Candogal replied to Dolo the nurse's topic in Wound
A DTI stands for deep tissue injury which sounds like this is the case. I'll fitting shoes pressed along the bunion would cause it. The patient needs to throw the shoes out or alter the shoes to prevent pressure to the site.
I did webwoc. From speaking to others Emory seems to be more informative but I did not want to travel and spend the mandatory week in Atlanta. Since I had experience all I needed was to complete the classes and take a test, all online for Webwoc
It would depend on the policy at the center. Due to so many abnormally shaped wounds we tend to measure the longest and widest areas (head to toe, should to shoulder instead of exactly the 12 to 6, 3 to 9). Feet are funky because the toes are actuall...
Candogal replied to katinthehatter's topic in Wound
You do not need to be certified for an outpatient wound RN position. I began 2 outpatient wound jobs without my certification and finally became certified but quite a few of the RNs working in wounds are not.
I think you did fine, the old alginate just like any dressing should not be left in the wound for too long. Whoever wrote the order should have specified to re-pack the wound and then filled the remainder of the cavity with the vashe moistened gauze.
I can only give you an outpatient view as I have only worked a 2 out-patient clinics. You see the same patients over and over again most seem like a weekly basis which means that you have time to educate and see the wounds progress. It's usually an 8...
Sorry, I'm a bit late but yeah to simplify if it's arterial then it already has a decreased blood flow so compression would only make it worse. Compression is good for venous ulcers because the veins don't work well so compression helps push the flui...
Since you said the wound is getting macerated avoid Telfa that would cause even more damage then the silicone foam dressing. First I would go back to whoever gave the orders and show them the wound for re-assessment. It probably just needs to be cha...
I hope I can help, I have worked at 2 wound centers and very rarely do either place use tegaderm anymore-only for example when the patient is going to the beach and we don't want sand and water to get into the wound. The wound really needs to be asse...
See If you can get her treated at an out-patient wound center where the wound can be assessed by a doctor to determine if it needs debridement, wound vac, packing such as iodoform etc. If not Santyl (for the slough),dry gauze, plus a foam on top for ...
Candogal replied to new.grad.rn's topic in Geriatric
Ugh!! I worked as a brand new RN on the overnight shift at a sub-acute/ LTC for 13 long months. It was rough but I'm lucky that for the most part the night crew was a great bunch to work with. I hate to say this but there were occasions where I witne...
Hi, I presently work at 2 outpatient wound centers- check a local hospital to see if they have a center. I would highly suggest the patient go to a wound center, which the staff will then instruct you on dressing treatments along with weekly visits t...