overwurkd

Thanks so much:) I'm actually on a med surge floor in an acute care hospital but we get alot of pts. from the nursing homes around us. Most of the time, more than half of my floor is total care pts.

I just read that silvadene is only an antimicrobial, so that answers that question.

You're my hero right now!! I was getting nervous that I wouldn't get a reply as I posted this so long ago, Accuzyme was still on the market. Wound care is definitely an art of nursing all it's own. You broke it down very nicely and actually made it very clear. 2 more questions, if you have the time: 1. Silvadene? Is it a debrider or antibacterial? 2. Since a moist wound enviroment is best, after applying collagenese on slough or eschar the gauze used to cover should be dampened with saline? or dry?

We lost our wound care nurse a couple months ago and there doesn't seem to be a replacement in sight. I've been doing hours of research on the computer but can't get a straight answer on any proven tx for any given stage. The products available to me are Hydrogel Carraclenz Duoderm Tegaderm Collagenase w/ MD order Bactroban w/ MD order Accuzyme w/ Md order Calcium Alginate w/ MD order Does anyone have time or patience to advise me on when to use what? Also, if a topical is the primary dressing what should it be covered with?

My med surg floor is pretty strict about a no diaper policy but no one has ever explained the rationale. Before I ask them why, I'm wondering if anyone can tell me... why not? We use pads or chucks under all our pt's but I'm not really sure if they are there to protect the sheet? draw moisture away? or help boost the pt up in bed? Does anyone have any intelligent input on the pros and cons?