Apentti

Latest Activity

1. Wound vac blistering

   Apentti replied to BooberRN's topic in Wound

   Sounds like a reaction to the adhesive in the drape. There are some things that could be done to protect the skin but seeing the doctor really is best at this point. Is a wound doctor or practioner following the case?

2. Wound care certification exam

   Apentti replied to homehealthWCN's topic in Wound

   It was harder than nclex. I recommend a study guide or flash cards. My exam had a lot on fungating wounds and venous ulcers. Also a lot on diet and labs.

3. Treatment supply storage

   Apentti replied to Apentti's topic in General Nursing

   What state are you in? As far as billing in advance and not completely using a product due to order changes, I always send unopened unused product back to the pharmacy or supplier for reimbursement. And I was told that as long as the product is seale...

4. Treatment supply storage

   Apentti replied to Apentti's topic in General Nursing

   No, all the supplies are already purchased and sitting in storage in the maintenance department with staff time budgeted in for installation.

5. Treatment supply storage

   Apentti replied to Apentti's topic in General Nursing

   Interesting. My argument to that would be that these supplies (tube feeding, wound care, prescription items) are there property. I guess in your case, I would try to come up with some sort of consent/refusal form to have the residents decide if they ...

6. Treatment supply storage

   Apentti replied to Apentti's topic in General Nursing

   Thank you for your input. The plan was to store items specifically ordered for and billed to patients such as wound care dressings, topical agents containing medications, topical prescriptions. Only the nurses would have access. And I would monitor t...

7. Treatment supply storage

   Apentti posted a topic in General Nursing

   I work in a LTC facility (SNF) and have been working on getting locked treatment cabinets in each patients room for improved accessibility to supplies for bedside treatment. I had everything ordered and ready to proceed, when a new nurse consultant s...

8. Ethical dilemma with DON

   Apentti replied to Apentti's topic in Professionalism

   Actually the staffing is overall pretty good. Our ratios are better than most. On this particular unit there was one nurse, one RT and two CNAs for 10 long term care vent patients. It really was nurse neglect. The nurses have since admitted to signin...

9. Need advice on new role

   Apentti replied to Apentti's topic in Wound

   Thank you for your input. I think I just need to get out at this point. They keep admitting more and more patients with wounds and pressure ulcers, because "the wound care nurse should be able to handle it". I just see them dumping more and more on m...

10. Ethical dilemma with DON

    Apentti replied to Apentti's topic in Professionalism

    I think she reacted this way because last year we got cited on 11 different wound issues. So she's trying to protect the facility, which shouldn't be the concern. The concern should always be the patient

11. Ethical dilemma with DON

    Apentti replied to Apentti's topic in Professionalism

    I did. She needed to know in order to provide appropriate care.

12. Ethical dilemma with DON

    Apentti replied to Apentti's topic in Professionalism

    That's one of my concerns is retaliation. I report directly to my DON and have to work with her on a daily basis. Thanks for your input.

13. Ethical dilemma with DON

    Apentti posted a topic in Professionalism

    I recently found myself in an extremely uncomfortable and infuriating situation. I work in a SNF as acting wound care nurse. During my weekly rounds, I noticed a patient with a chronic but stable wound suddenly had worsening of the wound (increased s...

14. Dry Gangrene to Lower Leg

    Apentti replied to notanumber's topic in Wound

    Can you get nylon boots so they don't stick to her skin?

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

    Apentti replied to wcextraordinaire's topic in Wound

    I feel your pain. I recently took on the role of wound care nurse at the SNF I work and was immediately dumped on. I don't do daily treatments, but pretty much everything else you mentioned I too am expected to do. My administration has (in their opi...