TVN2011

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1. need some wound advice

   TVN2011 replied to Mandy LVN's topic in Wound

   What kind of pressure relieving devices are being used? What is the nature of the wound beds? These could be incontinence lesions? Maybe some aquacel/aquacel ag under the duoderm may help. Or perhaps some mepitel with a secondary dressing, pending on...

2. gangrene in a very private area.

   TVN2011 replied to nola1202's topic in Wound

   Has this area become necrotic from pressure? or the patients co morbidity? Is it wet or dry gangrene? Iodosorb (Smith and Nephew) which is cadexomer iodine would help dry up the area or a simple batadine paint.Also ensure that there is no friction or...

3. Is a H1b Visa for California impossible these days?

   TVN2011 replied to TVN2011's topic in International

   Thanks for reply I understand this, I was asking about California specifically as I have passed the NCLEX for this state. I am aware that nurses in the US are also having difficulty finding employment due to the current economic climate. I was posti...

4. Is a H1b Visa for California impossible these days?

   TVN2011 posted a topic in International

   Hey Guys, Just wondering about the possibility of H1B sponsorship in California. I am a Tissue Viability nurse ( Wound Care, Bsc) and have passed the Nlcex for the state. My husband is a LPR, so I am awaiting my GC. Unfortunately due to retrogression...

5. Skin Tear and Duoderm Question

   TVN2011 replied to bshaw96's topic in Wound

   I would agree with previous posts. Mepilex/ mepilex bordered is ideal for these skin tears when the edges cannot be approximated. Duoderm would further damage this fragile skin!!

6. Heavily draining rectal wound

   TVN2011 replied to paddler's topic in Wound

   Hi, I would agree with the previous post that an antimicrobial dressing would be appropriate in this patients case, also protection of the periwound skin with Cavilon spray would prevent maceration. Dry Max Extra as a secondary dressing would help to...