Archive for the ‘Wound Care’ Category

How to persuade clinicians to change a wound care order

Tuesday, July 9th, 2019

wound care order

How can you convince an ordering clinician to consider a more effective wound treatment? Psychology offers some clues.

By Keisha Smith, MA, CWCMS

If you’re a knowledgeable, certified wound care clinician, receiving an outdated or illogical wound care order can be frustrating.

So, what can you do when you’re tasked with administering treatments you believe will be ineffective or harmful to a patient?

First, practicing substandard wound care can land you in legal hot water, even if you are following orders.

To protect your license, reputation and financial well-being, you need to speak up about wound care orders that contradict your knowledge and training.

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Learn about the cause and prevention of diabetic foot ulcers

Tuesday, July 2nd, 2019

diabetic foot ulcers

With more than 30 million people in the U.S. afflicted with diabetes, clinicians are very likely to encounter diabetic patients.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

Diabetic foot ulcers occur in approximately 15% of diabetic patients. And if you’re a wound care clinician, you’ll likely find yourself caring for patients with diabetic foot ulcers more often than not.

To learn more about the causes and how to prevent diabetic foot ulcers, we spoke with Don Wollheim, MD, FAPWCA, WCC, DWC, a board-certified surgeon of the American Board of Surgery.

He has 25 years of experience in general/vascular surgery and 13 years of experience as a wound care specialist and educator. Wollheim is also a medical-legal consultant, college science instructor and clinical instructor at the Wound Care Education Institute (WCEI).

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Instructor named 2019 WOC Nurse of the Year for ostomy care

Tuesday, June 25th, 2019

ostomy care

On June 23, alumni of the Wound Care Education Institute (WCEI) cheered to see a dedicated clinician, teacher and nursing entrepreneur receive recognition for her commitment to ostomy care and education.

By Keisha Smith, MA, CWCMS

The United Ostomy Association of America named WCEI Clinical Instructor Joy Hooper, RN, BSN, CWOCN, OMS, WCC, its WOC Nurse of the Year.

The prestigious award shines a spotlight on the many ways Hooper has touched lives with her commitment to teaching ostomy care.

“My father has always taught us the importance of helping people, and one of the most important people to help is the one you’re not expecting a thank you from or expecting anybody to know about,” Hooper said. “That is someone who you want to help. You won’t see this immediate reward, but you will be rewarded. UOAA and helping people have always been close to my heart.”

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How to decide if you should earn wound care certification

Thursday, June 20th, 2019

wound care certification

Have you ever wondered if getting wound care certification is necessary? The answer is not always that simple.

wound care

By Bill Richlen, PT, WCC, DWC

You need to first ask why you want to be certified.

Among the many valid reasons for seeking certification is the increase in your credibility with colleagues and patients. Certification also can provide career advancement opportunities in the wound care industry while ensuring better quality care for patients.

But does it always ensure quality care? Not necessarily.

Over the years, I have encountered clinicians with wound care certification practicing outdated, non-evidence based wound care treatments. That may seem outlandish, and you may be asking yourself, “How can that happen? Shouldn’t they know better?”

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Learn why many organizations need a wound expert today

Monday, June 17th, 2019

wound expert

Organizations need for trained wound experts is on the rise.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

The reasons for this increase are multifactorial, said wound expert Nancy Morgan, MBA, BSN, RN, WOC, WCC, DWC, OMS, cofounder and clinical consultant with the Wound Care Education Institute.

We sat down with Morgan to learn why more patients than ever need expert wound care.

Q: What role do chronic diseases play in creating a need for wound care?

People are living longer with chronic diseases such as diabetes and obesity, which predisposes these patients to the development of chronic wounds.

Chronic wounds require treatment with the skills of knowledge of wound experts over the course of several weeks, months and sometimes years.

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WCEI instructor finds his niche in physical therapy wound care

Thursday, June 13th, 2019

physical therapy wound care

Many alumni of the Wound Care Education Institute (WCEI) will tell you they enjoyed their training — so much so they view the WCEI staff and fellow students as another type of family.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

Part of what gives the institute that warm, welcoming feeling is the dedication to students and energetic style of teaching of one of its instructors: Bill Richlen, PT, WCC, DWC.

