I need help developing an effective wound care program at my LTC facility. I currently have a wound care nurse who does all the wound measurements for pressure and non-pressure wounds weekly. She puts them on a special tracking form that includes that family, dr has been notified, careplan updated, etc. The floor nurses are responsible for the daily wound treatments. Once a week the wound nurse comes to the weekly care conference and reports findings. An IDT note is written on the progress of the wound. The progress note usually consist of current measurements and continuing with current treatment.
The nurse I have doing measurements wants to do wounds full-time. She works on the skilled nursing side and thinks she is more than just passing meds. I clearly explained to her that I didn't have a budget of a full time wound nurse. As a result, she is unhappy, complaining she isn't able to effectively do her job. Basically, she feels as though she is being asked to do 2 full time jobs and she says she doesn't feel safe doing the wounds because she isn't able to put the time needed. I will say I have questioned if she is actually even looking at some of the residents on the list, or if she is just putting the same information back on the report on a few of them. Also, I had a resident with a rather extensive wound - it started on her abdomen, and tunneled down to her perineum. This particular wound had three sections. She only documented the abdomen. Also, she is constantly complaining that our wound care program is a mess. She recently mentioned that supplies are left in all the resident rooms, weekly progress notes are not being done, etc.
I have to admit wounds are not my strength. My facility currently has 6 resident's with FAPU's. I am needing some help and resources.