CWONgal

CWONgal

CWON - Certified Wound and Ostomy Nurse

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All Content by CWONgal

  1. Pressure sore classification

    Yes, see below. Category/Stage II: Partial thickness Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough. May also present as an intact or...
  2. How much is too much?

    Never where you live, etc. I have shared with some of my cancer patients my personal hx of cancer. I try to be reserved w/it but have found the times I've shared the information it was helpful...the...
  3. Pressure sore classification

    You are overthinking it....it's a serum filled blister that ruptured. You can tell it was serum filled from the initial presentation, the appearance of the exudate on a bandage, or maybe there is...
  4. Has anyone here handled both school and kids?

    I did it though it was a challenge. I would go to school, come home and devote my time to my child until his bedtime at 8. I would study until 10, get up at 4, study for a couple of hours, get my...
  5. Pressure sore classification

    BTW, I am a certified wound and ostomy nurse if that
  6. Pressure sore classification

    Ruptured serum filled blister is different than the other blister you could see w/ a deep tissue injury which is filled w/ blood. Two different types of blisters, two different stages of PU's. I...
  7. Sometimes you really want to stay out but you can't. As a person who had multiple cancer surgeries I burned through all of the hours I had accumulated (sick and vacation combined). I had my...
  8. Dig deep...is there any merit at all to what is being said? You could request to meet with the preceptor and tell him/her you want to do well and be successful and if he/she could give you examples...
  9. Pressure sore classification

    If it's truly pressure related it would be a stage II as well. Is it over a bony
  10. You need a WHAT?

    Wow. Did something happen with work to make you so upset? This sounds like something that's been heavy on your mind. The WOCN program does have a WCA certification for people who don't have their...
  11. is nursing really worth the debt

    Nursing schools demand high grades for several reasons. NCLEX pass rates are a big deal and if you have students who have mediocre grades they may bring down the results which ultimately affects...
  12. is nursing really worth the debt

    Retake the classes and get a tutor if you need one. Join a study group. If you got C's you can improve those grades. You've already had the classes so you have a good idea of what the tests are...
  13. CNS vs NP vs CWOCN-AP

    Does some of the prescriptive authority depend on the state where you live? I know a CNS who can't write scripts here in our state. That would probably be the first thing I'd determine? According...
  14. Stoma Site Marking...

    Emory is an AWESOME program. When you go to Bridge week you'll get some practice there as well. Just remember the guidelines and review before going to mark a patient. If you work with another WOCN...
  15. Stoma Site Marking...

    Can you elaborate more on what you mean, wanting tips? There are many considerations when performing markings and although I've had formal training I still get nervous and always worry about the best...
  16. Weeping and edematous legs - unna boot?

    Goldentea, I am a little concerned after reading your post. Have you had formal wound care training? Did you have ABI or TBI results on your patient prior to considering wraps? You mentioned...
  17. Clinical bad day?!?!

    No, fortunately. My very first day of clinicals was Sept 11. While people were watching tv I got called into a room by a frantic son whose mom had a GI bleed and began vomiting blood all over the...
  18. What age did you complete your BSN or ASN?

    BSN -
  19. New Nurse Multiple med errors

    Point taken....didn't do a good job reading the info regarding the
  20. darn bed alarms

    This is possibly a silly question but are the call lights checked daily to ensure they work? I've had multiple times as of late where I go in to see a patient, need assistance, try the call light(s)...
  21. Ktlitz, is the barrier cream clear or a thick white paste? If it's the thick white paste how is it being removed and how often? I'm asking because I often see it misused and if not correctly removed...
  22. New Nurse Multiple med errors

    You should always ask the patient identifiers. Please don't get out of that habit. The patient tells you their name and birth, you don't ask them if they are Martha Stewart or whatever. Print the...
  23. Endoscopy Center without RN in procedure room ??

    I'm curious...I'd like to know if we are talking outpatient clinics or an endoscopy suite located in a hospital. Seems as though some of what is being mentioned pertains to outlying clinics where...
  24. New Grad in Endoscopy

    While Bramsey really loves her job you need to ask yourself if you like routine or variety. Endoscopy is very
  25. I want to give up on nursing...

    Some suggestions...you can't try to cram a lot of information and expect to regurgitate. Learn "POE" if you haven't already which is process of elimination. If you are able to eliminate one question...