CWONgal

CWONgal

CWON - Certified Wound and Ostomy Nurse

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All Content by CWONgal

  1. I do not like patient care nursing :(

    Maybe nursing just isn't for you? There's no shame in it, really. Unfortunately we are led to believe we need to make our life plan straight out of high school. I remember being told years ago that...
  2. Hospital staff/no weekends/holidays

    Ducking my head....I have a m-f job working inpatient. I work with other WOCN's and we have the option to take particular holidays off if we'd like but we do not all take off at the same time, we...
  3. Conservative Sharp Debridement

    I'd share but our hospital has a policy that the we can't do it although the state doesn't have an issue with it if you are
  4. Alas, I must admit I am one of those w/ the M-F jobs. :) For the most part you are pretty safe doing the foam dressings. It'll keep the wound covered which is better than having it exposed. The...
  5. Organization is key. Tabbing information, making charts/color coding. Also, it's good to use several modalities...don't rely just on reading. Write out the information and go back and pick the most...
  6. malicious coworkers

    I have never understood for the life of me why people have to be so nasty and vile to each other. It seems like people who are this way are unhappy w/ themselves and or have internal issues going on....
  7. Lifting huge laundry bags...

    I would think your facility would need to worry about employee safety/OSHA/workman's comp claims w/ having to hoist bags up into a dumpster....that should be a red flag. Unfortunately w/ quick...
  8. For all the momma nurses out there...

    If you can take the time off do it...Lord knows you will be tired after the baby is born w/ feedings, etc. Take advantage of the time to enjoy the last part of your pregnancy without
  9. New nurse feeling incompetent

    It's always very hard starting out in nursing and new nurses focus so much on all of the tasks they need to complete that critical thinking often gets thrown out the window. Always look at your MAR...
  10. And the provider often says, "Whatever the WOCN
  11. There are a variety of factors that need to be considered w/ dressing selection. As a WOCN we do like to see the PU's because of incorrect staging and product selection (SDTI confused for stage I's,...
  12. Competencies

    I work in a facility that requires me to complete competencies in tasks I will never do in my current position. Is this a trend now to have people get checked off on anything and everything? I'm of...
  13. Competencies

    Sarah, luckily there is no chance of that (knock wood!). Trust me, I'm all about knowledge and research, and I keep current w/ journal articles related to my field. I guess it's the principle? How...
  14. PACU nurse in need of advice

    If the Joint Commission strolled through there they'd be asking to see your competency checklists! For one things kids and adults are entirely different and critical care units generally don't have...
  15. Ostomy Supplies (etc)

    I provide a list of companies that offer some sort of secure start program where the patient can obtain samples. We use Hollister however I encourage them to check out the other companies because...
  16. New RN feeling unconfident

    Well it sounds like you are on a good start. You recognize you have more to learn and you are willing to look it up. Remember, you can decide to be in a rut or shake it off. No sense in beating...
  17. Nurse of 10 years can't start IV's

    What kind of nursing have you been doing? How often do you do IV's? If you do IV's what do you perceive to be the
  18. ACLS certification

    Just like the other posters have said it was extremely stressful years ago. Diarrhea stressful! ACLS is very different these days....if you missed a step in anything previously you failed. Now,...
  19. A rapid response team would've been ideal in this situation. If you are able to do so I would file an incident report. Clearly ignoring a hypertensive crisis (knowing the medications were...
  20. Skin Assessment Question

    As a wound care nurse, I never chart anything about tattoos. I suppose I would if the person developed cellulitis as a consequence of a tattoo but it's not ordinarily the focus of the skin...
  21. Sitting down in patient rooms.

    If I am teaching I really try to sit so the patient and I are eye to eye. I do so because I want my patients to feel like I am focused on them and their needs. With the frequent flitting about of...
  22. Problems with employment??

    Work in a magnet hospital and the facility only hires a small number of new grads who have to complete a lengthy internship. Otherwise, experience is key. In this day and age the focus is leaning...
  23. OCD Nurse

    Time to go see someone for some help. There is no way to get away from germs and people who don't follow hand hygiene and precautions. OCD can be expressed in different ways. I worked w/ a gal who...
  24. Fix my interview crisis....

    It's the verbage. I don't know that I would use your statement for your weakness, the being a hard worker. That should be a strength. You could say "At times I take on too much and have a difficult...
  25. Least stressful nursing specialty

    The great thing about nursing is that there are so many areas where we can work. As has been mentioned previously it is all relative...I hated doing a job where it was the same thing day in and day...