cschuess

cschuess

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All Content by cschuess

  1. F 314 and F 315 Tags

    I am looking to see what other LTC organizations are doing...is one person dedicated to skin and incontinence or are the RN's on the individual units doing their own "thing." I ask this because I track all the pressure ulcers and other skin issues i...
  2. Utilization/Precert Nurses

    are there any websites that train in utilization review? just wondering how to go about getting into this field
  3. Bowel & Bladder Retraining/Maintenance

    Could you please send me copies of any forms you may have as well...attn: Cyndy Thanks!!
  4. KCI wound vac question

    When we used the vac we found that we had problems with the black foam and the new granulation sticking to it. Our rep advised us to use adaptic (vaseline impregnated gauze) between the black foam and our problem areas. She also told us that if this ...
  5. F 314 and F 315 Tags

    Capecod and nightmare...these dedicated nurses...the "link nurses" and you, CapeCod the "wound queen" is this the primary role that you play in your facility? What are your other duties. I am having a really hard time doing what I do and running a 40...
  6. Need help from experts

    personally, i would use non-sting skin prep and completely cover the areas that keep opening. i would follow this with a little barrier cream after the skin prep dries. this will help to protect these areas...have pt re-assess for transfers. there is...
  7. MRSA in wound

    Research has shown that silver dressings are effective against MRSA. There is no need to treat systemically when the infection is in the wound. Systemic treatment with antibiotics takes its toll on the body in so many facets.Read the literature regar...
  8. Charting

    I really think that's a bad idea...all they need to do it look at the handwriting...and if that nurse doesn't sign off you will be looked at as a "careless nurse" who leaves unsigned notes in charts.
  9. Charting

    I won't chart unless I did the assessment. Some people feel that the charge nurse should do all the charting for the floor when they actually have a charge nurse but I am not comfortable with this unless it's a generalized note such as a medicare not...
  10. Does anyone like LTC?

    Thank you, I just feel that LTC nurses don't give themselves enough credit for what they do!
  11. Does anyone like LTC?

    i have worked in ltc for over 14 years and i love it (most days...but it's the job that gets to me not the ltc atmosphere). i started as an aide, became a lpn and then rn. once i got my rn i had a moment when i felt that i should go to a hospital, be...
  12. Wound Vac System

    We had the same problem of the black foam adhering to the granulated tissue...the KCI rep told us to use ADAPTIC on the wound bed and then apply the foam...I don't know why people would say NOT to use anything under the foam when the KCI people expla...
  13. What Is A Shift Like?

    Night shift in a long term care facility is far from quiet! Usually people are awake all night with needs. Staffing is lower so the nurse needs to pitch in and help the CNA's. You are responsible for all the 2nd checks of new doctor orders. You are r...
  14. pain management in pressure ulcers

    I am doing a research paper on pain management in pressure ulcers and am very sad to find little to address this issue. Does anyone know of where I can find information...systemic, topical, nonpharmacological control??
  15. pain management in pressure ulcers

    :balloons: Thank you! Some I had, some I hadn't. Good luck with the graduation! My oldest is 8, youngest 4...I know that it seems a long way off but I know how time flies!!
  16. Most easy job in Nursing?

    Don't consider Nurse Manager. It's great pay if you're lucky enough to be hourly (we were for maybe a year) but as salary it stinks. When you average in the hours, I sometimes feel that I make about the same as I did when I first started out as a L...
  17. Wound care education

    I wish that this was something that I could attend!! Would love to get away from snowy central NY, however, as a mother of three little ones it isn't a doable task...anyone know of any course on-line? Thank you for the post and the information! It...
  18. Wound care education

    I am very interested in getting my certification in wound care. I am a nurse manager in a LTC facility and am presently trying to gear our unit for a wound care wing. It would be nice to obtain the certification. I can't take a week away from home...
  19. Distance learn BSN program

    Does anyone know of a reputable distance learn BSN course offered by anyone besides Excelsior College? I am finishing my AAS hopefully next week (Take the CPNE 23-25) and want to start on BSN requirements while I wait for my degree to be processed. ...
  20. Distance learn BSN program

    thanks, will check it out!
  21. About skipping the last clinical

    Do whatever you feel good about. If you feel any hesitation or apprehension about missing that day then chances are you better go!! You get so much out of clinical that you don't even realize...would be a shame to miss something that could happen t...