CWONgal

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

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 (erythema, exudate type, exudate amount, odor, location, e...

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 limb multiple layers of drape (people either don't ...

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 won't heal? Also, even though the wound may re-epit...

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 glue and when they plaster it onto that peristomal...

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 hospitals seem to be some of the bigger advocates ...

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 describing a scratch is appropriate, as Tammy sta...

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 combo with NPWT which I hear is used more and more...

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

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

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 appropriate tx....what often happens is xeroform is thr...

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 yeast infection? We often get calls about "mysteri...

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 moisture from sweating).They help prevent excess moistu...

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 clinical time (Wound, Ostomy, Continence) and then possi...

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 elaborate a bit more on the no s/s of infection. An...

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 something learned overnight and wound care is constantly e...

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 country.

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 which things you should focus on. The WOCN journal ...

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

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

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 to offer assistance. There are some rude as hell n...

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 entirely new pressure. It's a rewarding and fulfilling...

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 who told me he was no longer NPO. I help the nurs...

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 24 hours if admission, documentation regarding nu...

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 life experiences. I know wholeheartedly what I do,...