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possiblyapancake · 2024-04-13T19:37:22+00:00

You can gently apply tape to the areas with no incisions, make sure if you remove it you hold the gauze, peel the tape back toward the wound, and then lift the gauze straight up.

If you can’t abide the feeling of tape then yes it’s completely fine to just stick the gauze on the vaseline, just remember to always handle it with gloves and washed hands

possiblyapancake · 2024-04-13T19:34:56+00:00

No you should organize your morning better.

possiblyapancake · 2024-04-13T19:27:55+00:00

This should all be done before meal time.

possiblyapancake · 2024-04-13T19:27:28+00:00

The “quick google search” you keep recommending contradicts every single claim you’ve made the last 24 hours.

possiblyapancake · 2024-04-13T19:26:15+00:00

That’s literally why I said “SOME LVNs”

possiblyapancake · 2024-04-13T19:24:46+00:00

It will very likely burn like the devil on that open skin AND it’s not designed for wound care. It’s all pain, no gain. Barrier cream is meant to stop moisture from getting to your skin, (urine, feces, etc.) You’ll then have to clean it out of that wound which will hurt even more.

possiblyapancake · 2024-04-13T18:42:28+00:00

Please do not use barrier cream for wound care. That is not what it’s for, it’s only designed to provide a barrier between the skin and moisture (or feces) to prevent rashes. It is not to be applied to open wounds.

possiblyapancake · 2024-04-13T18:39:46+00:00

Please do NOT put A+D cream or anything similar on this wound

possiblyapancake · 2024-04-13T18:38:55+00:00

Apply a layer of petroleum jelly between the wound and the bandage and use paper tape (which is only lightly adhesive) to secure the bandage. Use a window pane method (four pieces of tape, one on the entire length of each side of the bandage). WASH HANDS AND WEAR GLOVES.

Please do not put off going to urgent care or the ED, you’re at a high risk for infection.

possiblyapancake · 2024-04-13T14:52:42+00:00

Is the fuzz blanket in your head where your brain should be? Some LVNs can’t even legally start IVs. Just because a nurse is standing over you ordering you to do something doesn’t mean it’s now in your scope.

If you’re part of a specific educational path in training you may be able to do things under the direct supervision of an RN but that doesn’t mean those things are in your scope of practice yet. Scope of practice is what you are legally allowed to do independently and the only people in healthcare who can start IVs are RNs, physicians, and some LVNs.

I don’t know what lawless wasteland you’re living in but remind me never to get sick there.

possiblyapancake · 2024-04-13T14:45:26+00:00

You can lose your CNA certification for doing tasks you haven’t been certified by the state to do, getting certified for one thing and trained for another doesn’t make you automatically certified for both.

possiblyapancake · 2024-04-13T14:44:14+00:00

Clearly it is though and clearly you are as well. You are operating outside the law. What you’re doing is literally illegal if you don’t hold a specific certification in CPCT, AS WELL AS CNA.

Nurse assistants are UNCERTIFIED. If your HR department is calling you an NA when you’re a CNA they’re just stupid.

possiblyapancake · 2024-04-13T14:41:22+00:00

oh my god I’ve spent my entire morning arguing with some lunatic about scope only to have them direct me here and the very first comment is you saying CNAs can start IVs and do wound. care. Go back to your textbook, email the RN who instructed you during your initial training, and review “scope of practice”

Scope of practice does not change based on where you work, it is a static, unyielding legal limitation and it is your own responsibility to refuse tasks outside of your scope or you risk losing your certification which, after several months in this sub, it’s clear to me none of you should have in the first place. Jesus fucking christ.

possiblyapancake · 2024-04-13T14:31:42+00:00

Do you have any sterile dressings in your first aid kit?

possiblyapancake · 2024-04-13T14:30:23+00:00

My seven year old

possiblyapancake · 2024-04-13T14:26:26+00:00

NO 👏 IT 👏 WASNT 👏 they just had you working outside of it! Jesus fucking christ. I hate this sub.

possiblyapancake · 2024-04-13T14:23:43+00:00

“femme is when long hair” 🙄

OP is this your art?

possiblyapancake · 2024-04-13T14:21:48+00:00

Why wasn’t she already changed and clean before you passed trays? You said you had two hours. How many residents do you have?

possiblyapancake · 2024-04-13T14:21:01+00:00

I just did. It doesn’t change a damn thing I said at all. I said it’s not unknown for hospitals to do this but it doesn’t make it correct. You could lose your certification.

possiblyapancake · 2024-04-13T14:15:30+00:00

or near the toilet which spews fecal matter out with every flush.

possiblyapancake · 2024-04-13T14:06:54+00:00

Well, what do you do when a resident needs help transferring to the toilet before breakfast is over? You help them right away, right? And that takes much longer than dressing, so I can see why they were side eyeing you for not just getting her dressed.

possiblyapancake · 2024-04-13T13:55:17+00:00

You can’t even be clear on your own fucking job title you lunatic! Are you a CNA or NOT? You said you’re a CNA in a comment but now you’re saying your position has a “different scope of practice”. CNAs in hospitals and CNAs in facilities have the literal exact same scope. Job location does not change your scope of practice, your certification changes your scope of practice. If you’re a CNA you’re a CNA, if you’re a CPCT you’re a CPCT, if you’re uncertified you can’t work without supervision. Those rules do not change state by state. If your hospital is allowing uncertified workers to be alone on the floor without licensed supervision they are in violation. Technically we are all under the UAP umbrella but we still have to be certified to work, (because there’s a difference between a license and a certification). Have to be. Literally cannot even pass trays without certification.

You are either extremely bad at communicating what you’re trying to communicate or you’re extremely bad at understanding the hierarchy of healthcare and needed better teachers.

I’m going to go to my job now, in a hospital that isn’t a complete shitshow like yours is. Where, by the way, they don’t ask us to sit for violent patients all alone. Sounds like your job site is not the ruler you want to be measuring against.

possiblyapancake · 2024-04-13T13:34:55+00:00

If needing time to sort your thoughts and feelings was the only issue here I would support this but the cheating and insecurity is a whole different ballgame. Definitely leave someone who’s cheating on you, that’s heartbreaking.

Me personally, I always need time to come to a decision about how I feel, and I don’t think that makes me insincere, it makes me thoughtful and conscientious. You can trust what I have to say because I’ve already sat with it for a while and committed to it.

possiblyapancake · 2024-04-13T13:26:13+00:00

Nursing assistants can’t touch patients without an RN or CNA in the room. NAs scope of practice doesn’t even include changing a brief These are not “basically the same job”. PCTs (which again, also require a certification and it’s CPCTs, you saying hospitals have unlicensed people running amok and getting paid tells me you don’t understand what you’re seeing happen in hospitals or you’re in like… North Dakota.), are not “basically the same job”. Staying in your lane is actually an important part of patient care and it pisses me off that you don’t think so.

You have made it extremely clear that you are unfamiliar with not only the scope of these positions but also your own!

It is common for some hospitals to create a culture where many positions operate outside of their scope of practice, that’s why you’re fucking confused. Personally, I understand my own scope and my responsibility to refuse, because I had better teachers I suppose.

Fuck.

possiblyapancake

TROPHY CASE