Our facility just hired a new dermal nurse. She is not certified and doesn't seem to know what she is doing. We admitted a woman with a Stage IV on her buttocks. It is gross, smelly and causes her pain. The treatment is tid and consists of removing the old packing and putting in new guaze. They are not flushing it or debriding it. The dressing over it is causing reddened skin from the adhesive. She is given nothing stronger than tylenol for pain. We can't keep her off the wound longer than about 20 minutes. She is on an air mattress. What sort of treatment would you recommend. The nurse seems to take suggestions well. She is constantly locking all the treatment supplies in a locker that none of us has a key to. Some of our current wound patients are not healing as good as they did before she started.
By the way, the family of the patient above took care of her at home and said that "It has only been like that for a week." :angryfire
Quote from dinkymouse
The treatment is tid and consists of removing the old packing and putting in new guaze. They are not flushing it or debriding it. The dressing over it is causing reddened skin from the adhesive.
tid seems excessive. Not surprising the skin is reddened from the trauma of removing adhesive tid. What is the wound being packed with?
If your colleague is open to suggestions, ask if she has considered using a hydrogel eg. Intrasite (to help debride) and an activated charcoal dressing eg. Carbonet, which would help reduce the malodour. This could then be changed just once daily.
Last edit by letina on Aug 1, '05