mommy.19 MSN, RN, APRN

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All Content by mommy.19

  1. mommy.19

    LPN's in wound care?

    mommy.19 replied to kwest99's topic in Wound, Ostomy, Continence

  2. mommy.19

    Stage 2 wound...

    mommy.19 replied to MessyMomma's topic in Wound, Ostomy, Continence

  3. mommy.19

    When to stop wound vac

    mommy.19 replied to nurseguy213's topic in Wound, Ostomy, Continence

    Usually vac's are d/c'd after drainage is controlled or depth of the wound is resolved. This all depends on the original intent or goal of the NPWT, however. Sent from my iPhone using
  4. mommy.19

    Stage 2 wound...

    mommy.19 replied to MessyMomma's topic in Wound, Ostomy, Continence

    Get a wound specialist consult stat-best way is probably to get patient to a wound clinic for bedside sharps debridement (if patient is not hospice) Turn to relieve pressure as others have suggested...
  5. mommy.19

    Is there any granulation with a stage 1 pressure ulcer?

    mommy.19 replied to babs1963's topic in Wound, Ostomy, Continence

  6. mommy.19

    Pressure Ulcer or Kennedy ulcer staging question

    mommy.19 replied to trayp33's topic in Wound, Ostomy, Continence

    Kennedy ulcers are generally, as you said, rapidly deteriorating and represent the decline of the skin (organ failure, since the skin is an organ). If you believe the etiology is pressure, whereas in...
  7. mommy.19

    Breast biopsies- steri-strips and blisters

    mommy.19 replied to UTVOL3's topic in Wound, Ostomy, Continence

    I think you're correct, it's from shear and friction of the steri strip combined with the weight of the breast. I might suggest dermabond? Sent from my iPhone using
  8. mommy.19

    wound clinic set up

    mommy.19 replied to rdr1128's topic in Wound, Ostomy, Continence

    I find that many people asking this question realize that there are many companies out there that profit from hospitals like this, needing a wound clinic startup. It's not really an industry secret or...
  9. mommy.19

    Part-Time Hospice Nurse?

    mommy.19 replied to waxynurse3's topic in Hospice, Palliative

    Hey gal I tried to reply to your PM but your message quota is full-- Sent from my iPhone using
  10. mommy.19

    Emory WOCN program

    mommy.19 replied to AJpcvRN's topic in Wound, Ostomy, Continence

    The bridge week is only for distance learning or split option students. :) Sent from my iPhone using
  11. mommy.19

    WOCN: is continence necessary

    mommy.19 replied to chappy34's topic in Wound, Ostomy, Continence

    Most nurses I know dropped their continence cert after they had to recertify the first time. The WOCNCB just means that their certs are the gold standard, not that you have to have tri specialty....
  12. mommy.19

    skin graft

    mommy.19 replied to NC29mom's topic in Wound, Ostomy, Continence

    I think using a silver alginate would be very appropriate, and the secondary dressing you chose is a great comfort dressing (the mepilex border). I would not apply antibiotics topically, as this is...
  13. mommy.19

    Treating an abscess

    mommy.19 replied to Kathe519's topic in Wound, Ostomy, Continence

    I think referring to the wound center should be higher ranking on your plan of care. Just because, well, don't you want a wound specialist taking care of your wound? :) You were very right to do this....
  14. mommy.19

    Stalled wound

    mommy.19 replied to tktjRN's topic in Wound, Ostomy, Continence

    The patient should be evaluated for an underlying bone infection, or osteomyelitis. This can generally be a situation where a large wound heals to a very small size but will not ever close. I would...
  15. mommy.19

    Hard-to-heal venous stasis ulcer

    mommy.19 replied to RachRN11's topic in Wound, Ostomy, Continence

    I would also stop the whirlpool immediately, this is no longer an evidence based practice wound therapy, it can cause too high PSI to the wound bed, delaying healing even further, and also risking...
  16. mommy.19

    Hard-to-heal venous stasis ulcer

    mommy.19 replied to RachRN11's topic in Wound, Ostomy, Continence

    This sounds like a textbook case of pyoderma gangrenosum. The wound bed description, the violaceous colored wound margin, the pathergy (new wounds developing with tissue trauma from compression...
  17. mommy.19

    Medihoney as debrider?

    mommy.19 replied to onthemark's topic in Wound, Ostomy, Continence

  18. mommy.19

    Anyone going to WCEI for certification ? Your thoughts?

    mommy.19 replied to SeaH20RN's topic in Wound, Ostomy, Continence

    This was my post from a similar thread. I am a CWS, which is a purely experiential route, and a credential earned by proving adequate experience as well as passing a board exam (Abwm.org). The WCC...
  19. mommy.19

    What is involved in getting wound certified?

    mommy.19 replied to RN&mom's topic in Wound, Ostomy, Continence

    That's for tri specialty. What I meant is at least one nurse should hold this cert, in lieu of sending everyone to a $3,000
  20. mommy.19

    Help with proposal for certification

    mommy.19 replied to Do_Good's topic in Wound, Ostomy, Continence

    One good thing is that many certifying bodies will write a letter of advocacy to your employer. One main thing I would emphasize is that being a competent and knowledgeable wound clinician would save...
  21. mommy.19

    Charity wound vac option

    mommy.19 replied to RiverNurse's topic in Wound, Ostomy, Continence

    KCI charity vacs do not have income considerations, we order these on a regular basis. Please contact KCI for more information. The provena is for approximated fresh surgical incisions only. Young be...
  22. mommy.19

    WOC Nurses with advanced degrees

    mommy.19 replied to ddl77's topic in Wound, Ostomy, Continence

    I'm a CWS, or Certified Wound Specialist, Board certified by the ABWM. WOC nurses are also board certified in any combination of the 3 specialties by the WOCNB. Many nurses I know that are certified...
  23. mommy.19

    Wound Callus (?) on nonhealing wound

    mommy.19 replied to Lynx25's topic in Wound, Ostomy, Continence

  24. mommy.19

    What is involved in getting wound certified?

    mommy.19 replied to RN&mom's topic in Wound, Ostomy, Continence

    I am a CWS, which is a purely experiential route, and a credential earned by proving adequate experience as well as passing a board exam (Abwm.org). The WCC course is definitely a 'starting' point in...
  25. mommy.19

    Wound Callus (?) on nonhealing wound

    mommy.19 replied to Lynx25's topic in Wound, Ostomy, Continence

    Is the wound highly draining? It sounds like you lay be describing laceration, which is tissue damage due to excessive moisture to the periwound. What is the wound being treated with currently? It...