"Hey Susan - I just spoke to one of our pharmacists and he had not heard anything negative about crushing Flagyl for wound beds. How could this get you in trouble? I did not realize we even stocked Metrogel which I will be using in the future…"
Nancy J Geerdts's Discussions
Does the length of stay in an emergency room promote skin issues?
5 Replies
I am on a task force that is reseaching how well or effective the emergency department works with the in-patient units regarding boarding patients - concern is over the length of stay in emergency…Continue
Started this discussion. Last reply by Barbara Ochester Nov 16, 2010.
Patients with heavy stooling and breakdown on buttocks
9 Replies
I have had some challenges trying to treat denuded buttocks that are related to heavy stooling. Our MD's are not in high favor of using rectal tubes and they do not like ordering foley caths to…Continue
Started this discussion. Last reply by arlene deocades May 28, 2010.
Nancy J Geerdts's Page
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Nancy J Geerdts replied to Laurie Swezey RN, BSN, CWS,CWOCN's discussion Does anyone have experience or tips for treating malodorous wounds?Nancy J Geerdts replied to Kimberly Davis, LVN's discussion If you were wound care certified, what would your dream job be?????"My dream job would be to work as a wound specialist in a large hospital and do EVERY one of the in-patient wound consults. I would always try to take time to teach nursing preventive and treatment wound strategies and I would incorporate the family…"
Nancy J Geerdts replied to Michelle D. Voss Nanney RN/PLNC's discussion What is your most successful experience in wound management and why?"I have had many wonderful wound care "healing" experiences but one that stands out is working with a gentleman who was having difficulty controlling his diabetes, maintaining a job, and addressing diabetic ulcers on both feet. I had…"
Nancy J Geerdts replied to WoundTalk's discussion Have you found that certification has helped you in advancing your career?"I have been involved in wound care in some respect for 20 years - have been certified the past 2 years. Although I am a staff nurse on a Medical/Oncology floor and love that aspect of my job I feel best when I am doing wound care. I help patients…"
Nancy J Geerdts replied to Laurie Swezey RN, BSN, CWS,CWOCN's discussion Does anyone have experience or tips for treating malodorous wounds?"I have had success with crushing Flagyl and sprinkling it over the wound - seems to decrease the odor at least 50% of the way."
"I am so glad that this is a discussion point. After completing a skin assessment on admission to the ER, I have found many hospitals have had different results with their borders when they finally get up to the floor. One of the things that we have…"
Nancy J Geerdts replied to WoundTalk's discussion What are your levels of certification and why did you get it?"I became wound care certified in Feb of 2009 because I was told I had to do so to keep my "float" position. I was involved in many wound care teams prior so it wasn't shocking to me - yet the studying for the exam was very stressful…"
Nancy J Geerdts replied to WoundTalk's discussion What is the worst wound you have ever treated?"Hi Phyllis;
Would you be able to give me insight into how you get the maggots - where do you order them from and does your institution have a policy on them? I agree that in all my readings I have only heard of positive results and it's so…"
Nancy J Geerdts replied to WoundTalk's discussion Where do you work and what is your position?"Hi Laurie;
When we hire a new RN there are 2 areas online specific to wound care that all new hires have to review, and approximately 1-2 times yearly I speak at an inservice - usually regarding things that staff are having trouble with re: charting…"
Nancy J Geerdts replied to WoundTalk's discussion Where do you work and what is your position?"I work at a small hospital where the average census is 27 - 33 patients. I am wound care certified and am scheduled to work on wound care specifically 1 day weekly, the other 2 days I work on the medical/oncology floor as a staff RN. Some of my…"
debbie botten_white replied to Nancy J Geerdts's discussion Does the length of stay in an emergency room promote skin issues?"this was a pt safety issue,with the same concerns you voiced, that we recently addressed in our hospital, with good results.
Firstly education of emergency room staff (understanably skin care is not their prioity),discussion in staff meetings &…"
arlene deocades replied to Nancy J Geerdts's discussion Patients with heavy stooling and breakdown on buttocks"Just keep area clean and dry, then apply calmoseptine sparringly to the affected area and follow the every 2 hrs turn to avoid further damage."
Kari Kamay Carrel replied to Nancy J Geerdts's discussion Does the length of stay in an emergency room promote skin issues?"I definitely think that the length a patient spends in ER has a detrimental effect on skin. Especially if the the skin is already compromised. I also think that the lack of communication from facility to facility fosters failure and comprimise in…"
John Skinner replied to Nancy J Geerdts's discussion Does the length of stay in an emergency room promote skin issues?"Nancy,
Regarding length of stay and the issues of skin breakdown due to UI.....revolutionary device that keeps your men dry and comfortable 24/7. Most insurance covers 30 devices/month/patient.
Mitigate infection risks by keeping your gentlemen…"
Sally A Bagnall replied to Nancy J Geerdts's discussion Does the length of stay in an emergency room promote skin issues?"If you don't chart it, it didn't happen.
Tracking the Braden on admission with ED and then, most importantly the interventions, turning? protective ointments, cleaning after incontinent episodes, waffle mattresses, off loading etc. Our ED…"
Rosemary Kidwiler replied to Nancy J Geerdts's discussion Patients with heavy stooling and breakdown on buttocks"We use the Calmoseptine for the worst denuded buttocks and have great results. The only problem at our facility is it is non-formulary and we have to justify why we need to order it. Go figure."
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Comment Wall (1 comment)
- At 10:17am on March 30, 2010,
Laurie Swezey RN, BSN, CWS,CWOCN said… - Nice to see you here on WoundEducators. What was your reason for joining the network?
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