Davidaugustyn

Davidaugustyn

WCC

Member

  • Content

    35

  • Visitors

    1,986

  • Followers

    0

  • Likes

    2

All Content by Davidaugustyn

  1. Nurses Side Hustles

    Davidaugustyn replied to Evan Gross's topic in Nurse Entrepreneurs, Innovators

    I flip houses and am starting to hold and rent soon. Other than that, I am trying to delve into freelance nurse writing, but it's been

  2. Is there a need for this?

    Davidaugustyn replied to overtonis's topic in Nurse Entrepreneurs, Innovators

    Hey Overtonis! If there are others like me, there have got to be a lot looking for a way out. I have been flipping houses on the side to get out. I'm looking now into nurse writing to get out of the...

  3. Online Consulting Business?

    Davidaugustyn replied to Hopeful1003's topic in Nurse Entrepreneurs, Innovators

    I started a wound consultation business from home and saw a few clients before giving it up. The biggest things that slowed me down was that it was a lot of work for the same amount of money as a an...

  4. Sacral fistula

    Davidaugustyn replied to Mcgarrity01's topic in Wound, Ostomy, Continence

    Fistulas are the hardest things to deal with. I shutter when I hear of a new admit coming with a fistula...I wish I could give you better advice...Supplies are drained to quickly with

  5. Rehauling the wound care team

    Davidaugustyn posted a topic in Wound, Ostomy, Continence

    Hello everyone and thank you for having me here. I have enjoyed this forum. First a little background... I have worked in long term care for 10 years, wound care certified for 4. Last year I started...

  6. charting advice

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

    That may be true, and I may be speaking from my LTC experience. Of course we would not skip documenting on it; it is there. But if the origin is unknown, there becomes the opportunity to defend...

  7. Denuded Peristomal Skin

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

    yeah hollister does have alcohol. I mostly use it for a weeping peristoma. If truly is the key for a a good seal. Ask anyone with a long term difficult stoma. It's just how it's used. Like you said,...

  8. NCLEX-PN SHUT OFF @ 85 Questions

    Davidaugustyn replied to atl252006's topic in NCLEX Exam, Programs

    I passed my LPN with 85 in

  9. NCLEX-PN SHUT OFF @ 85 Questions

    Davidaugustyn replied to atl252006's topic in NCLEX Exam, Programs

    Too bad. You

  10. Infected incision-what would you do?

    Davidaugustyn replied to HomeCareFun's topic in Wound, Ostomy, Continence

    How many days old is it? Is it appropriate redness in the inflammatory stage? Lots of times it's just a hope that it doesn't dehisce. I wouldn't use topical antibiotic, not best practice. Really I...

  11. can an LPN become a wound nurse

    Davidaugustyn replied to jpjesslpn's topic in Wound, Ostomy, Continence

    I have 3 LPN wound care nurses working in the wound care department that I supervised. They were not certified and the company was hesitant to have them certified because of their degrees. The reason...

  12. Need advice, preventing shear force/friction

    Davidaugustyn replied to Yosemite, RN's topic in Wound, Ostomy, Continence

    That's true. Tough situation. I would suggest to him a mattress if he doesn't have one, (something he can't be noncompliant with) and let him be. Those are

  13. Wound Infections, Best Practice

    Davidaugustyn replied to dsharrison's topic in Wound, Ostomy, Continence

    Well said

  14. space between incision and vaginal opening.

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

    I would stick with what I said than. Maybe not silvadene, but a good moisture correct environment and diaper it

  15. Wound Infections, Best Practice

    Davidaugustyn replied to dsharrison's topic in Wound, Ostomy, Continence

    I'm sorry I was in a mindset when I wrote that. What I should have more clearly stated was that topical antibiotics were useless, and oral antibiotics, unless broad spectrum, have little efficacy due...

  16. Is this correct practice?

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

    No Have them pick it back

  17. Conservative Sharp Debridement

    Davidaugustyn replied to thulchatt's topic in Wound, Ostomy, Continence

    We have 3 WCC nurses at my facility including myself that have taken a "certification" for sharp debridement. (though not acknowledged by the state except as being educated) We cannot technically do...

  18. Wound Infections, Best Practice

    Davidaugustyn replied to dsharrison's topic in Wound, Ostomy, Continence

    OK. I never advise to culture a wound, and that is best practice. A wound is full of bacteria. There's nothing that can be done about that. Unfortunately there my be MRSA or somethings else in the...

  19. Need advice, preventing shear force/friction

    Davidaugustyn replied to Yosemite, RN's topic in Wound, Ostomy, Continence

    What kind of bed? If there is moisture involvement you may want to implement a low air loss mattress. I have seen these patients before, with skin that just literally just shears off. but it's rare....

  20. Tunnel Wound/Colloidal Silver and Medihoney

    Davidaugustyn replied to LexPhD's topic in Wound, Ostomy, Continence

    I am a proponent for the natural cure. On the note, we converted all of our santyls to honey at one point. It was a mistake and we switched back. Honey does not debride like promised. I have used...

  21. space between incision and vaginal opening.

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

    More detail. Does she has an ostomy? Or stooling out of the wound? Not sure. If I understand, you're trying to heal up the entire rectal area (rectal CA?) The one patient I had, we use a silvadene...

  22. Blister

    Davidaugustyn replied to NJPAIN's topic in Wound, Ostomy, Continence

    I have seen and know what you're talking about. They often don't go away and often deteriorate further. I wouldn't aspirate only because it's not ever a recommended treatment. On the other hand,...

  23. Denuded Peristomal Skin

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

    I have a step process I use when I have peri-stomal denuded skin. I had a horror film patient. Every time I heard a page to the room. I knew I would be dealing with this horrible leaking ostomy. I've...

  24. packing wound not healing. Advise?

    Davidaugustyn replied to prettynurseL's topic in Wound, Ostomy, Continence

    I agree. More information. If no slough, VAC it! Not over packing right? just throwing that out there....don't stuff,

  25. Necrotic toes wound care

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

    Everyone is right. Stick to drying only. What you're going to want to watch more is where the necrosis stops. Sometimes it continues to grow up the toes and to the foot, seemingly to the point of...