3PRN

3PRN

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All Content by 3PRN

  1. tell me about your brainless moments

    3PRN replied to goats'r'us's topic in Operating Room

    Twenty years ago, small, rural hospital and new to ICU. Pt. admitted for pain control with epidural drip. All through the night shift I was in the room titrating up and down depending on his level of...

  2. Evidenced Based Practice: intermittent catheterization vs indwelling foley

    3PRN replied to NRSKarenRN's topic in Wound, Ostomy, Continence

    Thanks for the update. I'm preparing for my 5 year CWOCN testing in a few months and the continence exam is the most difficult in my

  3. Suggestions Appreciated

    3PRN replied to AprettynewRN's topic in Wound, Ostomy, Continence

    Check out the web page of the Wound, Ostomy, Continence Nurse Society (WOCN.org). You'll find lots of information on the various programs including WEBWOC, the online program. To sit for the exam(s),...

  4. don't ever let me be your wound care nurse!

    3PRN replied to brownbook's topic in Wound, Ostomy, Continence

    It was irritated where the bandage was but how was the wound? I'm guessing it was all healed. You just got a lesson in autolytic debridement! I think you'd make a fine wound care

  5. Anyone else feel like a robot reciting customer service scripts all the time?

    3PRN replied to rntj's topic in Patient, Colleague Relations

    When I was told that I must say (to EVERY patient) "I'm going to close the curtain now to ensure your privacy"....I nearly gagged! Of course I'm closing the curtain to ensure their privacy, but I...

  6. colostomy

    3PRN replied to mrnewman's topic in General Nursing

    "can you control evacuation of the bowel with a colostomy." This was the original question. Since we're talking about evacuation through a stoma and not through the rectum, muscle and sphincter...

  7. colostomy

    3PRN replied to mrnewman's topic in General Nursing

    There is a way to control the timing of colostomy output, and thousands of ostomates do this daily. It is called irrigation. After the abdomen has had plenty of time to heal, irrigation teaching can...

  8. Any tips with smells? Please!!!

    3PRN replied to AML2007's topic in General Students

    Odors tell us a lot about our patients, especially the bad ones. You will learn to diagnose a pseudomonas infection without a culture, GI bleed without an CT scan, C.Diff without a stool sample,...

  9. Becoming a Nurse After 40

    3PRN replied to PacoUSA's topic in General Nursing

    Oh the shoulda, woulda, couldas...I've got a million of them. My goal was to graduate from nursing school at 40. Check. BSN by 45. Check. MSN by 50...OOPS! Too expensive. Anyway, feeling behind at the...

  10. Question for nurses from an aide

    3PRN replied to kizeemimi's topic in General Nursing

    I loved working in the hospital. But when I started spending more time writing about the teaching I'd done than the actual teaching and more time writing about my interventions than the actual...

  11. Wound vac with compression wraps?

    3PRN replied to paddler's topic in Wound, Ostomy, Continence

    If you go with the pre-fab, you should still use extra protection under the tubing now that it's going to be under the compression. Either foam or the cotton layer of your

  12. Wound vac with compression wraps?

    3PRN replied to paddler's topic in Wound, Ostomy, Continence

    I have done this but under hospital supervision, not as outpatient. However, I would consider an outpatient if the person was directly involved with their own care. After the dressing is in place, put...

  13. Holy Wound Batman!!

    3PRN replied to PsychNurseWannaBe's topic in Wound, Ostomy, Continence

    For her comfort and to decrease time spent on dressing changes you can't go wrong with the wound vac. Drainage won't be an issue as it goes into a throw-away canister. Typically dressing changes are...

  14. Need opinion! ASAP

    3PRN replied to IreneM555's topic in Pre-Nursing Students

    I took the EMT course while I was on my 4-year waiting list. I did it just for the knowledge gained and it was a great

  15. crap...am I in huge trouble???

    3PRN replied to Rnis's topic in General Nursing

    One time on night shift I was called to a code and left a bag of popcorn in the microwave. At 300 joules I smelled smoke and nearly ****** myself! Then I remembered the popcorn. The fire alarms went...

  16. pilonoidal cyst

    3PRN replied to smashms's topic in Wound, Ostomy, Continence

    VAC VAC VAC! This area can absolutely be vac'd and with excellent results. The one thing that worries me though is your statement, "As much as I can." this tells me that the area continues to be...

  17. Your body did what?!?

    3PRN replied to pink_shoes99's topic in General Nursing

    While treating an outpatient for a pressure ulcer 3 days/week, I removed the dressing one day to find the coccyx was missing in action. I had her go home and look under the couch cushions, her car...

  18. Foam Dressing

    3PRN replied to jmn126's topic in Wound, Ostomy, Continence

    What would we do without foam dressings? I've found that Optifoam, Allevyn, and Safetac (Molnlycke) are great for a lot of wounds but sometimes spread the drainage around the periwound causing...

  19. What's your nursing kryptonite?

    3PRN replied to ktliz's topic in General Nursing

    Free range maggots in a necrotic wound...especially if I don't know about them before removing the dressing. I feel a little disturbed just thinking about

  20. woundvac granufoam stuck on wound wont come off

    3PRN replied to chapsticknurse's topic in Wound, Ostomy, Continence

    The foam must be removed before more granulation tissue develops so time is not on your side. The most accurate and least painful way to do this is with a pair of forceps. With wet to dry's you will...