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michksmith14 BSN, RN

CWOCN
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michksmith14 has 5 years experience as a BSN, RN and specializes in CWOCN.

ER Nurse - CWOCN - FNP Student - Army Reservist

Harry Potter Enthusiast - Runner - Celtics Fan

michksmith14's Latest Activity

  1. michksmith14

    Army FY 2019

    Even after you receive scroll and commission, you could still be waiting quite some time for orders. I waited 6 months after commissioning to receive orders, I didn't even have any contact info for my unit. Even still, I am waiting to be sent to DCC and BOLC and I commissioned 9 months ago. If waiting is not something you can handle, you may want to reconsider now
  2. Hi All! Anyone available to be a preceptor for NP student in Southern or Coastal NH areas for Spring 2020? (Manchester/Bedford/Nashua/Concord/Portsmouth/Epping/etc Areas)
  3. michksmith14

    WOCNCB Exams

    I could be wrong as it has been a few years since I took them, but I'm pretty sure you need an 80% or higher to pass.
  4. michksmith14

    Hydrogel and Hydrocolloid.

    Wounds need moisture balance in order to heal. Not too wet, not too dry. If you use a hydrogel with a hydrocolloid or plain film dressing, the wound will likely become way too wet, macerating the periwound and increasing the chances of hypergranulation. All of which slow wound healing. A gauze dressing is not that absorbent where it will wick all of the hydrogel away from the wound. The gel will still provide the moisture a wound needs with gauze covering it.
  5. michksmith14

    Hydrogel and Hydrocolloid.

    You can use gauze, ABD, gauze roll, lite or regular foams...
  6. michksmith14

    Hydrogel and Hydrocolloid.

    Generally a hydrogel is used on a wound that needs moisture donated and probably does not have a lot of drainage. A lite/thin foam could be used over this but generally a regular foam would not be necessary unless the dressing will be changed less often. Insurance will not cover foam dressings for anything less than moderate drainage. Hydrogels aren't indicated in wounds with that much drainage. So, you could use this combination without harm--it just wouldn't be very practical and likely not covered by insurance. This sort of combination I have seen underneath compression wraps. It would help absorb a week's worth of drainage and also distribute pressure evenly over the wound beneath the wrap.
  7. michksmith14

    Wound with no change, good or bad

    Is the WC electronic so that she can change angles? Does she have a custom chair cushion? The biggest thing will be offloading in order to get it to heal. As you know, even slight changes every hour can help. Without offloading, wound care doesn't matter too much aside from staving off infection. No matter what you put into the wound, some type of foam dressing is best as it can help keep at least some pressure off the area. Collagen powder isn't a bad idea. It can be used with silver gel, which would provide some antimicrobial effect and a little moisture if the wound is dry. This can be purchased over the counter. Make sure they change the dressing if she is incontinent or if it gets soiled. When doing any sort of packing, like iodoform, just make sure it is loosely tucked in there and not tightly packed, otherwise the new tissue cannot fill in against the packing.
  8. michksmith14

    Army FY 2019

    Awesome. You and msnapper will be in the same boat once you get scroll. Hopefully you won't have to wait as long as him for orders!
  9. michksmith14

    Army FY 2019

    Oh good luck! I hope you hear something! You are AD, right? I am reserve, yes. I'm in New Hampshire!
  10. michksmith14

    Army FY 2019

    Finally have an update! I received my orders today nearly 6 months after commissioning! Waiting to hear back from my unit about when I'll start drilling and when I'll go to DCC/BOLC!
  11. michksmith14

    Confused about WOCN

    There are still jobs out there that don't require certification. A lot prefer you to have it, yes, but some places may hire you without it and maybe even help you pay for your cert! I know there is scholarships sometimes available too.
  12. michksmith14

    Confused about WOCN

    I would also recommend going to CC for your clinical if you can swing it. I had such a difficult time finding preceptors in my area to get my clinical hours in!
  13. michksmith14

    Documenting tissue type with a stage 2 pressure injury

    I've seen this tissue called "primary tissue" by our wound care MD. I don't think it can be called epithelial as an open wound, that certainly would be an issue with coding/insurance if it is technically deemed healed with the epithelialized diagnosis code.
  14. michksmith14

    Army FY 2019

    You won't be able to access DMs until you have a certain number of posts in the forums. Then it is "unlocked". I think it's like 10 or something like that, I can't remember exactly. Not very many!
  15. michksmith14

    Confused about WOCN

    Yes, this is an option if you don't want to find all of your own preceptors. You can opt to travel to CC for a couple weeks to get your clinical hours in, which was 40 hours each when I went through. Otherwise, you can work to find preceptors locally where you live.
  16. michksmith14

    Confused about WOCN

    No problem! Good luck!
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