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Super CPNE vets--about the wound



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Jan 17, 2009 02:39 PM

Super CPNE vets--about the wound


Hey you GN people--how is the wound sitting on the table in the sim lab? Is it oriented vertically or horizontally? Where is that tiny edge part of the wound facing--towards me or away from me or left or right? Can I just say heck with it and move the wound myself?


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14 Comments
No. 1
Old Jan 17, 2009, 02:46 PM

Default Re: Super CPNE vets--about the wound
I didn't move the wound. Remember, it's attached to an imaginary human.

It was on my right, as if someone were opposite me and reaching out their left arm, wound towards the front.
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No. 2
Old Jan 17, 2009, 02:47 PM

Default Re: Super CPNE vets--about the wound
There's a top and a bottom to the wound?
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No. 3
Old Jan 17, 2009, 02:49 PM

Default Re: Super CPNE vets--about the wound
Originally Posted by applescruffette View Post
There's a top and a bottom to the wound?
There's a top and a bottom to the stump on which you dress the wound. It's a piece of an arm. A pretend arm.
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No. 4
Old Jan 17, 2009, 02:53 PM

Default Re: Super CPNE vets--about the wound
Got that, but on my fake wound thing I got from my EC skills kit, I am not sure which end is considered the proximal and distal ends, since it's not on an arm already. There is a drain hole I assume would be the distal end and towards me, but I don't know. I am thinking I am orienting it right in practice, but I'm practicing with the wound all ways to be safe.
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No. 5
Old Jan 17, 2009, 02:54 PM

Default Re: Super CPNE vets--about the wound
Beats me, AC. Seriously.

Is there a pointy tip towards what I am assuming was the elbow? Try it with that on top.
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No. 6
from NC Girl RN
Old Jan 17, 2009, 11:13 PM

Default Re: Super CPNE vets--about the wound
You can move the wound around. There is not rule that says it has to stay in a certain spot.
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No. 7
from LunahRN
Old Jan 18, 2009, 06:40 AM

Default Re: Super CPNE vets--about the wound
I totally flipped the fake arm around to orient the wound the way I wanted -- with the pointiest end of the wound towards the top. In a real patient, you could orient them any way you like, so they allow this during the lab.
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No. 8
from ougreene
Old Jan 18, 2009, 10:11 AM

Nurse Re: Super CPNE vets--about the wound
At the CPNE we specifically asked if we could re-position the arm if we wanted to and the CEs and CA said yes.


There is no real top or bottom of the wound. There is a narrower gash on one end and a wider one on the other end.


I did find that the 4x4 gauze in the cube that comes with the CPNE skills kit seemed not as thick as the one at the CPNE, SO that actually worked to an advantage - being thicker helped cover the wound more.


One more thing - You can practice and practice wound packing but each time you will never be able to repeat the same exact way you just did it - you kinda just "go with it...", other wise you will drive your self crasy.


Good luck!


gail
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No. 9
from TLAandy
Old Jan 18, 2009, 10:41 AM

Default Re: Super CPNE vets--about the wound
Hiya!! At least at Grady you could move the wound any way you wanted it. Ask during the orientation to the labs. My understanding is you can position it to your comfort. I worried over the wound more than any other station, because I felt like it was the one station where you need a natural talent, dexterity to be good at it, but from my experience at the CPNE, they sat in a chair on the opposite side while I packed the wound and they did not get up and look at it after it was packed. It was soooo much more about sterile technique than packing. I used the modified rope version, (I twisted the end a little bit, but nothing else) and it was fine. Good luck, hope this helps!!!
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