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Susan Puleo, RN, WCC
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Susan Puleo, RN, WCC replied to Kimberly Davis, LVN's discussion 'Slough and Debridement'
Hi Kim:
I LOVE honey. Not a big fan of santyl, as I could probably retire before it debrides anything. Autolytic debridement, depending on the wound of course is always the best choice. Often times the honey and a DRY gauze…
Kimberly Davis, LVN left a comment for Susan Puleo, RN, WCC
Hi Susan Puleo, RN-WCC
I had a question on our forum that I was wondering if you could address regarding "slough and debridement." Since you are Wound Care Certified and you have given us some great tips in previous…
Susan Puleo, RN, WCC replied to Harjinder Araich's discussion 'painful ulcer'
Beth: That's a great idea. Haven't used hydroferra blue. Actually have a patient that might benefit from this modality. Is it expensive?
Susan Puleo, RN, WCC replied to Laurie Swezey RN, BSN, CWS,CWOCN's discussion 'Does anyone have experience or tips for treating malodorous wounds?'
Nancy. There is absolutely nothing wrong with flagyl in a wound bed. You can not however, just crush it and use it in a wound bed. I just came back from conference and in more than one class, including legal, it was strongly…
Susan Puleo, RN, WCC replied to Harjinder Araich's discussion 'painful ulcer'
manuka honey? Very gentle. Autolytic debridement. cover with a silver impregnated foam. ABI indicates .. compress to reduce swelling. Hard to tell without knowing med. history and allergies
Susan Puleo, RN, WCC was featured
Susan Puleo, RN, WCC commented on Laurie Swezey RN, BSN, CWS,CWOCN's blog post 'Can you name the wound?'
Skin Tear - Cat 2B? Hard to tell without a moist swab to roll that skin out, but it doesn't look like we could get close enough to steri-strip. Cleanse gently with NSS. Apply petrolatum to wound edges. Skin prep to…
Susan Puleo, RN, WCC replied to Laurie Swezey RN, BSN, CWS,CWOCN's discussion 'Does anyone have experience or tips for treating malodorous wounds?'
Just make sure that you are using flagyl designed for wound beds. (Metrogel.. etc). It is unacceptable to crush flagyl and place in a wound bed. It is off-label use and yet I see hear of people doing this. Careful folks..…
Susan Puleo, RN, WCC replied to Francelia Dillon's discussion 'What is the best way to prevent heel ulcers?'
Off loading is always the best answer, I do believe. By this I mean truly "floating" the heels. I usually roll the foot of the pressure redistribution air mattress overlay under and it is usually enough to float heels off the…
Susan Puleo, RN, WCC commented on Laurie Swezey RN, BSN, CWS,CWOCN's blog post 'Can you name this wound? Please explain your answer.'
To me this looks like a mixed ulcer. Irregular borders yes, slough yes.. but not a lot of drainage and the peri-wound looks shiny and hairless. Can't see the toenails, but I am betting they are thick and yellow. I would…
Susan Puleo, RN, WCC replied to Kimberly Davis, LVN's discussion 'Products used in conjuction with Negative Pressure Therapy....'
I use wound gel under a mepitel non-adherent protective dressing. It can be left in place for a week and wound gel reapplied with each dressing change. Less painful for the patient when removing the foam and does not impede granulation.…
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- Registered Nurse
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- Hospital
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- WCC
Comment Wall (1 comment)
- At 11:54am on October 24, 2011,
Kimberly Davis, LVN said…
Hi Susan Puleo, RN-WCC
I had a question on our forum that I was wondering if you could address regarding "slough and debridement." Since you are Wound Care Certified and you have given us some great tips in previous discussions, I was wondering if you could give us some feed back on this one. Here is the link:
http://www.woundeducators.net/forum/topics/slough-and-debridement
Thanks so much,
Kim Davis, LVN
calciphylaxis
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