Eagle2110

Hi, My daughter was 9 when I started my NP Program. Her being in school/afterschool was helpful since I was also working and had to complete clinical hours. But I would like to mention that she was 1 when I first started my nursing journey as an ADN student. Not sure of your situation, but I was a single mommy most of that time so needing to provide a better life for her was my motivation. I live in MS and it was not difficult obtaining employment near my home. I have also done telework, which is wonderful as a parent! My home is my priority so I knew that once I became an NP I would only accept positions/assignments that gave me freedom to choose my days/hours...so far I have been blessed in this regard! Hope this helps.

Hi, Amy, Not to discourage you, but I took that course and did not leave feeling like I could start my own business doing HRAs, although I previously completed HRAs for other companies. It has been awhile since I looked through the Facebook chats regarding the course, but at the time, people were reporting that they too did not see how to obtain the contracts needed to perform these assessments without a middle man. If you take the course and feel stagnant, I suggest emailing the course developer for guidance. If all else fails, Elite does offer a lifetime money back guarantee. Hope this helps.

Hi, Andrew, Does your Board also state rather or not you can perform nail care on diabetics? Also, see if you are required to have a provider's order before seeing a patient.

Present On Arrival?? I'm assuming.

I was accepted too! Will be following this thread.

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!!

Hi! Does your company have a policy? Where I work, length is always the longest point from 12-6, and width is the widest points while keeping the ruler straight from 9-3. We never measure diagonolly. Hope this helps.

Hi Star! I sent you a PM.

We have both in our clinic. Everyone are able to perform the same tasks; however, our wound management center does require that all providers attend their wound care course. Our PA and NP writes home health orders as well, our medical director just signs behind them.

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 orifice. 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!

I really really wanted to attend Dr. Overstreet's class but it isn't feasible for me at the moment. However, I have purchased some of her materials, which are truly helpful. She breaks down everything, including tips on how much to charge depending on the setting.

Sorry to be so late with my response. I'm in Mississippi.

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?

While playing Dirty Santa during the lunch break Christmas party:. "Stain resistant scrubs!!!!!!!"

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.

When you work in busy, short staffed wound care center and all your patients have either a VAC, Total Contact Cast or 10+ wounds and your new hire states "No sweat, I've done this all before!"

Lights on but is anyone home?!

" Do you want me to get naked now"....Stated by a smiling inmate convicted of rape who didn't have to get naked for what was going on. And yes, he proceeded to get undressed😡

"I'm coming for every thing they said I couldn't​ have".....Said an obviously extremely motivated person ( name unknown)☺

Wrong thread! Sorry!!

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?

I second the Dakins 0.25% BID

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!!

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!!

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.