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June 13, 2005

Wound care

Gauzewound_care

I am a wound care nurse. I started out in a Skilled Nursing Facility/Hospice unit as a new graduate and charge nurse. The only RN with new graduate LVN's was a challenge. We learned from each other, textbooks, and the knowledge of nurses and doctors who would pass through and take the time to teach us.

At the time, wound care was something I knew nothing about. The wound care rate was greater than 40% so I started going to every seminar on wound care I could. With the assistance of a good physical therapist , the infection control nurse and the support of the hospital I started a wound care team. Five years later it revolved into a multidisciplinary team with protocols determined by the Agency for Health Care Policy and Research (AHCPR) guidelines and the Wound, Ostomy, and Continence Nurses (WOCN). This team presented to Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for a performance improvement project. Mandatory education to all nursing was required to teach how to measure treat wounds and the physiological causes of wounds. This was at a major hospital in Houston.

I have worked ICU, surgery, medical surgical; all have enhanced my knowledge in the treatment of wounds. I now work in a 110 bed long term care facility (as a wound care director) and have just taken my National Certification for Wound Care. I love to educate and teach how to prevent pressure ulcers and other significant wounds. It is nice to be able to work side by side with physicians and other disciplines to have a respectful relationship and work as a team to treat the whole patient.

I chose long term care because it allows me to follow wounds from the beginning to resolution. Taking the wound care certification has allowed me to apply the knowledge I have learned to direct patient care. It has also taught me the importance of treating the whole patient not just a wound.

Barbara Springer, RN (soon to be Certified Wound Specialist)

June 13, 2005 in What I Do | Permalink

Comments

I enjoy wound care a lot. I would love to become certified. Any suggestions for a Assc. Degree Nurse?
Email response to Hahn1rn@hotmail.com

Posted by: Patricia | Oct 11, 2006 4:18:45 AM

There is such a satisfaction in seeing a chronic wound heal. It's a very concrete process that both patient and practitioner can appreciate. ECFs need folks like you. Skin care becomes such a priority at the end of life and a skilled practitioner can make a big difference in the quality of one suffering with a chronic wound. Keep up your good work. Also, the CWS is not just for PT, as you know. The AAWC is a nice mixture of medical, nursing, basic science, PT. If you can attend on their conferences, I would encourage it. It was quite helpful to me. Best of luck.

Terri

Posted by: Terri | Jul 25, 2005 3:18:26 PM

Good job! I too, have the same success in developing a wound/ostomy/hyperbaric center. I was disappointed to see that you have chosen to achieve your certification as a CWS, a program originating by and for physical therapists. Though there are many fine nurses involved with the AAWM, there is another choice that is strictly designed for nurses. That is the Wound Ostomy Continence Nurses Society. They are accredited by the American Nurses Credentialing Center and offer WOUND or OSTOMY certification that is at BSN entry level. The educational programs and certifications promote excellence in nursing practice. Consider this or both credentials, many nurses do.
Good luck.
Nan

Posted by: nancy | Jul 19, 2005 10:54:38 PM

I believe you are one of the best wound specialist.

Posted by: v | Jun 17, 2005 3:04:49 PM

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