He is a clinical instructor with the Wound Care Education Institute (WCEI) and owner of Santa Claus, Ind.-based Infinitus LLC — a wound care instruction and consulting company.

Richlen began his extensive career as a licensed physical therapist 25 years ago and, almost simultaneously, found his work in physical therapy also involved caring for patients with a wide variety of wounds. He first discovered his attraction to wound care while still in his clinical practicum in physical therapy school.

“I did a six-week internship at a VA hospital,” Richlen said. “My first wound care patient was a paraplegic veteran with a stage 4 pressure injury. This was my first exposure to this type of wound. I had to help with his treatment in the whirlpool, submerging much of his entire body for his sacral wound. I soon realized they did not teach us how to care for wounds in PT school.”

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Should wound care nurse carry out off-label use order?

Monday, June 3rd, 2019

off-label

A reader submitted a question about a physician ordering her to crush two Flagyl tablets and sprinkle them onto a patient wound.

wound care

By Nancy J. Brent, MS, JD, RN

The nurse knew this was not the correct way to administer the medication. However, she is concerned that since the physician ordered this method of administration that she is obligated to follow the order.

Part of this nurse’s conflict is that this method of administration is not generally consistent with current standards or practice.

But in many facilities and home care agencies, the use of Flagyl tablets in this way is a common and customary practice, as we discuss in our blog, “We’ve Always Done It This Way:  Flagyl Crushing & Other Wound Care Bad Habits.”

However customary such a use may be, it can create potential legal liabilities for you.

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Top 6 facts you need to know about pressure injuries today

Monday, May 27th, 2019

pressure injuries

Wound care is an exciting specialty that can sometimes prove challenging.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

With various wound types and multiple wound care products and treatments available, clinicians strive to stay up to date on the best practices to ensure they are providing their patients with the current standard of care.

Managing pressure injuries is one area of wound care that many wound care professionals encounter regularly, as pressure injuries are pervasive across the healthcare continuum.

Whether you work in home health, acute care or long-term care, below are some of the top facts to know about managing pressure injuries today from Don Wollheim, MD, FAPWCA, WCC, DWC.

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Substandard wound care can lead to legal risk for clinicians

Monday, May 20th, 2019

professional negligence

Dedicated wound care professionals pride themselves on providing optimum care for their patients.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

Did you know you also have an ethical and legal obligation to provide the best care possible or you face legal risk?

You could be held liable whether you are an experienced or new wound care clinician, certified or not certified, or work in acute care, long-term care or the ambulatory environment.

Providing substandard wound care not only harms patients, it also can result in a patient or their family taking legal action against you and other clinicians involved in the patient’s care plan, said Nancy Brent, JD, MS, RN, a nurse attorney who represents nurses before the state regulatory agency and has a solo law practice in Wilmette, Ill.

And no one wants to face professional negligence or malpractice allegations.

“The legal fallout from litigation pertaining to patient care can range from being sued for medical malpractice or professional negligence, in addition to the fees related to legal representation and damages owed if you’re held legally responsible,” she said.

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Explore the benefits of Wound Care Education Institute alumni

Monday, May 13th, 2019

wound care

When wound care professionals decide on a school and course that leads to certification in a clinical specialty, it’s typically the result of a lot of thought.

Alumni of our Wound Care Education Institute (WCEI) are no different.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

Most clinicians will tell you they weigh the cost of additional education and certification, against the benefits of undertaking such an endeavor.

Upon completion of a course and taking the certification exam, students of the WCEI have shown they are willing to make an investment in their education, said Diana Ramirez-Ripp, CWCMS, manager of live events for WCEI.

“Our alumni made a commitment not only to their careers — but also to their patients by furthering their knowledge in wound care,” she said.

Although no one can predict the future of a person’s professional path and achievements, the benefits of being an alumnus of the WCEI are many, Ramirez-Ripp said.

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