ok....I work in LTC On a friday I told the staff to get the patient to the hospital, or call the doctor due to his "black toes" were no longer hard and black. they were "wet and black" we know what that means. they said ok...we will do that. I left thinking they were on the phone due to they were talking to someone about the patient. I was gone the next week because I am currently in the clinical portion of obtaining my WOCN so I was gone all week. I came back on tuesday...the patient is still there...now you see bone...the patient is so confused he is walking into patients rooms and actually crawling into their beds! So the staff said the bone was not noticed until that day i came back. but the black was "wet, spongy...not hard anymore I told them. they had "faxed" the doctor. He ordered labs.
well I sent him out to ED yesterday...they will now have to perform a BKA. this poor guy is 90 already! but they I believe should of done something way before...? I am not sure...like I said I am still in the process of learning.
what do you do usually for necrotic dry toes? he had arterial disease. and then once you see they are "wet".....what do you do?
I am very glad this LTC has hired me due to a lot has changed already due to what I have learned! its great and I love seeing the results. but what should i have done? and what should I do in the future. I called and talked to the doctor, and he states we did things correctly...even though I think we should of sent him a week before. ?????