BCMAqueen

I work 1900-0700 and we don't have an on call wound nurse at nite! I appreciate any advice!! In the past year my hospital was introduced to the wound vac. At first it was frustrating learning the equipment but it has been worth it. I have seen several of the wounds make miraculous healing times. We did run into several problems with the KCI products- vacs not holding a charge and alarming-not having great suction which left the wound and all the skin under the seal macerated. I think one thing to keep in mind is if you feel there is a problem -take off the vac and place the back up dressing until the wound nurse returns in the am. Don't leave it on overnight if you feel the machine is failing. My hospital went through a time where every wound got a wound vac. Now they are much more discrete and we have a policy to follow prior to placing a wound vac.

We must have an MD order for four side rails for pt's with seizure disorders, muscle spasms, etc. because it is considered a retraint at my workplace. 2 side rails we can utilize if documented they are for mobility and bed controls and call light. I hate to think of safety as a restraint, but we have now gone to fall pads at bedside and alot of bed alarms.

Nurse accidently hung Morphine 1mg/10cc instead of the D 5 1/2 ordered at a rate of 150cc/hr.