Latest Comments by Turtle in scrubs

Latest Comments by Turtle in scrubs

Turtle in scrubs 4,002 Views

Joined Mar 8, '07 - from 'Kansas'. Posts: 201 (44% Liked) Likes: 203

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  • 0

    Can anyone please tell me what EMR computer system Methodist uses? Epic, Cerner, McKesson....

    Thanks!

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    Thanks woundnurse4u, ... so was it on Monster.com that you found your job, or did you use a headhunter?

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    I'm currently working as a WOCN and looking for a WOCN job in the Richmond VA area, but haven't seen much of anything. Most of the WOCN's I know got their job at the place they were already working, or by word of mouth. I'm not sure how best to go about this. Applying for staff nurse jobs in the past was pretty easy, but this seems to be a different ballgame. Anyone use Monster.com?
    Any thoughts are welcome. Thanks!

  • 0

    Not a dumb question. But when you say "do I have to", do you mean from an employer standpoint, or the certification board?

    From the certificate board standpoint, it looks like you have 5 years to take the exam after finishing your course work. (I would not recommend this)
    Eligibility | Wound, Ostomy and Continence Nursing Certification Board

    From an employer standpoint it all depends on the employer. I imagine most would expect that you would be taking it within a few months of finishing your program.

    From a practical standpoint... job or no job, I recommend taking the exam soon after you finish the program. The information will be fresh and it will make you more marketable.

    Hope this helps!

  • 0

    Thanks RachRN11!

    In my reassessment I can (and do) write out a description, and I agree with what you said. Problem is, we expect the nurses on the unit to be documenting the PU's in a EMR with little drop down boxes that don't allow for all that. Also if it is a HAPU, Risk Management is involved and they want a definitive answer... as do our billing coders.

    As a staff nurse I was sometimes frustrated when the WOCN's would evaluate my patient and in the consult would write out what I saw as an ambiguous description.... meaning I still didn't know how to fill in my little boxes. Now as a WOCN I find I am doing the same thing in an attempt to best describe the history and current state of the ulcer. As a WOCN I want to provide the best assessment and yet at the same time be of the most help to my staff. I'm finding a disconnect here that I'm not sure how to bridge.

  • 0

    1. You assess a wound for the first time and it is 100% covered with adherent slough. You cannot see the wound bed. Unstageable. You apply santyl and with two weeks you can see the wound bed and there clearly is no bone, tendons, etc. How do you stage it now? Stage III or healing Unstageable?

    2. You have a DTI; dark purple with dry, intact skin. A week later you assess and it is opened up with that dark, moist slough and exudate. How do you stage it now? Evolving DTI or Unstageable?

    Feedback please! Thanks!

  • 3

    Good discussion. As for pt's I have no problem holding their hand, bowing my head, etc as they pray, but if they want a prayer led I call in the chaplain. If a patient asks me directly about my religion I say "my family is Lutheran". Which is true. They are; I'm not. But pt's want to feel comfortable with their nurse and I don't mind going with their fantasies a bit. If they start getting pushy or more intrusive I have to cut it off (politely of course) and the indulgence of fantasies come to an end. But that has rarely happened. Most people what to just feel comforted and cared for.

    Co-workers are another thing altogether. The facility puts out prayers in our newsletters, there are prayers and crosses on the walls, and they pipe in the Sunday worship service on the TV every sunday morning, which in reality is a welcome break from Fox news. But none of that bothers me too much, it's just there. Sort of like people leaving Christmas lights and life size Santa Clauses up all year. It gets old, but so be it. Where I am uncomfortable is with my boss who is very religious and seems to hire mostly fellow Catholics who she goes to church with. I get along great with my co-workers but don't feel comfortable at all sharing my beliefs, or lack there of. Not that she would outright fire me for that, but oh she could make my life hell. Hmm... well, hell on earth

  • 0

    Congrats coolbreezegirl!!! Sounds like things are really falling into place for you. All the best

  • 0

    Hi ae corpuz, Unfortunately I don't know anyone in your area.

    Is there any way you could do your coursework at home and do clinicals at Emory? One thing to consider is not just who you can get for preceptors, but the quality of clinicals you will get. I wish I could have done my clinicals through Emory as I feel like I would have possibly gotten a better experience. But of course, if you can't take off work for a month this isn't an option. Just a thought.

  • 1
    softrbreeze likes this.

    Ah yes.. I get it. If you were staying at the same facility and just asking to stay on in the ICU you were already trained in, that may work, but it would be a whole different deal going to a different facility.

    Sounds like you are itching for a change and this deal looks like a good one. I'm guessing they are wanting a commitment that you will work for them in this role for X amount of years. Just make sure you are wiling to do that and worst case scenario you try something different after that. Nursing is good in that way.

    As for what makes it worth the job change. Like you I'm frustrated by the poor communication/coordination between nurses and doctors. Not that we don't have some wonderful doc's and PA's, but we also have our fair share who I know my shift will be more challenging because of and my patients will suffer in the care they get. I'm tired of that. So far as a WOCN I've gotten more respect from physicians and I feel like I'm actually working with many of them who I was previously just doing tasks for.

