mommy.19 MSN, RN, APRN

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All Content by mommy.19

  1. mommy.19

    wound care question!

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

    Oh wonderful medicare. Yes, theyre reactive, not proactive so I see the bed situatuion. I know a hard subject to approach is can she lose weight? Many dont ask because it seems to be an 'off limits'...
  2. mommy.19

    wound care question!

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

    First of all I'd like to say this is often an area of confusion, and I myself sometimes have to set things straight in my mind before proceeding with a POC---you're correct in feeling that this is...
  3. mommy.19

    HELP! Malignant tumor neck wound hemorrhage

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

    Ca Alginate is definitely a good hemostatic dressing, but I understand what you mean by the dressing being torn off before it alginate gels. One thing that may help is using a silver alginate or...
  4. mommy.19

    gained alot of weight as a nurse

    mommy.19 replied to sunshine1216's topic in General Nursing

    Don't forget to look at the quality of the food you're eating. You will go miles further with better quality vs quantity of food. Sure you can eat 50 rice cakes in lieu of a few ounces of healthy,...
  5. mommy.19

    need suggestions for hypergranulated toe wound

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

    Hypergranulation can come from a couple things, including infection, too many proteases in the wound bed(pretty common with chronic wounds), etc. Silver nitrate will temporarily take care of the...
  6. mommy.19

    how to deal with the funky smell?

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

    I have only one solution: fixing the problem that is causing the smell! Get them to a doc that can remove the necrotic tissue that is causing the smell or do a TISSUE (not drainage) culture and see...
  7. mommy.19

    Open or Closed?

    mommy.19 replied to charp101's topic in Wound, Ostomy, Continence

    Well, to put it not so simply...I have seen Stage I's that leave a small "divot" after resolving and stage IV's that resolve nearly to the normal level of the surrounding tissue. A stage II doesn't...
  8. mommy.19

    venous stasis

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

    Compression is a serious thing and more complicated than most people realize. Please make sure that you know this person has sufficient ABI's to be compressed. Also, a physician is able to write for...
  9. mommy.19

    Wound Vac with suction device not on patient?

    mommy.19 replied to montecarlo64's topic in Wound, Ostomy, Continence

    this video shows how it's more or less not attached in the drain
  10. mommy.19

    Wound Vac with suction device not on patient?

    mommy.19 replied to montecarlo64's topic in Wound, Ostomy, Continence

    Yep. It removes the whole "I've got a drain attached to my body that creates yet another point of pressure if I lay on it" sort of
  11. mommy.19

    bullous pemphigoid

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

    I'm not totally up to speed on the etiology of this disease but I know that xenaderm or "revina" will serve to trap moisture in the area applied, while having an extremely mild debriding action. The...
  12. mommy.19

    Scrubs - what do you wear?

    mommy.19 replied to pinkiepie_RN's topic in Scrubs, Uniforms, Gear

    Grey's anatomy hands down. I won't wear anything else. I've got like 10 colored tops and two pairs of black pants.
  13. mommy.19

    sacral wound dressing help

    mommy.19 replied to lpn1313's topic in Wound, Ostomy, Continence

    Assessment of a wound should include many factors. Addressing the etiology is very important in preventing regression, i.e. offloading of the area. Moisture balance is also important, as is reduction...
  14. mommy.19

    Heavily draining rectal wound

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

    I agree with your notion of surgical debridement/closure. In the meantime an antimicrobial dressing would serve him well. Something like Aquacell AG rope that can be packed into the wound and possibly...
  15. mommy.19

    Does Oklahoma recognize "graduate nurses" as a hired position?

    mommy.19 replied to I<3H2O's topic in Oklahoma Nursing

    I know a lot of hospitals will employ individuals with a nursing degree as "graduate nurse externs" until they have passed boards, and their duties are not unlike those of a student in an RN program...
  16. mommy.19

    New Wound Care Nurse

    mommy.19 replied to astowe25's topic in Wound, Ostomy, Continence

    It all depends on your eventual goals. I'm going for the AAWN CWS certification when I've reached my clinical experience requirements. The route I've taken in wound care does not really include ostomy...
  17. mommy.19

    Wound Care - Unna Boot

    mommy.19 replied to nuttin2do78's topic in Wound, Ostomy, Continence

    The unna boot contains sorbitol (osmotic diuretic), glycerin (moisturizer), and zinc oxide-aka diaper cream (as a skin protectant). One layer is sufficient to compress and draw fluid from the...
  18. mommy.19

    Wound Care - Unna Boot

    mommy.19 replied to nuttin2do78's topic in Wound, Ostomy, Continence

    We use unna boots for many people with venous stasis ulcers or just plain edematous, "weepy" legs. Unna boots are NOT, by manufacturing specifications, indicated for compression, however when...
  19. mommy.19

    Skin Tear and Duoderm Question

    mommy.19 replied to bshaw96's topic in Wound, Ostomy, Continence

    I agree with the consensus here, adaptic or mepitel one over the wound and maybe a gauze wrap like conform or kerlix---duoderm is waaaaayyyy too adherent for fragile steroid-like
  20. mommy.19

    Stage III not responding to hydrogel

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

    Well, hydrogel is for wounds that are small to NO exudate, and is amorphous so it can (and likely will) macerate healthy periwound even if used on a wound with a dry bed. So, it is not likely the...
  21. mommy.19

    Stage 3 with undermining

    mommy.19 replied to coco3299's topic in Wound, Ostomy, Continence

    Hi Coco, Many things could be preventing the wound from healing including low protein levels, is the pt diabetic or on any immune suppressants? Does the pt smoke? Offloading the area is the number 1...
  22. mommy.19

    Superficial skin tear on coccyx/buttock

    mommy.19 replied to Vtachy1's topic in Wound, Ostomy, Continence

    For something that is causing significant pain, my question would be is the wound infected? Also, if it is on the patient's buttock I would use an offloading type of dressing, maybe like Tielle light...
  23. mommy.19

    Can a skin tear evolve into a pressure ulcer?

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

    RiverNurse, Given that the etiology of a decubitus ulcer, one could form almost anywhere. However, without seeing this wound I am guessing that someone has stated the etiology of this wound...
  24. mommy.19

    Unna boot

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

    We apply unna boots in our wound clinic on a daily basis, and usually place a dressing on any ulcerated areas that is deemed appropriate to be left on for up to a week, such as xcell covered with...
  25. mommy.19

    Apical Pulse Rate

    mommy.19 replied to healthstar's topic in General Nursing

    Only last fall the clinical instructor in a local ICU showed us the importance of being able to assess things in more than one way, i.e. being able to palpate the PMI and derive an apical HR in this...