Ok, so I went to my first wound care today. It was a stage 4 ulcer on a pts coccyx. I was told to go wash with NS, apply isosorbide and pack and place occlusive dressing. The problem is when I get there, there are no supplies. ( I was told the supplies are there ) The patient does not want the treatment done but I talk him into it. He then states it has not been changed since at the hospital. ( when I look it is the origional dressing ) The Nurse Practioner documented she did it Friday which was the first " dressing change " . ( supposed to be done Mon, Wed, and Friday ) I volunteered to take Wed. They divided him up because he's a bit of a pain. So I call the origional nurse to ask and she says it's all there. So I look and look ( no correct supplies there ) and improvise with what's available. Problem is this patient is very particular and I don't want to go back and look like some incompetent nurse because I used what was available. Job still got done within the " criteria ", but not as neat and clean as I would have liked. Any advise on what to say next time I go there, just in case?Or am I gonna be in trouble for the improvising?