    More importantly I like the work. I love the education aspect - educating staff, patients, family members. I love the autonomy of making my own schedule of my days activities (for the most part), the ability to get creative (seeing an area of weakness i.e.. several patients with trach ulcers and being able initiate change to reduce this), the diversity of my day (consults, presentations, supply chain meetings, surgery rounds, etc), and the movement and interaction I have with the rest of the hospital.

    Above all I like not leaving every shift feeling like I didn't give adequate care. Not that I was giving poor care, just that there was rarely enough time to give everyone the care I would have wanted. Oh, and eating lunch isn't a bad thing either Not that the life of a WOCN isn't busy. I have more than enough to keep me busy and my days are never boring. If you are a thrill seeker (can't wait for the next code to be called and always request the most unstable patient) then you may not find wound/ostomy care quite as satisfying as I do. If however you like a different sort of challenge, one that involves coordinating with most every discipline in a hospital (PT, risk management, SW, surgery, etc), means being the go to person and "expert", and being independent and self driven, then I think you will love it! Good Luck!

  • 0

    It's tough. Defiantly a nice opportunity there, but I understand the hesitancy to give up the ICU. I'm in the process of transitioning from critical care to wound care. I love it, but it's early and I'm still learning a lot. I worry about down the road, missing much of the things I do enjoy about bedside nursing. If they are really hungry for you they may be willing to make a deal that you can do two shifts a month in the ICU. It's worth asking. Also, make sure you are asking "what" certification they are willing to pay for. There are a couple and they differ. Make sure you are getting what you want and what you feel would be the most marketable if you eventually leave that job. Good luck whatever you decide.

  • 0

    I know exactly the position your in and posted pretty much the same question to this site before I jumped in. Strangely people don't talk too much about their educational/occupational journey here. I finally just took a risk and went for it. I did Emory's distance learning course. It required me to do the book work at home (so I could keep working full time), one week at Emory, and then clinicals back home at the hospital I work at. I'm now working part time at that hospital and hoping for full time some day. A couple of thoughts.

    I was only 1 of 3 people in the group of 40? at Emory who was not already working as a Wound/ostomy nurse of some kind. A lot of places take on people who are interested and then pay for them to go to school (or pay part of it). I would have done this if it were an option. I think it's the best way to go for a couple of reasons. First, you get it paid for. Secondly, having some experience in the field makes the course work easier and more importantly more productive. You know what questions to ask, etc. and just generally get more out of it. Also, if you get a facility to pay for you to go then they are invested and you are locked into a job. I paid out of pocket and just took a risk that I would find a job. Got super lucky b/c I really wanted to stay in the hosp I was working in (which was not willing to send me to school and didn't have an open position when I started going to school). If that hadn't worked out I would have probably gone into home health which was the only other open position in my area. I don't regret the route I took at all. Sometimes we just need to forge our own path, but if you can lock into a healthcare system I think that is ideal.

    If I had it to do differently I might have done clinicals at a different hospital than the one I work at. See different stuff, etc.

    Emory provided a solid program. I felt the wound and ostomy coursework were better structured and prepared me for exams much more than the continence coursework. The people at Emory were helpful and communication was good. The distance learning is not just a computer course, you will feel like you are part of a program once you have gone through it. Like anything, you get out of it what you put into it, and I asked a lot of questions along the way and had good interactions (via emails and phone calls) with instructors. I would have prefered to go there for the full onsite course but couldn't get a educational leave of absence from my employer, and it's a great option if you can't afford to stop working.

    Compared to staff nursing the demand for WOCN's is very limited, but of course the pool of WOCN's is quite limited. I'm guessing supply and demand is about the same but location of jobs is the real kicker. It can be harder to make that match. If you are willing to relocate you open your options up greatly. If you are not, I would recommend looking around at what openings there are in your area now. I doubt they will be considerably different when you complete the coursework.

    WOCNs seem to be an independent, self motivated, and creative group of people. Each person paves their own way and there is not one best way for everyone. You may want to work on "selling yourself" to facilities, make some cold calls, take them your resume, let them know you want to "make a deal". There is a lot of networking that goes on, so put yourself out there and take some risks if this is what you really want. Knowing what I know now, I would have been more assertive in this process. Every WOCN I've met seems to have a high level of job satisfaction, and that has been true for me thus far.

    Just a few thoughts for what they are worth. Whatever you decide, all the best!

  • 0

    Thanks TammyG. What is the "cone" approach?

  • 1
    WV-RN likes this.

    In my WOCN courses it was recommend to use tampons in the stoma of a patient that was continuously draining while attempting to do ostomy care. Not left in for very long - just for the period of time when cleaning and prepping the peristomal skin. Also, only for mature stomas, not fistulas. The WOCN's at my current place of employment are uncomfortable with this.

    As an ostomy nurse, is this something you were trained in, have done, &/or would recommend?

    Thanks for any feedback!

  • 0

    Quote from TammyG
    You often don't know it is a Kennedy until the patient dies.
    So why would it be any clearer once the patient has died? Just curious. Thanks!


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