mommy.19 MSN, RN, APRN

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All Content by mommy.19

  1. mommy.19

    WOC Nurses with advanced degrees

    APRN consensus model states NP=CNS. Some state scope of practices may differ, but NPs tend to gear more toward primary care roles where CNS tend to detail more roles as I have described above. I...
  2. mommy.19

    WOC Nurses with advanced degrees

    I think graduate level edu after specialty certification is a very smart move. I am a certified wound specialist and am starting my masters (acute care CNS) this fall. With this advanced nursing...
  3. mommy.19

    Medihoney as debrider?

    http://www.dermasciences.com/elearning-portal/webinar-series/medihoney-a-debridement-alternative/
  4. mommy.19

    Medihoney as debrider?

    Happy to help
  5. mommy.19

    Medihoney as debrider?

    Medihoney paste promotes autolytic debridement by utilizing it's hypertonic gradient to draw moisture to the wound bed through an osmotic effect. There are quite a few webinars and web articles...
  6. Wet to moist dressings are the kosher version of wet to drys, the gauze is intended to never dry out and inevitably rip out viable tissue. However, there are so many better options for wounds with...
  7. We are no longer in the Stone Age! There are numerous dressing options for wounds of all types which are easily accessible in today's world of instant gratification. The key is recommending...
  8. I am disappointed that nurses with very little experience are placed in a leadership or supervisory position. It may just be my opinion alone but I would not have been knowledgeable enough to take on...
  9. I've heard this from many sources and frankly it disappoints me
  10. Will you show me where a certifying body states that you need 5 years 'as a nurse' to be certified? I am a Certified Wound Specialist and I followed the 3 year requirement. I'm glad you're well...
  11. The above post is incorrect. To become a Certified Wound/Ostomy and/or Continence Nurse (CWOCN, CWON, CWCN) WOCN.org states: RN with a Baccalaureate Degree or higher degree with a major in nursing OR...
  12. mommy.19

    Stomadhesive alternatives?

    Above poster hit it, 3M cavilon products are amazing, I love the no sting spray, as well as the durable barrier. Coloplast also has some silicone barrier sprays for super sensitive skin and...
  13. mommy.19

    Pressure ulcer staging

    I see your confusion, but you sound very versed in PU staging so, KUDOS! :) I would definitely do what you did, as well as what the last poster mentioned. It is likely the excision site of the...
  14. In the presentation you've described, fungus and/or yeast is the likely culprit. Criticaid barrier ointment is good for protecting tissue from excoriation, however does not help with the friction of...
  15. mommy.19

    Pressure ulcer patient with PAD

    Any chance at obtaining a vascular eval? They make be able to offer done endovascular
  16. There absolutely must be a frequency indicated on *orders*, however I was speaking about *protocols* if such are set in place, that basically everything except the frequency should be predetermined...
  17. mommy.19

    LPN's in wound care?

    http://www.abwm.org The American Board of Wound Management offers a CWCA, certified wound care associate for LPNs. This certification is experiential, however, not like WCC offered by WCEI--- one week...
  18. Impregnated gauzes work well, and one thing I have had great luck with as far as keeping dressings in place on limbs (skin tears are general on arms/legs but obviously can happen anywhere), is...
  19. mommy.19

    Barrier ointment

    I love coloplast's skin care products. Our hospital is beginning to stock cheaper products, such as those from medline, but I continue to order the sween 24 moisturizer and the criticaid barrier...
  20. mommy.19

    Wound Vac - when to discontinue?

    What was the goal of therapy? Was the wound deep initially and the vac granulated the wound to 1cm in depth? If the goals of therapy include management of exudate/pain/contamination then the vac...
  21. mommy.19

    Palliative wound help

    I don't see a reason that you could not mix flagyl gel with lidocaine/regenecare gel. I have read about it in studies so I'm assuming there are no contraindications other than allergy to the products....
  22. mommy.19

    Resources for students

    Where to begin? There are a multitude of sites geared toward wound care education, but I feel the most structured and likely easiest for a scientific mind to understand are here: Global Wound Academy...
  23. mommy.19

    Palliative wound help

    We have used the regenecare hydrogel and mixed it with nugauze plain packing for tunneling. Have you tried any charcoal dressings as maybe a secondary? Maybe the regenecare hydrogel with a secondary...
  24. mommy.19

    Recurrent Wounds Scar integrity

    The granulation tissue that fills the defect of a full tickness wound is, as you've said, by definition, approximately 80% the tensile strength as the tissue that it replaced. I guess this could vary...
  25. mommy.19

    wound numbing spray

    MPM Regenecare® HA Spray | Wound Amorphous Hydrogels |