Tuesday, September 30, 2008

Life Safety Resource

While trolling the web, I came across a very interesting document -- a fire and life safety toolkit. It has everything you might possibly need to prepare for a LSC survey. It's available at:
http://www.kahsa.org/content_new/pdfs/Toolkits/FireSafetyPreventionToolkit.pdf

Thursday, September 25, 2008

Another long term care blog! Yay!

A DON is blogging about her work at http://skillednursingthing.blogspot.com/. I really like her take on things; have a look sometime.

Tuesday, September 23, 2008

Wound care wisdom, part deux

Here are some quick tidbits on dressing types.
-Hydrogels are the way to go for wet-to-dry; they work well for most applications
-Hydrocolloids are not appropriate for acute care, but might be okay for nursing homes
-Acrylics only have to be changed every 7 days (can sometimes last even longer)
-Foams are best for shallow wounds on the extremities; don't use on the sacrum
-Aliginates are used for lots of drainage
-Hydrofibers absorb 3x more than aliginates
-Xenaderm is good for progressive stage I/II ulcers
-Betadine keeps necrotic tissue dry and is best for heels and toes

Monday, September 15, 2008

Wound care wisdom, part 1

-Juven is better than Boost or Ensure for residents with low albumin levels, and can be mixed with near anything, thus increasing compliance.
-Arterial ulcers need to be kept dry, preferably with Betadine.
-Venous incompetence with lymphedema: redness is most often reactive erythema and not infection, so don't give antibiotics.
-Betadine keeps necrotic tissue dry and is best for heels and toes.
-If there is a yellow ulcer, the red spots that are speckled throughout it are hair follicles and this indicates that it is a stage II.
-Heel ulcers are 100% preventable.

Friday, September 5, 2008

New Slides are Here

The September staff development slides are finally up at http://www.parragonhealth.com/slides.htm. I apologize for taking so long to post them, and also for not writing any blog entries in a while. It's been a crazy month.

Note:
For the bathing slides, you need to also access this page to find out most of the information listed:
http://www.nhcqf.org/QI_Services/NursingHomes/Workshop4/Bathing_Without_a_Battle_Handouts_0506-541.pdf