I am just finishing up my second week at my very first job as an LPN. I've noticed that many of the nurses I work with do not make any time for wound/skin care. I know we are all busy. But a small wound, untreated, will just get bigger and worse.
Two quick examples....
1. A very obese lady has two small open areas deep in here, um, butt crack (for lack of a better word). Its probably due to her incontinence, I've been told. But nothing is being done. I suggested an Extra Protective Cream, and was told that would definately help SO much. But no one puts it on! Even the CNAs won't do it during her brief changes.
2. A older gentleman with a urostomy has major skin excoriation around the stoma. Why? The wafer is cut completely open (to wear it attaches to the urine bag) instead of being cut to be fitted around the stoma. So that skin is always exposed to urine. I asked the treatment nurse and she told me I was right, that the wafer does need to be cut to fit the stoma, and that even though there is excoriation, the skin cannot be exposed still.
The couple nurses I spoke with said they don't do wound care. I've seen how awful this stuff can get and I'd hate to see infections occuring because of something preventable. As a brand new nurse, is there anything I can say or do?