kcicc

This defines unprofessional conduct. Just take the high road, "Be the change you want to see" and people will catch on. It may not change their behaviour, but it may change it around you. Stick it out, good morale is contagious too

I would just tell anyone who asked that you are more of a thinker than a talker. God knows, we would all benefit if more people thought before they spoke! Rock on sister, keep doing what YOU do best!

So that sounds like a terrible wound of course and likely a difficult dressing change no matter what is being used. If this pt is in acute care, often times I have seen wounds like these NOT vac'd as the perception is that it would be impossible to get a seal, too time consuming etc. However, a couple of tips and these "impossible"wounds can be VAC'd too. Colostomy done, so we don't have to be too concerned w/ that. If sphincter is still in place, that should be covered with white foam or adaptic as should any exposed vessels, organs etc. The XL dsg is great for irregular shaped wounds as it is seamed/serratted and more mold able. So the secret here in addition to plenty of skin prep and 4X4s is an O2 extension tube! Connect the tube to the O2 and crank it to 10-15L! You can now use this to spot dry the skin as you are applying the drape. This simple technique has been used on some pretty complex nec fash wounds that were very moist/wet. Take your time, plan ahead, apply the drape in strips and it should work. If not for this pt, maybe the next. Believe me, you'll be everyone's hero!

With prevention and positive outcomes being the goal for all patients with wounds , it has been proven that a multidisciplinary approach is what brings about the best results. No matter what the credentials, multiple clinicians with a passion for the patient, a passion for wound care and prevention can bring a wealth of knowledge and experience to the bedside. Often times I have seen "out of the box" thinking bring about "the cure" vs SOC. The more clinicians, at every level, interested in wound care the better.

A CLEAN ONE :)

I believe that you can sit for the WCC exam without attending the 3500+ dollar course, study up !!!

KCI's wound vac is indicated for use over potentially compromised suture lines and is frequently used post TKR and THR. Ortho's in particular are fond of this application as they feel that it reduces the incidence of seroma as well as decreases or possibly prevents edema along the suture/staple line which further decreases tension on suture line. When applied perioperatively, you have a nice sterile dsg that is not usually be disrupted for 2-3 days post op. The application technique is discussed in KCI clinical guidelines, pg 27. (protect intact peri incision skin with KCI drape, single layer adaptic to suture line, apply Granufoam dsg as you normally would)

Must agree with a couple of the other posters, even tho my screen name is a dead give away. Need to R/O an osteo, trim off those wound edges and no R ischial weight bearing allowed. Until then, it will not matter what dsg you choose, so keep it inexpensive