wound warrier

Reading these posts while eating yogurt is not a great idea. As a wound specialist, not much bothers me. But there are times when horrible toe nails and gunk in the beard will do me in!!!

I had a patient that had, in 2 inch letters, DNR tattoed on his upper left chest. He was in his fifties. There were no DNR orders anywhere, and I asked the pt if that was really what he wanted, and he did want to be DNR. I informed the dooctors, and they refused to discuss it with him because of his age. Shame on those doctors!!!

RUN AND GET OUT!!!

OMG, and I thought I was the only person obsessed with pens!! I like the Zebra-301 also, one of my favorites. But after reading these post, I think that a trip to Staples is in order to try something different!!

My favorite - Glory be the day when hospitals get the money they need and the airforce has to hold a bake sale to buy a bomber.

Not going to continue with this - I do wish you well and hope you have a great day.

"You can tell your health information to anyone you like" and what if I do not want to tell anyone my health information. Sorry that I wrote hippa and not HIPPA

Sounds like the Scarlet letter to me. And what about Hippa? Are you not telling people your medical information by the stickers on your badge and the mask you wear??

I love nothing more than a good laugh - guess that is why Funniest Home videos is one of my favorit shows. Need the laughs doing the job we do. I also enjoy knitting (anyone need socks??!!) and wine sure does help!! Then again, BV and ginger also works well!!!

You said it!!

Schedules, shift roatations, and staffing - nothing has changed in the 31 years that I have been a nurse. Why expect it to change now??

I am a wound/ostomy specialist and I do love what I do. I consult on patients and try to help them. I am on my own, doing my thing at work. I LOVE not getting too tied up in the Mickey mouse happy crap that goes on on the nursing units.

Our facility did the same thing with overtime, we were told there would be no overtime paid for the 1st half hour. Someone got smart and contacted lawyers, and the facility was found guilty. Facility had to go back a # of years and pay out the overtime to those that were affected.

I would suggest to be more flexible and keep an open mind. You may not get what you want all of the time, and should not expect this. I would bet my bottom dollar that not all of the staff on your unit will get what they want. Like I say, life is not written in stone, so why should your schedule be.

As a wound specialist, wet to dry dressings should be a thing of the past. WTD was used to debride, and in the true sense of the dressing, should be left on until dry and then pulled of (while dry) to debride. The problem with this is that it will also pull off the good granulation tissue!! Also, wounds need a moist environment and correct temp for healing, and each time a dsg is changed it takes the wound 4 hrs. to get back to the correct temp. Therefore, doing a WTD dsg 3-4 times a day really cuts down on the healing time!! Unfortunately, nurses (myself included) would have an easier time milking ducks than to get a plastics MD or surgeon to change his ways. In the case mentioned at the start of this thread, I maybe would have used an alginate, or an alginate with silver in it (to cut down the bacteria) and then a foam such as allevyn. This type of dsg can stay on for a number of days, I prefer to change every 3 days.