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Eagle2110

Eagle2110 ADN, BSN, CNM

Wound Care

Posts by Eagle2110

  1. Hi! 

    All wounds are candidates for a wound clinic! At the very least, someone who specializes in wound care can give an educated and experienced opinion.

    When healing a wound, one must identify what caused it in the first place, if pressure is still present, then it may still be the culprit. 

    Roho cushions are often covered by insurance , I order them all the time with no out of pocket expenses for my patients. 

    Hope this helps!!  

     

  2. Hi!

    I work out an outpatient I wound care clinic, located inside a hospital. KCI vacs are used on the inpatient side, I think they are rented.

    The inpatient nurse normally orders a KCI vacs for home use. However, if the patient will be seeing us after discharge, I typically use another DME company.

    Two common problems : 1) getting a good seal on a vac located near the anus. This can often be solved by creating a smaller "windowpane" or by using a hydrocolloid (Duoderm) on the edges.

    2) untrained personnel applying the VAC improperly.

    Change the cannister when almost full. Most patients can do this part themselves. Medicare only pays for 15 per month if I'm not mistaken.

    Insurance vary from state to state. However, most VAC suppliers will release an indigent VAC; don't utilize KCI often but know they are generous with this, at least with our hospital.

    Hope this helps!

  3. Good morning!

    Im also interested in getting out on my own! I'm very much in the baby stages but have connected locally with a wonderful RN who has been doing it for years! However, she only does foot care once a month on average because of her other endeavors. I'm currently a wound care nurse so foot care is not foreign to me, but I don't get to focus solely on foot care while in clinic. My state laws doesn't state that a RN needs a physician's order for foot care; however, I've decided to contact the board to be sure about that. Will you have a clinic or only be mobile?

  4. Had a male patient who would be very anxious about the physician touching his wound. One day he asked for more lidocaine before the physician even got started. So the physician says " Lidocaine is for pu**ies, are you a pu**y?"

    The patient never asked again.

  5. Edited by Eagle2110
    Read your post again

    Topical Gentamicin covers pseudomonas but he really needs to get his edema under control. If he cannot care for himself, then maybe it should be suggested that he goes somewhere with around the clock help. Also may need more compression than what the unna boot is giving. Hope this helps.

    Edited to add..... Reread your post. If the goal is to keep him at home, is a sitter feasible?

  6. Good morning!!

    From what I know of home health, it can be a great option, as long as you are mindful of finding a company with steady numbers. Not sure of where you live but some of the home health companies here don't get as much business as others.

    I work in a wound care clinic, Monday-Friday, 8-430. I'm a single mom also, works great for us!! My daughter turned 4 a couple of months after I started my first nursing job, also a Monday-Friday job. We too live a bit over an hour from family. She's 6 now but goes to an afterschool program at the same place that she attended daycare when we first moved!!

  7. Hi!!

    I love wound care!! I'm a case manager in a busy outpatient clinic. Patients are usually there less than an hour unless the patient is having an acute problem or being scheduled for surgery. I love the pace.

    I'm also a single mom so this is perfect for me and my ladybug: no weekends, no nights, off during holidays, 8 hour days ( sometimes less).

    1) Patients check in, a nurse assesses the wound.

    2)The physician sees the patient and debrided the wound if indicated.

    3) He then lets us know what dressing to apply. Patient leaves, the end ....Until the next week, we see patients weekly.

    My only suggestion is to go in there eager and willing to dive into healing some folks!! The only complaint I have ever heard from our hiring department is when a interviewee admits that they're are "curious" about wound care but not sure if they can stomach it.

    Hope this helps!! I'm excited for you!!

  8. What is your main interest? Do you know what you want to do next? My first nursing job was as a treatment nurse for a year plus, I had no problems landing offers in other specialties after. I now work in a wound care center and i still use skills not always directly related to wound care ( IVs, Trachs, Foley's, medications); many of our patients are complex and/ or bedbound, which means we may have to address other issues while they are in our care.

  9. Edited by Eagle2110
    Weird symbols. Reread your question.

    Hi and welcome to the world of wound care!!

    Woundconsultant.com has some useful information. I once was a treatment nurse in a nursing home and pretty much had to educate myself. I now work for a wound care center and they provide an abundance of training. If your facility does not have their own established policy and procedures regarding documentation, or no one in-house who's very knowledgeable, maybe they would allow you to spend a day at a wound care clinic in order to learn enhance your documenting and wound care skills. Just a thought.

    Hope this helps!

  10. Edited by Eagle2110
    Left word out

    Hi.

    Do you know if private duty nursing is the same as home health? I work in wound care and if the patient has home health then home health is required to provide all supplies since Medicare is paying home health. If not then yes there are DME companies that you can order supplies through. TWS and Prism are two companies that come to mind. If he does have a wound care center that he goes to then they probably have certain companies they use or may even provide patients with supplies directly. Hope this helps.

  11. LOL!

    I constantly ask my southern friends to repeat themselves because I don't understand.

    One time someone said her son "showed his ass" and I was looking at her, horrified. I said "Why would he DO that?" ..... I thought he mooned her.

    I love the south! :-)

    :roflmao: Hilarious!! You made me laugh. I'm from the south, and "showed his/her a**" is definitely a common phrase when speaking of a child misbehaving:roflmao:

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