passionrn
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  • Michael S. Miller DO
  • Laurie Swezey RN, BSN, CWS,CWOCN

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what products do you use toanesthesize topically prior to debridement and how long do you leave it on?

Hi, we have emla cream and we leave it on for 30 minutes but i cant seem to find evidence for this practice, we also use liquid lidocaine 4% and leave on 15 minutes,  im wondering what else is used…Continue

Started Jan 13

 

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passionrn posted a discussion

what products do you use toanesthesize topically prior to debridement and how long do you leave it on?

Hi, we have emla cream and we leave it on for 30 minutes but i cant seem to find evidence for this practice, we also use liquid lidocaine 4% and leave on 15 minutes,  im wondering what else is used and how long u leave it onSee More
Jan 13
0 Comments
passionrn replied to Michael S. Miller DO's discussion Indications for lower extremity amputation
"I think it is up to the dr  and nurse to educate the patient and let patient deceide."
Apr 2, 2011
passionrn replied to Michael S. Miller DO's discussion Indications for lower extremity amputation
"Plus are we talking amputation of entire leg or just a single toe? Single toes are often amputated with gangrene and osteomyelitis. This depends on the Dr and patient, some patients just want the pain to end and want a quick toe amputation. Some…"
Apr 2, 2011
passionrn replied to Michael S. Miller DO's discussion Indications for lower extremity amputation
"critical limb ischemia with no revascularization options. gangrene unresponsive to surgical debridement and antibiotics, patient going septic, vitals becoming unstable."
Apr 2, 2011
Michael S. Miller DO and passionrn are now friends
Apr 2, 2011
passionrn replied to Michael S. Miller DO's discussion Indications for lower extremity amputation
"Amputation last choice, agressive wound care, treating osteomylelitis, and wound infections. bone debridment and hyperbarics would be how i would try to save the limb. Would only amputate if all else fails."
Apr 2, 2011
passionrn replied to Tiffany Brown's discussion surgical wound failed flap
"You should have a hyperbaric oxygen evaluation, faliled flap is a medicare approved indication for HBOT."
Mar 4, 2011
passionrn replied to Carlos Rodriguez,, CPed, Rof's discussion Hyperbaric and NPWT
"Medicare will cover 80 percent of the hyperbarics and they will need a secondary insurance to cover the rest. NPWT will be covered. There is a great benifit to both. Hyperbarics will help with oxygenating tissues and decreasing edema. You didnt say…"
Jan 13, 2011
passionrn replied to Dorothy Jean Steigerwald's discussion Painful drressing changes
"xeroform is cytotoxic, how about vaseline gauze."
Jul 23, 2010
passionrn replied to Pamela "Pam" Smith, RN,MSN,CRRN's discussion Pharmaceutical Skin Grafts
"apligraf sorry"
Jul 23, 2010
passionrn replied to Pamela "Pam" Smith, RN,MSN,CRRN's discussion Pharmaceutical Skin Grafts
"APPLIGRAF BY ORGANOGENESIS"
Jul 23, 2010
passionrn replied to Wanda Perez's discussion Question on alternative treatment
"has osteomyelitis been ruled out by md?"
Jul 2, 2010
passionrn replied to ana echevarria's discussion decubiti
"of couse it can heal. a duoderm should work fine on it."
Jul 2, 2010
passionrn replied to Ilona Gerou RN WCC's discussion Aterial Brachial Index (ABI)
"That was what i was gong to say, great question, that many people have had im sure,"
Jun 22, 2010
passionrn and Laurie Swezey RN, BSN, CWS,CWOCN are now friends
May 16, 2010
Laurie Swezey RN, BSN, CWS,CWOCN left a comment for passionrn
"Nice to see you here on WoundEducators. What was your reason for joining the network? To add a personal touch, consider including a photograph of yourself when you join the network.  A photo will help other users connect with you, allow them…"
Apr 8, 2010

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What is your occupation (please be sure to enter your credentials following your full name above):
Registered Nurse
What type of facility do you work in:
Wound Care Center
What is your wound certification status (please be sure to enter any certifications you hold following your full name above):
I am not wound certified at this time

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At 10:51pm on April 8, 2010, Laurie Swezey RN, BSN, CWS,CWOCN said…
Nice to see you here on WoundEducators. What was your reason for joining the network?

To add a personal touch, consider including a photograph of yourself when you join the network.  A photo will help other users connect with you, allow them to get to know you better, and make you more of a 'real person' to your online colleagues.
 
 
 

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