EHRN

EHRN

ICU, PICC Team, Wound Care

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About EHRN

EHRN has 12 years experience and specializes in ICU, PICC Team, Wound Care.


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  1. Stage III and growing...Please help!!!

    1/2 strength Dakins is an excellent choice. Are you able to probe to bone? If so, you will need to get a bone biopsy for pathology to rule out osteo, if osteo +, they will need a 6-10 week course of...
  2. I agree, Unna boots are very effective, but if not applied correctly, can cause more damage. For venous ulcers, try Silvadene to wounds daily, cover with 4x4's and secure with Kerlix or rolled gauze....
  3. PICC vs. MIDLINE ?

    PICC lines are central lines, the tip is usually in the lower third of the SVC. A midline is a peripheral line, with its tip distal to the shoulder. Since the tip of the midline is not in the...
  4. PICC line dressing changes in the NICU

    We don't have an NICU, but I'll share what we do. We have pre-written standing orders for our PICC lines that includes an initial dressing change 24 hours post insertion. At this 1st drsg change, a...
  5. Wound vac help!

    Not sure when this was posted, but maybe I can help. At our Wound Care Center, we frequently use Apligraf. If a VAC was ordered, we would place Mepitel over the graft, and depending on the amount of...
  6. We are a fairly new PICC team, and would love to get some input from other teams out there. What works and what doesn't? Do you get any specialty pay? Do you get paid by insertion? What do you do...
  7. It depends on the situation. If the patient is obese or if there is a pacemaker or other hardware present, leaving the stylet in the PICC can make for easier viewing on the xray. Also, if there is a...