CWONgal

CWONgal

CWON - Certified Wound and Ostomy Nurse

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All Content by CWONgal

  1. charting advice

    CWONgal replied to cjkekoa's topic in Wound, Ostomy, Continence

    I can see your point from the LTC perspective. Inpatient assessment and documentation, especially upon admission, is

  2. charting advice

    CWONgal replied to cjkekoa's topic in Wound, Ostomy, Continence

    I don't know that I'd agree with that David. We can't always determine the etiology but we are still expected to document it's presence because it is an abnormality. Describing what you see...

  3. Wound bed appearance with a wound vac?

    CWONgal replied to kathleenweels's topic in Wound, Ostomy, Continence

    Several other observations. I don't think the silver granufoam is all that and a bag of chips. Personal experience is it seems to trigger an increase in debris. Also, when you have a compromised...

  4. Is this correct practice?

    CWONgal replied to Gaby63's topic in Wound, Ostomy, Continence

    Yep, have never heard of using that terminology. I would think a "defect" would be something like a keloid or scar tissue formation. Wonder if that wound is critically colonized and that's why it...

  5. Denuded Peristomal Skin

    CWONgal replied to RachRN11's topic in Wound, Ostomy, Continence

    Marathon is a great product, agreed...pricey and from what I understand it is not considered a standard ostomy product and may not be covered by insurance. Lots of folks use paste as though it's a...

  6. Online WOCN training

    CWONgal replied to LogCabinMom's topic in Wound, Ostomy, Continence

    Emory all the way (although I am sure Cleveland Clinic has a good program). Meggie is spot on with her statement, too. I loved their instructors and they are very friendly and approachable. Magnet...

  7. charting advice

    CWONgal replied to cjkekoa's topic in Wound, Ostomy, Continence

    If you add the adjective "linear" (if it is) with excoriation it helps paint a better picture of what you are trying to share with other staff. Excoriation is often used incorrectly and using it when...

  8. Wound bed appearance with a wound vac?

    CWONgal replied to kathleenweels's topic in Wound, Ostomy, Continence

    Effective Management Strategies for Negative Pressure Wound Therapy | WoundSource This is a good article discussing NPWT and slough within the wound bed. It also mentions the use of a collagenase in...

  9. Wound bed appearance with a wound vac?

    CWONgal replied to kathleenweels's topic in Wound, Ostomy, Continence

    Slough isn't always easily debrided with CTA's, ergo the term "adherent

  10. Is there really a demand?

    CWONgal replied to carrob's topic in Wound, Ostomy, Continence

    There is a demand....check out a site like indeed.com. Best job move I ever made was getting into this field, highly recommend

  11. Necrotic toes wound care

    CWONgal replied to Keren_fa's topic in Wound, Ostomy, Continence

    Dry gangrene should stay dry. If a person has gangrenous toes we should look at the big picture. Why does he have gangrene? Likely, poor perfusion. Painting the toe with betadine is the most...

  12. Penile ulcer..HELP!

    CWONgal replied to ngodin's topic in Wound, Ostomy, Continence

    Zinc oxide can have a drying effect if it's applied thinly (thick white paste formulation). Is the breakdown r/t urine, fecal incontinence, or perspiration? All? Any chance there is a co-existing...

  13. Wound vac seal in toe space

    CWONgal replied to BabaLouRN's topic in Wound, Ostomy, Continence

    Barrier rings, like Eakin work well when you conform them around the wound and in difficult crevices. (Besides feet the rings are helpful in areas within the gluteal fold where you tend to have...

  14. wound care certification

    CWONgal replied to CristinaLittle's topic in Wound, Ostomy, Continence

    Did the WOCNCB route and highly recommend it although it is a best pricey. Several programs offer distance learning. For each specialty you choose you will be expected to complete 40 hours of...

  15. Documenting half healed scabs

    CWONgal replied to NightNurseRN13's topic in Wound, Ostomy, Continence

    You have a good start with what you've already mentioned and believe it or not you have written more than what I typically see for wound documentation. Measurements are important. Probably should...

  16. Can you become a wound care specialist right out of school?

    CWONgal replied to Leonardo Del Toro's topic in Wound, Ostomy, Continence

    Good thread...it is very worrisome when you hear about people needing very little experience to become a wound care nurse. Wound care is a science and critical thinking is crucial. It's not...

  17. Wound Care or bust!

    CWONgal replied to pnkgirl25's topic in Wound, Ostomy, Continence

    There is also a WTA program for LPN's or non BSN RN's. It's through the WOCNCB and training programs area available across the

  18. CWCN test

    CWONgal replied to lostNneuro's topic in Wound, Ostomy, Continence

    I purchased a study guide that wasn't affiliated w/ the WOCNCB and some of the information provided was actually incorrect. I am with Lostinal, I would use their information. It tells you exactly...

  19. any mil spouses working in...

    CWONgal replied to NurseSN45696's topic in Government, Military

    While DOD allows direct hire authority most MTF's want people with at least one year if

  20. Sigma Theta Tau

    CWONgal replied to HAYB's topic in New York Nursing

    I paid only for a couple first couple of years and then stopped. Once inducted you can list it on your

  21. Quit with the rudeness

    CWONgal posted a topic in Patient, Colleague Relations

    Just a vent but I have to get it off my chest. Whatever happened to common decency and respect? When you talk to a peer you should be respectful and polite, especially when the person is coming by...

  22. What do you think nursing is?

    CWONgal replied to rosehyun's topic in Nursing Student Assistance

    Nursing is one of the best career fields out there...you can work in so many different areas w/ one degree and if you decide you need a change there are many options without having to go into an...

  23. Quit with the rudeness

    CWONgal replied to CWONgal's topic in Patient, Colleague Relations

    I actually did set the pt up to eat but recalled there had been a previous NPO order and that's why I brought it to the attention of the nurse. I removed it and told him I would check with his nurse...

  24. Do you think?

    CWONgal replied to cchateauneuf's topic in General Nursing

    I don't know if your questions go hand in hand from a real life scenario? I can tell you with root cause analysis we look through the medical record to see if the pt was appropriately assessed within...

  25. Overcoming Loss

    CWONgal replied to Hpy_Vly_RNBSN's topic in First Year After Licensure

    I took the heartache from watching my sibling die from cancer 17 years ago this month and turned it into a positive by deciding to go to nursing school. So good things can and do come out of tragic...