Quote from CapeCodMermaid
Unless you have lots and lots of wounds, being the wound nurse isn't a full time job. I've been the wound nurse before. When I first started I was also the day supervisor and when I got promoted to ADON, I was still the wound nurse.
Everyone has to buy into the program and understand the importance of good wound documentation.
Don't forget to include on your documentation the level of pain, any preventative measures such as pressure relieving mattress should be addressed. Don't forget to enlist your dietician for nutritional support issues and an OT or PT for positioning and any other modalities they might be able to use to promote healing.
Agree totally. I would say, and this is from my experience AS a treatment/wound nurse, it's about a one day per week job, so 8 hours. I worked 2 hours per day, M-F came in did all the treatments, housewide, 117 bed facility (not the little things like creams, dry skin, the actual wounds, non-healing, pressure, high risk, diabetic, Arterial and Venous) then did Admissions the rest of the day. I led the skin team, filled out the weekly pressure report for the DNS and corporate and wrote the IDT note for the IDT meetiing, which I attended q thursday as part of the overall nurse manager team (I worked at odd jobs there in addition to full-time admissions, treatments, skin etc..always plenty to do to help the team, infection control etc).
To be honest, it sounds like this "treatment" nurse is trying to get more hours as treatment nurse and less as passing meds, but that doesn't mean you want her on your team if she is "blowing" up the current treatment/skin team/protocals. Most floor nurses don't understand how important measurements, weekly follow-up and eyeball of such wounds IS (no offense here, stating MY opinion) and therefore see a lot of what nurse managers do as "unneccessary or made-up to justify our jobs". THe only way to combat it is, send her to a wound training course, open her eyes and educate and find that one day per week, 8 hours to allow her to concentrate and learn on the wounds. I knew NOTHING of wounds when I graduated (originally LPN), I learned on the job from some great nurses.
It also depends if you want to salvage her. BEFORE I act, I always ask the team "are we trying to salvage" this one? If yes, then do anything/everthing...if no, then....