ditchdoc

Hi all I am at the end of my rope with one of my home health pts. He has a diverting colostomy due to a very nasty peri-anal wound (he has a wound vac in place). Any way the issue is not with the pts wound vac it is with his diverting colostomy. The darn thing no matter what I do, how hard I try, I am talking duoderm lite, wound vac drap, stomehessive paste you name it Iv'e tried it it always holds for 1/2 to a full day then after that it starts to leak in the same place everytime. The colostomy is on the pts left side and the leak always happens on the pts right hand side between the stome site and the pts naval. I am serious here folks I have tried everything and called everyone that I can think of her, I have in not so many words used up my list of people to call and used all of the tricks that I know to do. Please help I will take any advice that you can give me here. The pt is on blood thinners and his skin is so broken down now I have to put a piece of duoderm lite on a spot due to so many different appliances being put on and then off, between that and the stool eating his skin away it wont be long before he wont have any skin left to place a appliance there anymore. Thank you for any thing that you all can think of.

Ok I have a question for you, how old are you if you dont mind me asken. I am looking into travle nursing but I've got one hugh problem. What about seeing your family doctor? I have to take a handful of meds two of which are schedule two drugs which technicaly I ve got to have a script for every month. Lets assume that my MD will write me three seperate scripts for my meds but my health insurance states that I can only go to pharmacy A B and C and where I am located there is not pharmacy A B or C anywhere. What the heck do you do in these two different situations? What if I cant get my MD two write me three months worth of scripts. What do I do then?

Hello all. I've got a question for you experienced travelers out there. I might need to travel due to looseing my job but my problem is this. I have some medications that I take that are schudle two and have to have an actual script for them every month. How am I able to travle and still see my doctor and get my prescriptions. Any suggestions on how to get around this or what?