinson patients seem to go on and on and on. Now that's not to say some don't progress more rapidly than others..... but most seem to live many years, even at the...

  10. wound numbing spray

    NC29mom replied to NC29mom's topic in Wound, Ostomy, Continence

    The one I'm thinking about can be used on open wounds ... remember from shadowing at wound clinic several years ago ... they would spray directly to wound bed, wait about 1-2 minutes, then debride

  11. wound numbing spray

    NC29mom replied to NC29mom's topic in Wound, Ostomy, Continence

    Well, actually this is a hospice patient......so unfortunately, blocking the nerve isn't an option. There is also an area of tunneling near the nose which (we think) extends through sinus cavity, and...

  12. wound numbing spray

    NC29mom replied to NC29mom's topic in Wound, Ostomy, Continence

    Error ... not vibrating wound ...FUNGATING

  13. meds for actively dying

    NC29mom replied to pnhopeful's topic in Hospice, Palliative

    Yes, you would absolutely use in all three cases. Any s/s of pain, discomfort, or dyspnea would warrant a dose of Roxanol. Of course, your order should reflect this ....... I do not give Roxanol to...

  14. Hospice and GIP admissions

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    Does the 20% GIP cap still count when Pt's are ADMITTED already GIP (and die, say 4-5 days later still GIP?)? I've tried to investigate this myself on medicareuniversity, among other sites. I just...

  15. Wound care puzzle

    NC29mom replied to ErinS's topic in Hospice, Palliative

    Believe it or not, sometimes the "old faithful" dressings do just as good, if not better, than all the new fancy ones out there. However, I would not use Dakins for more than 7-10 days. It causes too...

  16. Wound care puzzle

    NC29mom replied to ErinS's topic in Hospice, Palliative

    Well....don't feel like getting into a back and forth....NO we are not responsible for paying for medications not related to the diagnosis....but we are supposed to cover any medical supplies the Pt...

  17. Wound care puzzle

    NC29mom replied to ErinS's topic in Hospice, Palliative

    It doesn't matter if the wound is related to the diagnosis or not. Once a Pt elects hospice, we are responsible for providing ANY and ALL needed supplies. That would incude this particular patient,...

  18. Format for hospice IDG notes??

    NC29mom replied to nurse51806's topic in Hospice, Palliative

    We are on laptops, too, which I LOVE! The only gripe I have is information is hard to find, once documented. Just wondering, what software is your hospice using? We use McKeson. I previously worked...

  19. Any help appreciated.

    NC29mom replied to s-whnp's topic in Hospice, Palliative

    What state does your uncle reside in? Our hospice cares for all, insured or

  20. New LVN grad-Hospice Nurse?

    NC29mom replied to NurseNanu's topic in Hospice, Palliative

    I am sure you will be a great nurse......once you get some experience. I have been a hospice nurse for several years now, and personally, I don't think you should attempt hospice as your very first...

  21. stupid documentation!

    NC29mom posted a topic in General Nursing

    excuse me while i rant.................. i work in a ltc facility with a few nurses who just drive me crazy with their documentation!!!! (we have electronic medical records) i remind them nicely...

  22. HELP! Malignant tumor neck wound hemorrhage

    NC29mom posted a topic in Wound, Ostomy, Continence

    I am a PROUD hospice nurse with a Pt I need to desperatly help! I have conversed with so many knowledgable wound nurses on this forum, I just had to post a thread to see if anyone could help. Here's...

  23. HELP! Malignant tumor neck wound hemorrhage

    NC29mom replied to NC29mom's topic in Wound, Ostomy, Continence

    I am going to bump myself, hope nobody

  24. how to deal with the funky smell?

    NC29mom replied to orangepink's topic in Wound, Ostomy, Continence

    Another good way to control wound odor would be to use flagyl (on the wound bed). Amazing how well it works. Usually apply 1-2 capsules (sprinkle over wound bed) Qday for 7 days. Just a little...

  25. Gentiva nursing test@ hiring

    NC29mom replied to NC29mom's topic in General Nursing

    I actually decided to take the job with Gentiva; and so far, have had an excellent experience. I really wanted to stay in hospice, and have had a recent offer from a hospice organization, so I am not...