Tammy, I would agree there is a major difference between knowing how to perform a specific skill and knowing how to perform that skill effectively. I think it is great that you offer new nurses to your department an extensive orientation and training. Wound vac care can be tedious, depending on the wound, requiring much training and then follow-up training to ensure it is being performed correctly. The surrounding skin appearance of a wound bed is a good indicator of correct wound vac application. Your expertise in wound care with precise skin barrier methods prevented further complications with this already painful wound. When patients get, frustrated or are having a lot of pain related to a treatment or procedure, many times they will refuse
I can relate to one of the points in your discussion. I work in a small community hospital in the Wound Healing Clinic. We are an outpatient addition to the hospital. We have one nurse who has the primary responsibility of the acute admissions wound care. Last year we were bought by a large health systems. Recently, we were informed that we, the Wound Center, are held responsible if a patient has a hospital acquired pressure ulcer (HAPU). As part of this new directive we were also informed that prevalence rounds were to be done weekly. This is what you described your facility does once a month. These changes place responsibility for care which our staff does not even provide, moreover the changes were never discussed with our clinical coordinator.
The following assignment will take the form of a case study. The subject is a 79-year-old sikh gentleman, who will be known as patient X. Patient X only speaks English as his second language. Patient X has developed a wound on his right hip after being admitted a few days previously, after suffering from a stroke. Patient X has a history of a mild stroke and has slow mobility and uses the aid of a frame to mobilise. Patient X is obese, a heavy smoker and now
Being the wound care nurse that I am, I loved to hear the practice your hospital put into place in the operating room. I find it discouraging when nurses do not see the correlation between their responsibility and the resulting patient outcomes. I have had so many floor nurses tell me they are not a wound expert like I am. Well, I wasn't always wound certified, and I have only been a nurse for 8 years, but I felt a need to understand how to prevent pressure ulcers as a new nurse. Sometimes you must use good old common sense and care about what you are doing. Interestingly, as I was reading our assigned teachings, I had a eureka moment. I realized the floor nurses in my hospital have developed a culture of assuming they don't know wound care
I observed the documentation process from week -2 in my clinical setting and through reading the related documents I gained theoretical knowledge of documentation . I week -4 I did the the return demonstration of documentation with my instructor successfully and started the documentation process in clinical and developed my communication skill . I think my learning plan helped me to achieve this goal . When I started this semester I wanted to learn about the wound care . To achieve this goal I observed the techniques of wound care in week -10 demonstrated by my instructor and reviewed the related resources of wound care . In week -11 I was successful in return demonstration of wound care and evaluated by my instructor . The plan I made
Researchers will decide to select wound infections that occur after open heart surgery as a topic for their study, because it is significant for staff nurses to know the effect of wound infections that occurs with the adult patients. Researchers will obtain permission from the cardiac surgery center so that they could collect information from adult patients. They will also contact and meet with staff nurses in cardiac surgery center. Nurse educators will provide the form to all staff nurses working in the operating room. The form includes the title of the study, the purpose of the study, place of the work, duration of the study, potential benefits, potential risks, participant signature, and date. The reader can follow that consent
Performs patient teaching on surgical topics including DVT prevention and importance of skin preparation. While assessing a patient, Ms Davidson noticed that a patient has an open wound. She offered to clean and bandage patient wound. She
The process of wound assessment requires accurate and appropriate interventions while dealing with the patients. There are some major components which the operator must consider to effectively access an infection, and they require a range of skills and knowledge. These factors are the knowledge of relevant anatomy and physiology, the understanding of the various factors that accelerate wound growth, and the ability to listen and understand the patient’s needs. In wound accessing, the doctor should have an idea concerning the number and location of wounds, the required treatments depending on the type of infection, the type of wound in accordance to various grading given, and the procedures to follow to achieve the treatment
Dale Gordon has been a patient in the ICU for 6 days after developing complications after open heart surgery. He is an 82-year-old African American who is disoriented to place and time. He lives with his daughter Claudia in her home. Claudia and her two brothers visit Mr. Gordon daily since he has been hospitalized. Mr. Gordon has not been eating well since the surgery and has lost 3 pounds. Mr. Gordon has type 2 diabetes and is on oral antihyperglycemic medication. Before he came to the hospital, Mr. Gordon was able to only ambulate for short distances. He has orders to get up in a chair twice a day. Joan, a student nurse, is caring for Mr. Gordon this morning. She has reviewed his medical record and is now ready to start caring for him.
Prevention and management of pressure ulcer is of significant worry in health acre system. The appropriate nurses knowledge of wound care help in prevention srtetgy. The prevention and treatment techinques that mostly to assess the nurses' knowledge about pressure sores and effect on practical decision amking skills and uses of different devices.The
According to Bastable and Doody (2007) an objective is a specific, single one-dimensional behavior. Objectives are used to form a map to provide directions on how to achieve a particular goal. In this lesson the students will have two goals. The first is for the student nurses to be able to identify all the supplies necessary to change a sterile dressing and to be able to correctly assess when a dressing needs changed or reinforced. The lesson plan will contain the following objectives:
The team members had provided safety and comfort to their clients and followed good nursing practice. They identified their clients, and followed proper hand hygiene and used gloves to avoid contamination. They provided each room with the needed supplies, which made their work more efficient. They labelled all the bottles and sprays they used in caring the wound, and used all the equipment properly. They provided privacy to their clients by always closing the door during the entire wound care period. The team members were focused on client’s goals and understood how their role contributes to the achievement of those goals. They understood what needs to be accomplished and have the resources needed to be successful. They also encouraged each other to work for the common good. And most of all, they were all very nice and accommodating to me, which made my experience a good one.
Outline and discuss a clinical audit that you have undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection. Word Count (2197)
Wound care is a tough field to specialize in nursing for so many reasons. One, you cannot do treatments alone. So today, together with Apsara, the wound care nurse, we assisted the doctor while he was doing debridement to patients. The doctor explained the importance of wound debridement to remove necrotic tissue and allow the wound to heal and granulate. The doctor further explained to the nurses that to attain proper healing of the wounds, adequate circulation should be present and the right nutrition should be given. To do this, patients should be turned, their feet should be off loaded and they should be assisted during feeding to encourage good nutrition. These are the things I learned today that would help me as a nurse to be care for
A meaningful event from my clinical experience was during week six when one of my colleague and I along with the RN performed a wound care procedure on one of my client who had pressure ulcers on her coccyx area and wound on the right foot. It was my first time doing wound care on a client who has severe wound type. Client is a 90 years old female who has been admitted to the unit for Osteomyelitis, it is an infection of the bone, caused by bacteria breaking into the body’s tissues and entering the bloodstream through an open wound (LeMone, p.1382). The client said a dog bit her foot at a park few years ago and that’s how she got the wound. Client has a wound care dressing order that needs to be changed daily with Betadine soaked gauze for all areas,
In order to achieve an effective healing of a wound, an appropriate material must be used to cover the wound to prevent any infection. Due to new techniques, a wound dressing material is expected to have very satisfactory properties in enhancing a healing of a wound. The wound healing time, wound type, mechanical, physical, and chemical properties of the dressing must be taken into account when designing an effective wound dressing (Zahedi, Rezaeian, Ranaei-Siadat, Jafari & Supaphol, 2009). When choosing a suitable wound dress, there are several factors that must be taken into consideration, such as creating an effective bacterial barrier, having no toxic or irritant particles, protecting periwound area, producing as minimal pain as possible