woundnurse4u

woundnurse4u

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About woundnurse4u

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  1. Would you report possible diversion?

    It happened to me. In one instance, it was a nursing supervisor who would offer to give pain meds when rounding. We were so understaffed and of course we would accept the offer because we trusted her and we wanted to make sure our patients didn't hav...
  2. Wound vac blistering

    Blisters usually happen as a result of tension (ie tension bullae). I have seen that happen more with a vac that is placed in the O.R. during surgery (as the surrounding tissue develops post surgical edema and swelling). However, the itching is a dif...
  3. New Grad RN... is this patient load safe?

    Six patients? The first med-surg job I had, I had to take 9 patients. I was supposed to be partnered with a LPN but often there was no LPN so they were supposed to give me a CNA. Except most times there was no CNA so I was alone with 9 patients. I la...
  4. Successful Orientees Vs Unsuccessful Orientees

    I was a designated preceptor (it has been some years). You can be the nicest orientee in the world, show up on time with a smile on your face, get along with others, and that doesn't mean you will make the cut. The worst orientation I ever had to giv...
  5. Is this what MedSurg nursing is really like?

    I worked med-surg for 2 years- a year in 2 different hospitals. Yes, you are going to see a higher turnover rate. Many nurses enter the acute care arena in med-surg and move up to a different level of care once they have some experience under their b...
  6. Breaking contract and its consequences

    Have you talked to your manager about the lack of training and the fact that you are uncomfortable? I would start there and start a paper trail. It doesn't have to be a hostile conversation but you do owe it to yourself and to your employer to let th...
  7. Describe your ideal coworker

    Qualities of a great coworker 1. A great coworker will recognize when another coworker needs help- whether is it to accomplish a task, learn a new skill, or find an answer to a question. 2. A great coworker refrains from gossip and does not engage in...
  8. Stage 3 sacral ulcer, what dressing and how to keep clean?

    The patient isn't turning himself? The ALF isn't going to provide that level of care so you just answered your own question about the level of care that is needed. CAN the patient turn himself? Is the patient on a surface to redistribute pressure? Do...
  9. inpatient wound versus outpatient wound clinic

    I have worked in both arenas. Out-patient clinics are great because they tend to be more cutting edge and have access to some interesting treatment modalities. I learned a lot more than about specific treatments. You will be busy in an out-patient s...
  10. What type of dressing to use for small leg wound?

    It wouldn't be cost effective to change that type of dressing (silicone foam, non-bordered) more frequently. Have you considered using a skin barrier film to the periwound skin? One thing that isn't making sense is that a minimally exudative wound ty...
  11. Anyone use a headhunter for getting WOCN job?

    I went to Indeed.com to find my new job. I found that it was easy to navigate and filter and I used some basic search words to find the types of jobs I was interested in and also by location. I started by looking for wound care jobs but ended up look...
  12. Anyone use a headhunter for getting WOCN job?

    Try Indeed. That is where I found my new job. Also, if you have a good relationship with vendors, they often have the some tip about jobs that are open or will open.
  13. Looking for patient stories about pressure ulcers

    If you are looking for good examples, vendors are a great place to start. Depends on who your hospital organization is contracted with but any vendor who has anything too do with pressure ulcer prevention has case studies, posters, flyers, on-line ma...
  14. ileostomy output

    Pasty output is typical for an ileostomy. The dangers with an ileostomy are dehydration and electrolyte imbalance (more likely to occur with diarrhea). Also be aware that there are dietary restrictions with ileostomies to prevent food blockage. Many ...
  15. Help!! Wound disagreement

    While it is possible to have superimposed candidiasis to an open wound to the natal cleft/gluteal fold, I would not consider every wound to this anatomical location to be candidiasis. Candidiasis has symptoms that include redness, pruritis, yeasty od...