mommy.19 MSN, RN, APRN

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All Content by mommy.19

  1. mommy.19

    Regarding Heel Ulcers Without Eschar

    The main concern is circulatory compromise to the limb. If the eschar is intact without edges lifting, is firm to the touch without exudate or surrounding erythema, it is considered 'stable', and is...
  2. mommy.19

    FNP vs NP vs CNS

    According to the consensus model, accredited APRN programs must be focused in one of the 6 populations. Setting-based programs are being phased out and the exams retired. Acute care programs are...
  3. mommy.19

    FNP vs NP vs CNS

    Unfortunately some states do not allow CNSs for rx auth, which is what causes many CNSs who do not wish to relocate to return to school and become licensed as NPs, California and NY especially. There...
  4. The NCBSN website can clarify some of these issues of CNS practice with rx auth or lack thereof. CNSs are not being phased out by any means, but it is the act of many CNSs in states like California...
  5. Many payors reimburse separately for credentialed APRN FA's. Read the statement on the AORN website about APRNs needing to be certified as of a certain date in order to bill and be
  6. mommy.19

    FNP vs NP vs CNS

    This is absolute misinformation. CNS programs are still widely available and there are many jobs for CNSs. NACNS :: National Association of Clinical Nurse Specialists is a great resource for...
  7. mommy.19

    WCC vs WOCN vs CWS

    It's the second requirement listed for eligibility: https://www.wocncb.org/certification/wound-ostomy-continence/eligibility "Hold a Bachelor's (or higher)
  8. Can we correct the last paragraph stating "CWSA", should say
  9. mommy.19

    WCC vs WOCN vs CWS

    https://allnurses.com/wound-ostomy-continence/wound-care-certification-764249.html
  10. mommy.19

    Denuded Peristomal Skin

    I apologize, the adapt RINGS are ETOH free, not the
  11. In colloidal silver, the concentration of the metal is toxic to components of the wound matrix, namely fibroblasts and keratinocytes. If used for prolonged periods on open wounds, it has been shown...
  12. It is difficult to give advice without being there but you can also use a protective layer over the any sutures near the lady partsl opening and then apply a strip of duoderm. Sometimes I use duoderm...
  13. mommy.19

    Denuded Peristomal Skin

    So glad it worked out :) I have had to go back to using a very large wafer, like the convatec 4 in durahesive for patients with peristomal breakdown. This way, there is a much larger surface area to...
  14. mommy.19

    Wound Infections, Best Practice

    Best practice is quantitative culture and I would suggest PCR (polymerase chain reaction) DNA assay to determine type of species and sensitivities. One would be hard pressed to find a chronic wound...
  15. mommy.19

    Conservative Sharp Debridement

    There is no true certification in CSWD because to be certified in something, there must be a certifying body that provides a credential. I have been trained and received a certificate of completion of...
  16. mommy.19

    wound care certification

    American Board of Wound Management offers specialty credentialing in wound care: American Board of Wound Management > Home Also the WOCNCB offers certification in Wound, Ostomy, and Continence,...
  17. mommy.19

    Wound assistant

    The American Board of Wound Management also offers the Certified Wound Care Associate examination for LPNs. Requirements are experiential and you can read more about them here: American Board of Wound...
  18. mommy.19

    Wound vac seal in toe space

    Good comments by Kiszi, I generally clean the skin extremely well, then pat dry. No sting skin prep, tincture of benzoin, or mastisol can be your best buddy when it comes to difficult vac seals. I...
  19. Patients do not necessarily need to be ambulatory to receive therapeutic effect from the static compression of unna boots. As long as the patient has range of motion of the ankle as is able to...
  20. mommy.19

    Conservative Sharp Debridement

    I offer consultation services to facilities for policies and procedures such as this, as do many CWOCNs/CWSs. Most will not provide them for free simply for that reason. Also, some facilities have...
  21. mommy.19

    Stoma Site Marking...

    WOCNCB standards http://www.ostomy.org/ostomy_info/wocn/wocn_preoperative_stoma_marking.pdf Sent from my iPhone using
  22. mommy.19

    LPN Testing after one year of RN school...

    I don't think it states anywhere that you must be in school :) Sent from my iPhone using
  23. mommy.19

    LPN's in wound care?

  24. mommy.19

    LPN Testing after one year of RN school...

    I believe you are correct and peds is req'd if you go by the info in the link in my previous post. I would call a rep at the BON and speak with someone about this, it may be easier to sort out. You...