Archive for the ‘Wound and skin management’ Category

Hand Hygiene Tips for Providing Wound Care in Challenging Settings

Wednesday, September 16th, 2020
hand hygiene

Hand hygiene is nothing new in healthcare. It has become increasingly important throughout the COVID-19 pandemic.  

As a wound care nurse, you know hand hygiene is essential in preventing infections when providing patient care, as we discuss in the blog post “The Case of the Dirty Wound Care Clinic.”

If you provide care outside of the traditional clinical settings, such as a hospital or a wound care clinic, you know how difficult it can be to maintain good hand hygiene. Without running water, gloves or sanitizer, the risk of infection or its spread is evident. 

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Explore when to use a collagen wound dressing on your patients

Wednesday, September 9th, 2020
collagen wound dressing

As wound care certified (WCC) clinicians, you should be aware of the types of dressings available to treat patients in your care.

Wound care dressings come in various shapes, sizes and have indications for their use, including collagen wound dressings.

Let’s explore which types of dressings are focused on collagen.

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Wound temperature can affect the wound healing process

Wednesday, September 2nd, 2020
wound temperature

A patient’s core body temperature must be above 91.4 degrees Fahrenheit and below 107.6 for wound healing to occur.

The loss of moisture from any surface by evaporation is accompanied by cooling of the surface. So, as wound tissues lose moisture, a cooling effect occurs resulting in lower wound temperature.

Even a decrease of only 2 degrees Celsius is sufficient enough to affect the biological healing process of your patients. This is because cells and enzymes function optimally only at normal body temperature.

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Hyperbaric oxygen therapy: Learn the fundamentals in wound care

Thursday, August 27th, 2020
hyperbaric oxygen therapy

When you hear the words hyperbaric oxygen, you probably think of a troubled scuba diver with decompression sickness in need of immediate live-saving medical care.

But hyperbaric oxygen therapy — HBOT for short — is also a go-to therapy routinely used in wound care.

To learn the basics about HBOT, we spoke with wound care experts in the U.S. and abroad.

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Wild on Wounds (WOW) is going virtual this year. Here’s what you can expect

Thursday, August 20th, 2020
Wild on Wounds (WOW)

The world has drastically changed with the onset of the COVID-19 pandemic.

One alteration to our daily lives is the practice of avoiding crowds in an effort to slow down the spread and decrease risk of exposure to coronavirus.

So, for everyone’s health and well-being, we’ve moved our popular Wild on Wounds Conference (WOW) to a virtual format this year.

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Nursing documentation in wound care is a key factor in determining liability

Thursday, August 13th, 2020
Nursing documentation

The medical record is an essential piece of evidence in any legal case alleging professional negligence against wound care nurses and others.

As you know, one of the purposes of the medical record is to reflect what nursing care was given to the patient. The entries speak to the quality of the care given.

The entries are supplemented by oral testimony at trial of those whose notations are in the medical record. A jury then decides if care was given that meets the standard of care in the situation or if the caregiver failed to meet his or her legal obligation.

The following 2020 legal court decision (Nixon v. The Brookdale Hospital Medical Center, Parkshore Health Care, LLC, Four Seasons Nursing and Rehabilitation Center, and the New York Community Hospital of Brooklyn, Inc.), illustrates the importance of nursing documentation and potential liability for patient injuries and death.

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Decoding foot wounds: Pressure injury vs. diabetic foot ulcer (DFU)

Wednesday, August 5th, 2020
Foot wounds

How often have you found yourself in the conundrum of deciding whether a wound on the foot of a diabetic patient is a diabetic foot ulcer or a pressure injury? 

Probably more than once. This is a hotly debated issue among wound care clinicians.

In this post, we’ll dissect the facts and provide a clear understanding of how to differentiate the two types of foot wounds.

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Learn how to determine what wound exudate is telling you

Wednesday, July 1st, 2020
wound exudate

An integral part of a wound assessment includes analyzing the type and amount of wound exudate coming from the wound.

Knowing how to correctly make those observations and documenting accordingly is critical to a comprehensive assessment. Ultimately, we want a wound with an optimal level of moisture to support healing and not an overly moist or dry environment.

However, as wound care specialists or experts, we need to take it one step further and ask a few more questions.

  • Is this the type and amount of drainage I expect to see based on the wound’s current healing path? 
  • If it is not, why is the exudate presenting this way? 
  • How do we correct that? 

A good wound care clinician does more than just make observations and note them. They are continually critically thinking and asking “why” and seeking solutions. 

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Telewound sessions: Best practices when conducting virtual appointments

Wednesday, June 24th, 2020
Telewound

With the COVID-19 pandemic, telehealth and telewound services are in high demand.

For many wound care clinicians, providing telewound services may be a new addition to their practice.

We spoke with two telewound experts to help you learn more about best practices and possible glitches when conducting a telewound session.

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Your state nurse practice act can dictate wound care liability

Wednesday, June 17th, 2020
state nurse practice act

I received a question about an RN who was practicing in a “wound center.” 

She received notice from her state board of nursing that a complaint had been filed concerning her treatment of a patient’s wound. 

According to the RN, a substitute physician saw her patient one week. He told the patient and a family member that Tegaderm should not have been used on the wound.

In addition, the substitute physician said there were two wounds — not one — and the second had not been treated.

The RN stressed the following:

  • There was only one wound
  • The substitute doctor was incorrect
  • The patient’s regular physician had been seeing the patient for some time and knew there was only one wound
  • She was upset about the complaint
  • Had to hire an attorney to represent her before the board
  • She believes the physician defamed her and should pay her attorney fees
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