alphabetsoup

alphabetsoup

LTC,med-surg,detox,cardiology,wound/ost

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  1. considering Nursing: questions

    No, there is no mandatory requirement to work in the ER. Yes, you might want to reconsider if you do not do well with "blood and guts". You would see a fair amount of blood, body fluids, and no longer...
  2. I feel so bad.

    Whatever happens, if this is an internal transfer, your HR Dept will need to follow through and make sure the way you are transferred will fulfill the rules as well as needs of the units
  3. offended co worker

    There is some underlying current here and it is not that you were teasing him. My guess is that something has been said about him before or that he perceives a lack of control or authority for/over...
  4. 1) "ABCs- you will never be wrong for addressing ABCs first" 2) (After making a mistake)- "You can do one post-mortem on it and then you have to move
  5. Working with a nurse who nursed you

    Honestly, I wouldn't even mention it. Because really, he might recognize you, but would he even remember the specifics of your case? Let's face it, we don't recall every single patient's specifics and...
  6. Have interview for dream specialty tomorrow... Advice ?

    If I am understanding this, you want the LPN position in the physician's office and then you will leave to work in L/D as an RN in just 9 months? Or would you be willing to stay on after graduation?...
  7. sending an online thank you after interview

    I say no e-mail card (I can see I am the rare bird on this one). First, my organizations firewalls might block it or send it to my junk mail. And I RARELY open my junk mail box. I might appreciate an...
  8. The biggest setback in the nursing industry? I take it you mean as a profession? One would be the lack of a unified point of entry with education. We have LPNs, ASNs, BSNs, MSNs. This affects...
  9. I feel so bad.

    ashepard gave you the best response! Do not feel guilty that you quickly realized you are not a good fit for the job. Personally, I think you were a warm body when you were hired to the med-surg unit....
  10. Definitely made mistake, now paying for it...

    The golden question is, have you violated your state's Nurse Practice Act or any of the rules regarding your licensure? If so, you will have some consequences. If there are consequences, is there any...
  11. How do you address your patients?

    The proper etiquette is to address the adult patient as "Mr", "Mrs/Ms/Miss" and last name. If the patient indicate's that they prefer their first name to be used, then it is appropriate. This may be...
  12. Silly family members, Trix are for kids!

    Ah, the overbearing family! A private room is a necessity so that other patients and their families are not disturbed. Expectations need to be aligned with reality. This is where it is essential to...
  13. Should I follow up ?

    I say don't follow up. I would also want to know more about the student nurse position. Is this a position that is truly geared to cultivate students? If so, they may not want to fill the position...
  14. I was never a CNA before becoming a nurse. But it is all the same whether you are a nurse or a CNA- we all start somewhere and learn from there. I can only share my tips as a nurse. One, communication...
  15. 10 months later, hospital please

    I was in those shoes a long time ago. First, have someone review your resume for you. You might need to have it tweaked or re-written. Second, apply for the "foot-in-the-door" positions. That is...
  16. How much MONEY do you make? (questionaire)

    1. what is your degree in? asn, bsn, graduate level studies 2. what state do you live in? southeast us 3. what is your job title? in-patient consultant 4. how much do you make an hour? around 31-32/hr...
  17. Overnight Care for children?

    I am not sure about your target market. Unless both parents work nights, it seems (and I am speaking from experience) most parents learn to juggle the child care responsibilities. If anything I would...
  18. EW. ICK. All I can say is that I like to change gloves after removing the old dressing, change gloves after cleaning the wound, and then change into sterile gloves when packing a deep wound. But...
  19. Skin Prep QUESTION

    I typically use skin barrier film to prep for adhesives (like for VACS). I have heard of facilities using skin prep for the purpose that you describe, but really, is it evidenced-based best practice?...
  20. Wound Advice

    First, does she have to be up in a wheelchair for 12 hours per day? How many times is she returned to bed? Elevating those legs would be a big help. If she is diabetic, is her blood sugar under...
  21. Xeroform: sterile or clean?

    Why is the skin dead? Is this a STSG that
  22. Cutting VAC foam

    I have removed the foam and trimmed it. Just be sure to do this away from the wound so that there are no particles of granufoam landing in the wound base. Wound VAC dressing changes are never...
  23. Can a skin tear evolve into a pressure ulcer?

    If you experience a breach in skin integrity, such as a gluteal tear (commonly caused when caregivers pull patients by their gluteals for turning/repositioning) and then compound the problem with...
  24. Wound problems

    Unfortunately, there is so much more to wound management. Have you had vascular studies? Are you diabetic? Are you offloading the wound at all times? Do you
  25. Now what?

    True, it would help to know more specifics about your suspension. If the issue involved dispensing narcotics then that is a bit trickier than say, just generally bad documentation. The truth is, your...