mommy.19 MSN, RN, APRN

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All Content by mommy.19

  1. mommy.19

    skin tear stings, decubitus does not?

    Wounds are diagnosed/"labeled" based on their etiologies, as the previous poster said--not the amount, presence or absence of pain in said wound. The instructor's statement is absurd!...
  2. mommy.19

    Certification for RN not BSN?

    Any non BSN RN can sit for the CWCA exam (certified wound care associate), there is no education, it is simply a certification exam that confers specialty knowledge in wound care for $375--see...
  3. mommy.19

    Certification for RN not BSN?

    duplicate
  4. mommy.19

    Difficult seals in VAC therapy

    Oh dear, I can't imagine vac-ing without my eakin
  5. mommy.19

    Aquacell AG

    Is it aquacel AG rope or just the sheet style? (Rope has white woven thread so that it stays intact in tunneling wounds). It definitely does not dissolve, and like the above posters stated, it will...
  6. mommy.19

    Online wound course??

    In my humble opinion, if wounds are ALL you do, I believe there only two credentialing bodies that offer certifications that confer expertise in wound care and demonstrate your dedication to the...
  7. Go straight to WOCN school after you have your BSN.
  8. Generally with drainage, they are *likely* stage III's (not that I've seen these wounds). Is there necrotic tissue? If not, then wet-dry is only going to damage the "good granulation" tissue you are...
  9. mommy.19

    How to break into wound care nursing.

    WOCN and CWS RN's are highly sought after. The WCC certification is basically a week long course (very informative and educational, I'm sure) at the end of which you take an exam, which you've been...
  10. mommy.19

    Coccyx and Sacral Dressings

    Firstly, is the patient wearing a brief? If so, those need to be discontinued if possible. If dry-flo pads can be obtained, these are wonderful for wicking away moisture/heat. If it is only a stage 2,...
  11. mommy.19

    Wound Care Kit

    I don't have any great contributory comments, but I work in an outpatient clinic and we make "preps" for each patient when they come in. We make about 50 and have them on hand and stock the rooms with...
  12. mommy.19

    LPN Testing after one year of RN school...

    I went to OU and was able to sit for boards after my first year. It doesn't matter what your instructor says, it is what the requirements are from the BON to sit for your NCLEX-PN. See this link...
  13. mommy.19

    Skin Prep and Duoderm

    a mepilex border would be appropriate for moderate to large draining full thickness wounds, but requires a primary dressing as well (mepilex borders are secondaries unless you're using mepilex border...
  14. mommy.19

    Dr. Order for band aid?????

    I have never worked in LTC but things continue to surprise me. One is the fact that wet to dry dressings are still used. This is an archaic form of wound care and I find it appalling that, with all...
  15. mommy.19

    "cheesy slough"

    Glad I could provide you with a laugh,
  16. I would highly recommend calling the KCI number found at the website linked to by annedRN, and they will give you contact information for your nearest KCI rep....they are generally extremely helpful...
  17. Ah, glad to hear things worked out
  18. I definitely wouldn't attempt to "create" a product from household items for patient care. I do know that store purchased vinegar has a very wide and varying range regarding acetic acid concentration....
  19. mommy.19

    Advanced practice CWOCN

    Eligibility for Advanced Practice Certification - Wound Care Certification - WOCNCB
  20. mommy.19

    "cheesy slough"

    Haha....well that sounds appetizing! "Slough" is quite a broad term that is used to denote wound debris. I know many people who are extremely, possibly even unnecessarily specific with regards to...
  21. mommy.19

    Santyl

    Well, unfortunately I can't speak to what the intent of the practitioner that wrote that order was. However, what you've read in the package insert is true about santyl (collagenase) only breaking...
  22. mommy.19

    Stage III not responding to hydrogel

    I have never seen the wound, but don't feel that based on its dimensions that a wound vac would be
  23. mommy.19

    Skin Prep and Duoderm

    If the drainage is more than small to none, your are correct in feeling another product is more appropriate. Duoderm is a hydrocolloid, you'd likely need something more absorbent like a foam or an...
  24. mommy.19

    need some wound advice

    Sounds like textbook IAD (incontinence associated dermatitis), which is quite often mistaken for a stage II decub. Unfortunately in many cases, these lesions can become complicated by pressure and are...
  25. mommy.19

    wound care question!

    That sounds like a definite situation. I do think the duoderm is not doing any favors for her at this juncture. The bleeding is likely due to the shearing on already denuded skin. Have you tried...