Mem29

I do not know what the base rate is for LVN. However, I do not understand why no shift diff for you. Most all places pay this that I know of. Please realize you have worth. There is nothing wrong with being part time that does not make you any less then anyone else. There is nothing wrong with making your needs known. As nurses, we tend to not care for ourselves as well as we do our patients. I would start making needs known. Do not apologize for asking for a comparable setup to others. I always think that "a laborer is worthy of his/her hire" -the Bible. Nothing asked, nothing gained.

This less then the depth that Medicare standards have for use of the vac. I would stop this now. The goal of the vac is finished. It may actually keep it open if the foam is still having to touch the skin.Personally, I really hate the abx ointments. This greasy substance under a dressing easily leads to hyper granulation tissue. This is tissue that grows up above the skin line and will not allow it to close. The best thing is a wound gel (no petrolatum). This will keep it moist and let it finish healing. Can be used 1-2 times daily. Or if it is that shallow can it be steristripped, pulled together and left alone? Sounds weird but I do it all of the time and the wound closes well and less attention or nurse hours need to be spent doing this.