lpn1313

Thanks for the suggestions. Unfortunately, there is no open area that's draining, it's all just seeping out of his pores. I took the maxipad idea and modified it since i didn't think this fellow would go for that. We cut up an incontinence brief and spiral wrapped his arm with it. So far it seems to be containing the drainage. Thanks again.

Need help with a situation here. I have a pt who is draining copious amounts of serous fluid from his arm. The problem is, we can't seem to find anything that will conatin the drainage. Right now we are changing the dressing about every three hours. We've tried ABDs and foams, wrapping the arm with kerlix to secure. Right now there's an incontinent brief around the arm. The drainage has soaked through all these. Any suggestions would be appreciated.

When their paperwork looks bad, they roll in looking worse, and there's no DNR form in sight. (Back to the hospital with you) When said patient is assigned to the one doc who's notorious for not answering pages. Or calls to his cell phone. Or calls to the office. When families don't see the need for 95yo end stage CA patients to have DNR forms. When you hear 'everyone's fine. It's been a quiet night.'

You try to do initial assessment and ask family to step out of room. "No, I think I'll stay and watch." EEWW. Husband/daughter/son/PIA tells you "They can only swallow one pill at a time, and can't take more than two pills within 20minutes." Yeah, and they are on 15meds in the morning.

I would say yes.

THEM: Your grandmother went in for another 2 units of blood ME: Why? What's causing her to loose blood? THEM: I don't know. The doctor just said she needed them. I realize that gramma's 92, but if you're losing enough blood that you need transfusions, wouldn't you ask why?!

I've seen brewed coffee grounds used before. That helps too.

I am such a med cart neat freak that I couldn't even start working on a cart like that without reorganizing it! I agree with NurseKatie08, take the time to organize it. It may put you a bit behind, but knowing where thing are will make that time up. Plus, if someone needs nitro or glucose stat, you'll know right where it is.

I'm with the clean glove club. Although I'd be a little more concerned about the doc that orders wet to dry dressing changes- But then I've never had a doc that does dressing changes.

I'm in LTC, and we were just given computer access about 3 months ago. There are restrictions on site access, and big brother corporate can track who goes where. We usually use google or ask for looking up docs who we don't know. However I've heard of a lot of nurses who like to play solitaire on the computers... wish I had the time.

After having just finished possibly the longest chaneover thus far for me, I have a questions. Anybody use an in house computer based MAR? Our pharmacy offers emars, but also uses the scanner system with them, but the higher ups will never authorize that kind of spending. (budget, must watch the budget) Anybody have a system that works well? Right now the pharmacy prints off MARs and TARs for us, but I end up changing a lot. Anyone manage their own MARs? Any tips or suggestions will help. :thnkg: BTW- pharmacy only prints for the whole house once, I can't get them to send my floor later, but chanangeover has to be done as close to the last day of the month due to the volume of orders that change. I work the short stay rehab floor at a LTC.

Disease. Sit through a few AA meetings and tell me that anyone would choose that way of life. Congrats to all who have managed to stay sober, one day at a time. I don't know if I would have the strength.

Tell him he's not writing orders for the LTC. All hospital orders must be verified by the LTC doc taking over the care of the resident. They write the orders, not him. They also can and do change orders that they don't want. Even our residents that have consults with specialists have to have orders verified with the house doc. I've never seen a doc write "recommendation" for anything.

My favorite go-to person has been a nurse for 30+ years. I'd never want to lose all that valuable experience! Just because we have a newer way of doing things doesn't mean it's better.

I never want to hear 'That's not in the budget' when I ask for something that will help my residents. I want incontinent briefs that don't make the wearer have bubble butt. I want families that come in more often than Christmas and Easter. And since we're dreaming... a chef on each unit so that food is served piping hot, not cooled down from it's trip down tray line and into the cart.