Davidaugustyn

Davidaugustyn

WCC

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About Davidaugustyn

Davidaugustyn has 9 years experience and specializes in WCC.


Latest Activity

  1. Nurses Side Hustles

    I flip houses and am starting to hold and rent soon. Other than that, I am trying to delve into freelance nurse writing, but it's been tough.
  2. Is there a need for this?

    Hey Overtonis! If there are others like me, there have got to be a lot looking for a way out. I have been flipping houses on the side to get out. I'm looking now into nurse writing to get out of the hourly grind. There will always be a need for dire...
  3. Online Consulting Business?

    I started a wound consultation business from home and saw a few clients before giving it up. The biggest things that slowed me down was that it was a lot of work for the same amount of money as a an hourly job. I learned a lot from building the websi...
  4. Sacral fistula

    Fistulas are the hardest things to deal with. I shutter when I hear of a new admit coming with a fistula...I wish I could give you better advice...Supplies are drained to quickly with them...
  5. Rehauling the wound care team

    Hello everyone and thank you for having me here. I have enjoyed this forum. First a little background... I have worked in long term care for 10 years, wound care certified for 4. Last year I started working in an LTAC with a wound care team and then ...
  6. charting advice

    That may be true, and I may be speaking from my LTC experience. Of course we would not skip documenting on it; it is there. But if the origin is unknown, there becomes the opportunity to defend allegations of abuse, depending on the wound. That's all...
  7. Denuded Peristomal Skin

    yeah hollister does have alcohol. I mostly use it for a weeping peristoma. If truly is the key for a a good seal. Ask anyone with a long term difficult stoma. It's just how it's used. Like you said, its not glue. the idea is for the o-ring like seal.
  8. NCLEX-PN SHUT OFF @ 85 Questions

    I passed my LPN with 85 in 2004
  9. NCLEX-PN SHUT OFF @ 85 Questions

    Too bad. You failed.
  10. Infected incision-what would you do?

    How many days old is it? Is it appropriate redness in the inflammatory stage? Lots of times it's just a hope that it doesn't dehisce. I wouldn't use topical antibiotic, not best practice. Really I have not seen much help from the outside on an approx...
  11. can an LPN become a wound nurse

    I have 3 LPN wound care nurses working in the wound care department that I supervised. They were not certified and the company was hesitant to have them certified because of their degrees. The reason they fell into wound care is because the hospital ...
  12. Need advice, preventing shear force/friction

    That's true. Tough situation. I would suggest to him a mattress if he doesn't have one, (something he can't be noncompliant with) and let him be. Those are tough....
  13. Wound Infections, Best Practice

    Well said mommy.19
  14. space between incision and vaginal opening.

    I would stick with what I said than. Maybe not silvadene, but a good moisture correct environment and diaper it up.
  15. Wound Infections, Best Practice

    I'm sorry I was in a mindset when I wrote that. What I should have more clearly stated was that topical antibiotics were useless, and oral antibiotics, unless broad spectrum, have little efficacy due to the way we culture a wound. I do agree with pun...