CWONgal

CWONgal

CWON - Certified Wound and Ostomy Nurse

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About CWONgal

CWONgal has 12 years experience and specializes in CWON - Certified Wound and Ostomy Nurse.


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  1. charting advice

    I can see your point from the LTC perspective. Inpatient assessment and documentation, especially upon admission, is important.
  2. charting advice

    I don't know that I'd agree with that David. We can't always determine the etiology but we are still expected to document it's presence because it is an abnormality. Describing what you see (erythema, exudate type, exudate amount, odor, location, e...
  3. Wound bed appearance with a wound vac?

    Several other observations. I don't think the silver granufoam is all that and a bag of chips. Personal experience is it seems to trigger an increase in debris. Also, when you have a compromised limb multiple layers of drape (people either don't ...
  4. Is this correct practice?

    Yep, have never heard of using that terminology. I would think a "defect" would be something like a keloid or scar tissue formation. Wonder if that wound is critically colonized and that's why it won't heal? Also, even though the wound may re-epit...
  5. Denuded Peristomal Skin

    Marathon is a great product, agreed...pricey and from what I understand it is not considered a standard ostomy product and may not be covered by insurance. Lots of folks use paste as though it's a glue and when they plaster it onto that peristomal...
  6. Online WOCN training

    Emory all the way (although I am sure Cleveland Clinic has a good program). Meggie is spot on with her statement, too. I loved their instructors and they are very friendly and approachable. Magnet hospitals seem to be some of the bigger advocates ...
  7. charting advice

    If you add the adjective "linear" (if it is) with excoriation it helps paint a better picture of what you are trying to share with other staff. Excoriation is often used incorrectly and using it when describing a scratch is appropriate, as Tammy sta...
  8. Wound bed appearance with a wound vac?

    Effective Management Strategies for Negative Pressure Wound Therapy | WoundSource This is a good article discussing NPWT and slough within the wound bed. It also mentions the use of a collagenase in combo with NPWT which I hear is used more and more...
  9. Wound bed appearance with a wound vac?

    Slough isn't always easily debrided with CTA's, ergo the term "adherent slough".
  10. Is there really a demand?

    There is a demand....check out a site like indeed.com. Best job move I ever made was getting into this field, highly recommend it!
  11. Necrotic toes wound care

    Dry gangrene should stay dry. If a person has gangrenous toes we should look at the big picture. Why does he have gangrene? Likely, poor perfusion. Painting the toe with betadine is the most appropriate tx....what often happens is xeroform is thr...
  12. Penile ulcer..HELP!

    Zinc oxide can have a drying effect if it's applied thinly (thick white paste formulation). Is the breakdown r/t urine, fecal incontinence, or perspiration? All? Any chance there is a co-existing yeast infection? We often get calls about "mysteri...
  13. Wound vac seal in toe space

    Barrier rings, like Eakin work well when you conform them around the wound and in difficult crevices. (Besides feet the rings are helpful in areas within the gluteal fold where you tend to have moisture from sweating).They help prevent excess moistu...
  14. wound care certification

    Did the WOCNCB route and highly recommend it although it is a best pricey. Several programs offer distance learning. For each specialty you choose you will be expected to complete 40 hours of clinical time (Wound, Ostomy, Continence) and then possi...
  15. Documenting half healed scabs

    You have a good start with what you've already mentioned and believe it or not you have written more than what I typically see for wound documentation. Measurements are important. Probably should elaborate a bit more on the no s/s of infection. An...