Mistyrose123

Latest Activity

1. Removing Triad from wound

   Mistyrose123 replied to Turtle in scrubs's topic in Wound

   from what I understand triad is to be applied, gently cleaned and what is left on the skin remains and apply new layer over it. Have not used this a lot. polymem works well for skin tears, apply, check daily for break through drainage and change ev...

2. Wound Nurse Workload in SNF's "We'll let the wound nurse know"

   Mistyrose123 replied to wcextraordinaire's topic in Wound

   I work in a LTC/SNF facility. yes all things are dumped on you. I do all treatments pressure injuries, skin tears, surg wounds, arterial, venous, diabetic, trach care, PAC flushes, PAC/CL dressing changes. I do not supervise, I do not feed at mea...

3. Need advice on new role

   Mistyrose123 replied to Apentti's topic in Wound

   you might go to your employer with a list of wound care duties (look on line or make a list yourself), explain that with pressure injuries being a CMS quality measure you need to focus on wound care. are pressure injuries going up in your facility? ...

4. Stage II Pressure Ulcer Coccyx on Bed-Bound Patient

   Mistyrose123 replied to Carlene85's topic in Wound

   the purpose of a foam or hydrocolloid dressing (duoderm) is to maintain a moist environment for healing. by adding cream you are macerating the wound which will make the stage 2 larger. I suggest doing one or the other. apply the cream and not a f...

5. Causes of undermining/tunneling

   Mistyrose123 replied to iluvnoodles's topic in Wound

   undermining and tunneling are caused by being dragged across the bed instead of being lifted. sometimes it will also be caused by infection. I have seen tunneling that leads to a abscess in a surgical wound. Undermining is the result of shearing w...

6. Wound Care Documentation

   Mistyrose123 replied to Ariel09's topic in Wound

   Hi Ariel, I have worked in long term wound care for about 8 years. I too struggled with documentation. I did a lot of research and self education. Here is a outline of what I use: condition of current dressing, wound shape, depth, edges, undermini...

7. Sending MD pictures of wounds on cell phone?

   Mistyrose123 replied to maddock26's topic in Wound

   I do not agree with taking pictures of wounds with your personal cell phone. this is an example from what happened to a co-worker. she took a picture with her personal cell phone with the pt permission and with the pt watching her delete the pictur...

8. Admission Skin Assessments

   Mistyrose123 replied to NurseQT's topic in Geriatric

   nurse QT at my facility the skin assessment is done within one hour of admission. Per state surveyor guideline "a stage one pressure ulcer can develop in one hour". If you wait longer how can you prove to a surveyor that the pressure ulcer was admit...

9. section m help

   Mistyrose123 replied to Mistyrose123's topic in MDS

   thank you talino!! it seems I know this but when someone else says it, it makes better since. thank you very much

10. Measure epithelialization as part of wound?

    Mistyrose123 replied to msnurse1234's topic in Wound

    msnurse1234, check with your facility policy. I worked at a facility that the policy said to use linear measurements. meaning 12 to 6 in a straight line and 3 to 9 in a straight line. If you have a wound that is diagonal, then 12 is the very top ...

11. section m help

    Mistyrose123 posted a topic in MDS

    hello all, I am new to MDS. have two situations that I need clarification with. 1. had a patient go to hospital with a unstagable pressure ulcer, acquired. res returned with a stage 3 pressure ulcer. is this still acquired or admitted. 2. If f...

12. New wound care work

    Mistyrose123 replied to zacarias's topic in Wound

    I suggest that you go to your wound vac supplier web site. there you will find directions for the wound vac use that will tell you wound vac to be changed 3xw. this will give you the written evidence. also you may suggest that changing vacs less, ...

13. New to wound care.... Several questions

    Mistyrose123 replied to Kentuckyrn919's topic in Wound

    1. when placing white foam in tunneling or undermining you want to place the foam in the undermining and then pull back slightly so that the foam pulls the tissue toward the foam so tissue can close. when placing black foam you do not want the foam...