alphabetsoup

alphabetsoup

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

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All Content by alphabetsoup

  1. Difficult seals in VAC therapy

    alphabetsoup replied to Connoc24's topic in Wound, Ostomy, Continence

    If you do not have "ostomy putty" then use stomahesive paste to fill in any crevices. Just use a small amount. Also, use a bridging technique to bring the trac pad over to the patient's side. This...

  2. need some wound advice

    alphabetsoup replied to Mandy LVN's topic in Wound, Ostomy, Continence

    I would not apply duoderm on open wounds that are around the orifice. Getting those dressings to stay in place will be next to impossible. In cases like this, if the wounds are due to incontinence,...

  3. gangrene in a very private area.

    alphabetsoup replied to nola1202's topic in Wound, Ostomy, Continence

    Is the scrotal wound due to Forniers gangrene? Cancer? Pressure ulcer? What is the goal of treatment? Comfort only? Drainage control? Odor control? Is it dry gangrene or wet

  4. wound care

    alphabetsoup replied to sonstermonster's topic in General Nursing

    You need to check with the surgeon for specific wound care orders for a surgical wound. If the surgeon wants it irrigated then it should be irrigated. If the surgeon doesn't want it irrigated then it...

  5. Graduated 12/10, still no job, giving up...

    alphabetsoup replied to RNtslifka's topic in First Year After Licensure

    Sounds like you have an ADN/ASN, new grad, looking for entry level position, no prior experience in healthcare. So yeah, it's gonna be tough. My advice is to re-evaluate your resume because it might...

  6. 2nd Interview after a year!!!!

    alphabetsoup replied to witc's topic in General Nursing

    First, I would look up the potential employer on the web and see what services they offer. Then, look up those services and see what is involved in terms of care. Be honest that you do not have the...

  7. States with Real Nursing Shortages?

    alphabetsoup replied to KaringOne's topic in General Nursing

    I think some of the issues of "shortages" and geographical locations have something to do with the worst economic downturn since the Great Depression. Some nurses ended up delaying their retirement....

  8. cheapest online RN to BSN?

    alphabetsoup replied to lalalalexi's topic in Online Distance Learning

    In state first and see if your employer will kick in some

  9. What do you consider to be nursing's biggest setback?

    alphabetsoup replied to almost30's topic in Patient, Colleague Relations

    Someone asked a while ago about why I have that perception about entry levels and education. I think I have seen these issues posted on the blog, whether it is a nurse with a certain educational...

  10. Failed NCLEX 5 times

    alphabetsoup replied to tayvia99's topic in NCLEX Exam, Programs

    That was an excellent point! Perhaps you are overthinking the questions (easy to do and even easier when you are a nurse). Are you also second guessing yourself during the

  11. Part Time BSN programs

    alphabetsoup replied to bcskittlez's topic in General Nursing

    Have you looked at online programs out of state? There are several reputable universities that offer online programs. They are no less rigorous than onsite programs. I have completed online coursework...

  12. Areas of the country with jobs for new grads?

    alphabetsoup replied to SusGob711's topic in General Nursing

    Florida.

  13. Did i do the right thing?

    alphabetsoup replied to CNA Dinky's topic in General Nursing

    Yes, always report a problem to the resident's nurse. Do you know for sure that the house supervisor was relaying information to the resident's nurse or to another nurse who just happened to be...

  14. What would you do?

    alphabetsoup replied to missladyrn's topic in General Nursing

    You should point out the error on the schedule to your manager (maybe it was a honest error or maybe the manager was given some erroneous information by another party). If you do not get an...

  15. What does it mean??!!

    alphabetsoup replied to dienne's topic in General Nursing

    Don't worry about this at all. It's not worth the stress of worrying about

  16. What would you do?

    alphabetsoup replied to missladyrn's topic in General Nursing

    You were hired for a 3 10 hr/shift week schedule. Period. There is no swapping around hours unless the manager decides to realign the positions and offer full-times benefits. And if the clinic wanted...

  17. How do I get a new job after being fired?

    alphabetsoup replied to Bkre8iv2's topic in General Nursing

    Hmmmm. In my experience most facilities give employees a "leeway"time- usually 6 minutes to clock in either before or after their scheduled time. You did not mention the nature of your tardiness so we...

  18. RN to BSN..does it pay more??

    alphabetsoup replied to nurse blondie93's topic in General Nursing

    A BSN pays off in terms of opportunity. Does your employer offer any tuition assistance benefits? That was how I had my undergraduate paid for me and I graduated debt free. My obligation to the...

  19. Patient who is on his call light every 3-5 minutes ALL night long

    alphabetsoup replied to hollyberry678's topic in General Nursing

    Ah, the disgruntled frequent flyer. Stay polite and keep a smile on your face. Before you leave the room, ask the patient if there is anything else that he needs. Document abusive behaviors toward...

  20. How far did you get...?

    alphabetsoup replied to Marie1205's topic in General Nursing

    The bonus to having a BSN is that more doors are open. If you are content to have what you have in terms of your career with an ADN, then an ADN is just fine. If you end up wanting different...

  21. Calling all Chrge Nurses

    alphabetsoup replied to NamasteNurse's topic in Geriatric, LTC

    You will be dealing with more than just the day to day business of providing good care. You will now have staff issues/conflicts, family complaints, and other anticipated problems. If the plumbing is...

  22. Changing Careers

    alphabetsoup replied to novairene's topic in General Nursing

    Some of this sounds like the same routine from my old days romping in LTC. Except for the higher acuity. Very true though, hospitals are under pressure to discharge patients and those patients enter...

  23. Does anyone really like their job?

    alphabetsoup replied to tokmom's topic in General Nursing

    I like my specialty. I could do without the politics within the organization. And some additional staff need to be hired pronto as my workload is crushing me. But I like my

  24. In the middle of a nurses career, are they paid roughly the same as they began?

    alphabetsoup replied to TJ_vladin's topic in General Nursing

    Good example that some nurses do have more earning potential than others with that $82K. Is that with shift diff, weekends, holidays? Also, some travel and agency can earn more. And someone pointed...

  25. In the middle of a nurses career, are they paid roughly the same as they began?

    alphabetsoup replied to TJ_vladin's topic in General Nursing

    First and foremost, averages are the dumbest way to calculate anything. Seriously- you want a median wage, not an average. Second, you have to factor in annual raises in those industries. And were...