mayawit

this thing happens to me quite often, and maybe that's why they are telling us not to sign them anymore, so that there will be no evidence and the patients are often disoriented so they wouldn't know the difference or wouldn't remember if they've been done daily or if they haven't been done for more than a week.

that's the thing... we are getting inspected any day soon, and I'm supposed to do things differently when the inspectors are here, although no one has really shown me how to do them "the right way", and there have even been times when I'm told to do things in a way that was different from what I've been taught in school, like signing the date on the bandages

Hello I am an RN. I recently was offered a job as a wound care nurse at the rehab facility I work at. I was very interested in the position because it is specialized and it was hands on care. I like wound care a lot but feel I am being taken advantage of and/or not being trained properly. I was only given about 1.5 days of training and most of that was for the paperwork. No real training on decub management, ostomy care, what to do with surgical wounds - I had to teach myself a lot of this....and still learning of course. I've only been doing the job for about 2 months, but it seems impossible to do everything. On average we have 100 patients in the facility at any given time. Many of them are recovering from surgery (hip, ankle, etc) or just have general debility. I am responsible for wounds for everyone in the facility, even though everyone does not have a wound. I would say 50% have some sort of wound treatment. And I'm responsible for treating new skin tears, etc. We have 4-6 admits a day ( and discharges) that I need to do all the paperwork on. Since I am the only wound nurse on, I also need to do all the treatments, which usually include 1 or 2 wound vacs (3-5 wound vacs change q 72 hours), write the orders, contact MDs if needed for follow up appointments, etc. Also, I do weekly skin checks and fall risk assessments of all the patients. I work 4 days a week and the other treatment nurse works 3. I work my butt off, and can't keep up with all the work. Is this a realistic work load for a wound nurse?