bebop1

bebop1

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All Content by bebop1

  1. I am a home health nurse. I have a patient who is bed bound. Her caregiver is wonderful to her. takes great care of the patient, but at the same time calls for every little thing. This patient has...
  2. we are having a debate on which is the best skin protectant to use. I was wanting the thoughts of other nurses too! what is under everyone elses cases that you seem to get the best satisfaction from...
  3. a "bad" wound

    Help! I have a patient that is dear to my heart. I am a home health nurse, and have a pt that was on the wound vac, doing great, but according to medicare guidelines the wound was not closeing the...
  4. ok. I am lost. I just started in a LTC facility. maybe I am just not "up to date". but this place does not used alcohol to clean off any tops of bottles before they stick their needels in like for...
  5. Stalled wound

    I have a Young 28 y/o female living in a LTC due to an open abd wound. it tunnels over 15 cm from 8-11 oclock.....this wound l and w is getting smaller but not the tunnel. the "weekend" manager...
  6. black toes

    ok....I work in LTC On a friday I told the staff to get the patient to the hospital, or call the doctor due to his "black toes" were no longer hard and black. they were "wet and black" we know what...
  7. Stalled wound

    I have just asked for a pre-albumin, so i will see.....it is drainig a mod-large amount. it is a wound that dehisced from a gastric bypass. so yes we are packing the wound with the "wet 4x4's" from...
  8. Steps of a wet to dry dressing

    I have a patient that has a huge stage IV on her sacral area. She is hospice, and we are using w/d on her, due to the doctor states, we do not intend it to heal, so keep the wound care products at a...
  9. oopps...I see I did my title wrong too....sorry!!!!!!! Please I need help and feed back. I work in a LTC facility, and I am currently going through webwoc program to attain my WOC nurse. I am...
  10. I was told by a nurse to let the MD know when a patients wound was ready for a muscle flap. the patient has bilateral isch tub wounds on a wound vac. they are doing well, and progressing...
  11. New home health nurse here...seeking advice

    Well the economy is "changing" home health in ways like, patients are more and more being taken care of by family members, and not by nurses. Or a lot of the insurances do not approve home health, or...
  12. New home health nurse here...seeking advice

    Home health is wonderful. But you have to be ready for a lot of paperwork...if you are a RN. OASIS!!!! a lot of paperwork. But you get to become a "part of the family" a lot. you get to know your...
  13. please help if you would......

    Hi....I work in a LTC unit, and have a pt with a pacemaker. she has afib, and she is "going all over the place". at one moment her heart rate will be 40, but most of the time her heart rate is in...
  14. Leishmaniasis

    I was just writing to tell ya all...I am a military wife. My husband has been "in the sandbox" as they say. He is very aware of this, and he knew how to pronounce this...I had no clue! he said...
  15. hello..... I was wondering...I am a RN BSN...and have been hired on as a unit manager at a LTC facility. what can I expect? I have been in Home health and have been a field nurse, an ADON and a...
  16. hired on as a unit manager

    I wanted to leave the home health company I was with because, I pretty much did not like the "politics" in the office. It was horrible. It was like high school, and everyone trying to be the best,...
  17. vac question, and xcell question

    I thought somewhere I have either place adaptic or was told to do that if bone. thanks! I will try and contact KCI and ask them!! thanks...anyone have any info on xcell? the wound product
  18. Hi. I am a student in the webwoc program. I am very excited, and love it. I have a few questions that I have not had answered, maybe they are wanting me to wait until clinicals for this...but I...
  19. alcohol pads and cleaning

    Thank you thank you thank you. I was like....how in the world did my 4.5 years working in home health did the rest of the world go crazy! lol...... the same I found out with the blood sugars! I was...
  20. need help ltc ileostomy

    make sure you dust off any excess powder, the eakins seals are wonderful, or especially with the ileostomy I love using the moldable wafers. its from convatec, its great. it doesn't need any kind of...
  21. hired on as a unit manager

    thank you! everything you have said has come true so far. I have enjoyed it so far. I have come from home health with ADON, and Branch manager experience and I think that has helped me. I hope it...
  22. Shift work vs. home visits

    home health is great. most of the time it is monday thru friday. and then rotate weekends depends on how many nurses you have to work....like the last home health I work for I worked once a month on...
  23. Hey....well...I am a about ready to file for the big "B"...cause I have no money. I had surgery in December...thinking my case load would be given back to me, or I would go back to work in a month...
  24. Hi! well.....I am actually a military wife, and a nurse. I am trying to get on at Madigan, but yet has the luck of doing so...like ya said it can take awhile. And sometimes when you apply for a...
  25. I guess I didn't get to do the FLMA because I was not working with this company more than 12 months, and I am per diem, even though I was working more than a full time nurse. I work per diem because...