JammyPam

Is the patient taking Nicorandil (Ikorel) for angina? Ive dealt with a few caused by it they can be difficult & need monitored closely incase there is fistula formation to the bowel

Its so much easier using gauze based systems for Topical Negative Pressure, no cutting, gauze fills the cavity, its great for sinus' and works at much lower pressures (80mmHg) which patients find more comfortable & to be honest I think it gives better results without granulation tissue embedding in the foam

Hi, I work in the UK as our equivalent of WOCN, known as a Tissue Viability Nurse. In many ways we are lucky in the Uk as we qualify as a Registered nurse & dont have to apply for licences as we move counties etc. Ive done the TVN job for 5 years today and it can be the most satisfying job in the world, working with all ages, across all specialties and it never gets boring because theres always something new to learn, new proceedures, extending in to prescribing & advanced roles. Theres nothing more satisfying than healing a dehisced surgical wound like an open abdomen or a pressure ulcer, or managing a wound in a terminally ill patient & providing good end of life care but at the same time it can be frustrating when recources arent available staff dont listen or wont attend training, and yes there is a huge legal implication when avoidable pressure ulcers occur or we get called to the coroners court, the most terrifying day of my life.