woundnurse4u

woundnurse4u

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All Content by woundnurse4u

  1. Would you report possible diversion?

    woundnurse4u replied to Emergent's topic in General Nursing

    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...

  2. Wound vac blistering

    woundnurse4u replied to BooberRN's topic in Wound, Ostomy, Continence

    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...

  3. New Grad RN... is this patient load safe?

    woundnurse4u replied to new.grad.rn's topic in Medical-Surgical

    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...

  4. Successful Orientees Vs Unsuccessful Orientees

    woundnurse4u replied to purplegal's topic in First Year After Licensure

    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...

  5. Is this what MedSurg nursing is really like?

    woundnurse4u replied to DU15's topic in Medical-Surgical

    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...

  6. Breaking contract and its consequences

    woundnurse4u replied to RRRRS808's topic in First Year After Licensure

    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...

  7. Describe your ideal coworker

    woundnurse4u replied to AbigailJo's topic in Patient, Colleague Relations

    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...

  8. Stage 3 sacral ulcer, what dressing and how to keep clean?

    woundnurse4u replied to hakunamatata's topic in Wound, Ostomy, Continence

    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...

  9. inpatient wound versus outpatient wound clinic

    woundnurse4u replied to diva_nurse's topic in Wound, Ostomy, Continence

    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...

  10. What type of dressing to use for small leg wound?

    woundnurse4u replied to AniSo's topic in Wound, Ostomy, Continence

    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...

  11. Anyone use a headhunter for getting WOCN job?

    woundnurse4u replied to Turtle in scrubs's topic in Wound, Ostomy, Continence

    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...

  12. Anyone use a headhunter for getting WOCN job?

    woundnurse4u replied to Turtle in scrubs's topic in Wound, Ostomy, Continence

    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

  13. Looking for patient stories about pressure ulcers

    woundnurse4u replied to sarah2416's topic in Wound, Ostomy, Continence

    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...

  14. ileostomy output

    woundnurse4u replied to blackribbon's topic in Wound, Ostomy, Continence

    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...

  15. Help!! Wound disagreement

    woundnurse4u replied to dawn.starrett's topic in Wound, Ostomy, Continence

    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...

  16. Career Change to Wound Care

    woundnurse4u replied to coolbreezegurl's topic in Wound, Ostomy, Continence

    Just a quick word about one of your comments. You describe some frustration with the "needy" patient. If that is one of the things that you are seeking to get away from, you will still encounter such...

  17. Students who fight back at instructor feedback

    woundnurse4u replied to SHGR's topic in Nursing Educators, Faculty

    Not all learners will respond to the same instruction and cues. For the student who used the same nursing diagnosis for 2 different problems, my question would be "what did you feel that you learned...

  18. Using Manuka Honey?

    woundnurse4u posted a topic in Wound, Ostomy, Continence

    I have been tasked with evaluating other topical debriding products. Collagenase has been our go-to, but with the rising price, we are looking at a lower cost, yet equally effective option. Has anyone...

  19. Unbelievable

    woundnurse4u replied to Muttlover2's topic in School

    Unfortunately, I do think you need to go up a chain of command, whether you resign or not. If you have direct knowledge of wrongdoing, say nothing to the people who need to know about it, and then...

  20. What would you have done?

    woundnurse4u replied to chicago_RN's topic in Home Health

    It is fair to state to the patient that you NEED to call 911 and the reasons WHY (beyond the severe and symptomatic hypotension). I would have simply stated that at the current decline in blood...

  21. From SNF to Hospital Setting

    woundnurse4u replied to flamengo's topic in Wound, Ostomy, Continence

    I started my nursing career in LTC many years ago so I understand where you are coming from. Yes, you need to expect rapid discharges and musical beds. Just as you are being challenged by this, so are...

  22. Compensation Suggestions

    woundnurse4u replied to maccheese's topic in Wound, Ostomy, Continence

    I am a little confused. Are you being asked to function as a consultant and make treatment recommendations or are you being asked to do dressing changes that have already been ordered? Are you going...

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

    woundnurse4u replied to Leonardo Del Toro's topic in Wound, Ostomy, Continence

    I think the best thing you can do is to start loading up on relevant CEUs. These courses are easy to find and sometimes vendors even offer free CEUs (like Medline, Hollister, Convatec). Once you have...

  24. WCC vs WOCN vs CWS

    woundnurse4u replied to LogCabinMom's topic in Wound, Ostomy, Continence

    I would go for the WOCN. My employer will only pay the credentialing differential for WOCN, not CWS. Yes, it is more work. It also seems to still be more broadly recognized. Check out the webWOC...

  25. Calling All Stoma RNs (Helpful Tips Needed!)

    woundnurse4u replied to RachRN11's topic in Wound, Ostomy, Continence

    Ugh, bridges. They serve a good purpose but can be tricky. I am wondering if your leakage problem is related to the stoma not being as budded (ie flat/flush or somewhat retracted into an abdominal...