ItsnurseA

so my sister who is a first year nurse asks me for advice periodically, this time she asked me it ended in one of our great "who is the right nurse" bickering haha. so we need a little clarification here. first to start she has a venous wound that just gets treated with calcium algenate and a dry dressing (cling wrap i believe) to hold it in place. there is normally a lot of drainage with this wound but this time she went to change it and she noticed it was going through to the outer wrap. so after she cleans it and places a patch of cal algenate to cover wound she added a piece of non adhesive foam pad over the Cal algenate (not touching wound) to soak up what was going through the cal algenate so that it did not soil the outer wrap. I told her that she should not have placed that on there because it was just not ordered and she seems to believe that because she followed the order originally and only added it to the outside to catch the excess drainage that it was ok. and she also stated she believes that because it was also a dry dressing used for the same purpose as the cal algenate that it wouldnt pose an issue and just help pick up the slack since the cal algenate was not working completely. i tried to stress it prob wasnt the best idea based on it not being ordered and she is sticking with she didnt change the order she was just using it to pick up the slack. help lol