Lanimisses

Some people mix even though we not supposed to but I've seen it work you can apply the anti fungal first powder or cream then overlay a thin layer of zinc or a dermaceptine depending on how moist. That's how I'd write order using both. Most of the time I do that then wick a gauze in between leave diaper loose for air. If bright raw like red, I used Hibiclens to clean them rinse with warm water then apply the creams. That has always worked for me

Hello, Im a very frustrated tx nurse…need advice as in my entire 10 year LTC nursing career this patient is really getting me. Long post by the way…first off I do believe in high quality care and respect all of my patients even the most difficult ones who yell at me, curse me and call me names…don’t bother me…I treat all my patients as if they are family even when they don’t like me which is fine. This one patient is the most difficult person I have ever dealt with shes so miserable and hates the world and just negative. She is very alert and has an arterial wound with lymph edema very swollen ble like plus 3. Walks around all the time and only puts her leg up on wheelchair at waist level. That’s how she sleeps too sitting up because her bed is so cluttered. Her gets really worse and bigger with lots of slough…trust me when I say she controls the healing of her wound telling us how to treat her wound and is too particular. Very argumentative very sensitive shes fragile. Doesn’t listen to docs orders or wound specialist refuses compression and elevating correctly…so it’s always swollen and has extremely sensitive legs so she won’t allow anyone to touch her leg. She is very non compliant with everything. And everything is well documented. She makes us put lidocaine jelly to wound bed won’t let us wash it off put lidocaine ointment on leg and wants us to apply extremely slowly with finger tip in one direction. Then has us cut up lidocaine patches in small prices as she feels for sensitive spots to place all over legs one by one and slowly. All while her leg continuously drains heavy serous fluid. When wrapping her leg she has us use like 6 packs of gauzes I have to make a dressing taped together with the product tape and stacks gauze over gauze and even tells us exactly where to place a stack of gauze. For her comfort…the dressing looks like a beehive around her leg and leaves it on all day. Even when cleaning her wound I can’t even wipe correctly I have to do small strokes in slow motion hardly touching wound. All of theres are all against docs orders but that’s what she wants. Also argues with docs and wound specialist saying she only uses aquacel ag and that’s it. Refuses debridement all types of debridement. She was getting treated with the aquacel ag for an entire year with no improvement. But recently settled by using hydrofera blue not the wound is stalled again. She’s allergic to all medication only pain pill she can take is dilaudid. Refuses to see psych. And take any psych Med. Refuses to go to hospital. I also spend 2 plus hours doing all this care while on my hands and knees to treat her wound all the bending because she doesn’t want to lay in bed and elevate and won’t allow anyone to hold her leg. and she refuses to do treatment early…demanding I do treatment at end of day while she prolongs treatment saying she’s not ready yet causing me to stay overtime every day. While doing treatment constantly criticizing about everything. She won’t allow anyone else to touch her leg just one other nurse. I get it I try to accommodate by going around her time and tell her when I leave. She don’t care and expects me to stay to complete her treatment I don’t know what to do. Department heads tell me to manage my time and work it out with her I tried and been trying for 2 years no change I don’t know what to do…all her behavior and noncompliance is documented…she controls everything and never listen to staff just her way everything very demanding …I understand we need to accommodate based on patient needs but we tried everything under the sun and my back is against the wall…she even checks to see when I’m here looking for me going to other nurses making sure they text me when I’m not there and grilling them about me and my whereabouts. It’s none of her business about where I’m at I’m just making sure she gets her treatment when I’m scheduled to do to for the day…that really bothers me. I have a lot of work to do a lot of time consuming patients who really need me and have 8 hrs to do so we always short staffed…I want to do the right thing so where’s the limit?

As floor charge nurse for many years, somethings I knew helped to prepare during a survey was management nursing staff frequently check Med cart. Narcotic signatures and members of idt doing daily rounds with each resident asking if there and issues and addressing them immediately...to make sure everyone is happy and satisfied...by us doing that our residents had no complaint ?

Hiii my situation is similiar from California but here's what happened to me...I was arrested for second degree robbery while I had a license and was bullied into a plea deal of a misdemeanor assault with a deadly weapon conviction...the bvnpt was notified by the doj 5 days of my arrest date... so they knew before I even valued out. So I sent the my court certified documents and everything they requested. The bvnpt gave me a citation and I paid a fine. License still active. Now, my renewal is here and my job found out and seen the assault conviction and they just fired me...sucks buts oh well...as I renewed I told them my conviction as they already know so I'm going to call the enforcement department to see if they still need it so I would tell them and start sending them your court certified documents even if it's dismissed. I seen nurses not say anything even my mistake and get a citation for it...may e it's different here in California...but hope this helps

Dose *** correction typos smh

If they something to me again as to why they can't deliver the med...I will use that too bc technically...that is a med error if it results to the resident not getting there med on time...I've bent over backwards faxing and calling them saying "the next dies is due at 8pm and etc...

I'm familiar with omnicare....when I fax a med if there's 3 doses left I just fax...if I notice that there is 2 or one dose left, I call them right after I fax and tell them I need this by (whichever that last dose is need)...they tell me they will bring it and do...other times I just fax and write in big letter NEED STaT completely out

:cheers::cheers: now i can say that the pearson vue works...i'm from ca and took my nclexpn march 13th and just after 6 weeks got my results today...:dncgcpd: and this trick did help with the anxiety...what a relief...now time for me to celebrate...

keep the faith...the nursing homes is usually good about hiring new lvns i'm still waiting for my results and i have graduated in aug. of 09...half my class has found a job and some work in a nursing home which is a great start for exp...

i am from cali and kaplan just told me that the nclex-pn is changing and is supposed to be harder...i really do hope that i pass the first time...

wow...i took my nclex-pn on march 13th 2010 in pasadena, ca and i still haven't recieved my results...i called 2 weeks ago and they said that they send them out after 30 days...well its been way past 30 days so i need my results...i been getting the good pop up so can't really confirm that the trick really works because i am pretty sure that i failed...i just need to know my results asap so i can start studying again before i forget the material...

i'm from cali...i called the pearson vue pasadena site and asked them about the results and they said they mail the results after 30 days...i took my nclex lvn march 13th so i guess i should be expecting the letter... i've been getting the "good pop up" so far but what i'm not getting is if for instance, i have failed, i don't think the site would let me register any way because isn't the rule is that you can't repeat the exam after 45 days or so, so is that why it wouldn't let me register??? i'm wondering about that...

hi everyone, i am from cali and i have took my nclex lvn on march 13th....after i have gotten the good pop up untill now when i checked my account and it said that i have no appointments scheduled and the delivery successful is not there anymore...i am soo scared to register because i think it may take me to the cc page...before when i got the good pop up...was it because i tried to register too soon???

hi everyone...if that trick really works how long do you have to wait after taking the test to see. i just took my nclex lvn on march 13th and i'm from cali...i tried and got the pop up msg...but is that too soon???