Wound Care - page 2

DON's I need your help. I need help developing an effective wound care program at my facility. I currently have a wound care nurse who does all the wound measurements for pressure and non-pressure wounds weekly. She puts them... Read More

  1. 2
    Wow I'm in a 120 bed facility and we have a full-time, certified, 32 hr wound nurse and she's a godsend. Don't know what we'd do without her.

    Our facility is big on wounds though, we work with two area surgeons that do flap repairs and grafts and take most of the their patients, they come in and do rounds at the facility weekly, and we advertise heavily to get wound patients.

    She does the weekly pressure/non-pressure wound documentation and measurements, and is usually consulted for initial treatment orders. Once weekly she, the medical director, an APRN wound specialist and a physical therapist specializing in wounds does rounds "the wound team".

    We floor nurses do our own treatments and dressing changes the rest of the week.

    It's pretty typical for us to have multiple vacs, whirlpool txs, stage 3 and 4 pressure areas, skin grafts, etc. on each of the two rehab floors.
    CrystalRN11 and pixie120 like this.

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  2. 0
    I am a one year RN, have recently gone to a WCEI wound and skin care weekend class and am working on getting my preceptor hours in to be certified. I was just offered the position of wound care nurse at the LTC that I work for as a shift nurse. I am scared to accept as I don't feel like I really know anything yet! I am sure they will train me, but I am forever asking other nurses how to do something or to explain things to me. I wonder too if I will be getting some resentment from some of the LPNs that are great in the wound area at work. Any advice is appreciated!
  3. 0
    It sounds like a great opportunity for you. You can learn as you go and nevermind what the others think. Ask for their help if you need it. I was the wound nurse in many buildings because I loved wounds and had the knack for picking the right treatment. Just make sure your job description is clear.
  4. 0
    I am in the role of ADON in my facility and one of my routine tasks is our Wounds. Every Monday I assess all of our Pressure Areas, including documenting, updating POCS, updating Dr/family if necessary, changing treatment if need be. Tuesdays I measure Surgical, Vascular Wounds and do the same for them. Anytime a new wound is found the floor nurses know they must call me to get started on it right away. I complete a weekly grid in Excel and review that with our IDT weekly. I give the MDS nurses copies so they can ensure they are reflecting accurately in their MDS. My facility consults with a Wound CNP, she visits weekly and I round with her. She sees patients biweekly and more often if needed. I call her as needed to get treatment orders for new wounds. I started this program in December, our in house acquired was 11.48% and was 0% until this week. We had three discovered this week I need at least three days a week to fully devote to Wounds to get it done thoroughly. I also have several other responsibilities but this is one of the main ones. I am not sure if you guys would be able to give her part of her hours doing wounds and the other two days on the floor?
  5. 0
    Our floor nurses do bi weekly skin checks on Monday's and Thursday's, they have graphs with body diagrams to complete head to toe. Then our nursing assistants complete body diagrams three times a week with their showers. skilled residents are getting a head to toe daily at least, not for wound purposes though.

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