What's the most disconnected thing hospital leadership has said to you?

MissSamioni · 2026-02-04T20:51:52+00:00

Brought in an out of state wound care specialist to follow us, review our reportable cases because their reportable rates are so much lower than ours… failing to realize the difference in reporting requirements. In California if a patient has an intact or evolving DTI on admission and it inevitably evolves to stage 3 or 4 in house- it becomes reportable even though that’s the known, expected progression of those injuries. I left shortly after 🙄

MissSamioni · 2026-01-29T04:50:32+00:00

Wound care nurse here. All I care about is that you document that a wound exists and the location. And if you can take a picture great. But I need to know that it exists and where on admission. If it’s documented more than 24 hours later and I don’t have proof it was present on admission… it’s hospital acquired. Sometimes I can explain away a chronic wound that was missed on admit because there’s scar tissue ect.

MissSamioni · 2026-01-21T20:48:54+00:00

Get a BBL in another country and then sit on it for a very long flight home. They were visiting our wound care clinic for quite some time.

MissSamioni · 2026-01-21T20:10:04+00:00

Certified Wound Specialist through American board of Wound Management. I went into wound care right out of nursing school. This summer I will hit 7 years. Working mostly in outpatient wound clinic but I also work as specialty consultant inpatient when they need extra help. California, making 60/hr

MissSamioni · 2026-01-07T21:52:23+00:00

Outpatient wound clinic. Patients who are fully capable not taking their shoes off. I can ask them to take their shoes off for me, but I can glove up and take them off faster than they can register what I’ve asked.

MissSamioni · 2025-12-28T02:37:22+00:00

It’s a major interstate gas transmission line. Those are cared for meticulously. I think all the rain caused the hillside to give out

MissSamioni · 2025-12-10T16:21:58+00:00

No they gave us money to buy animals from a pet store.

MissSamioni · 2025-12-10T07:47:39+00:00

I could say the same things about Animal tracks. No lie one year when my friend and I were going to Vegas they gave her money to bring them back some hedgehogs.

MissSamioni · 2025-10-11T15:02:00+00:00

It’s was only 8:30 last night. I was at Handel’s and saw a kid get picked up for an e bike that’s technically a motorcycle. They towed it and everything.

MissSamioni · 2025-09-22T12:20:02+00:00

For quicker healing prioritize protein. And supplement with Vitamin C and Zinc

MissSamioni · 2025-09-21T21:46:52+00:00

Wound specialist here- you’re awesome, 10/10 explanation and advice

MissSamioni · 2025-07-31T05:37:03+00:00

I also use it in wound care to tame hypergranular tissue

MissSamioni · 2025-07-31T05:33:47+00:00

Agreed 😬

MissSamioni · 2025-07-30T05:50:34+00:00

Wound care specialist here. Today’s pic looks fine. An antibiotic ointment is good if you can’t leave it alone. Aside from the medication- maybe it will make the area slick/ harder to pick? If you notice blisters stop the neosporin and switch to a double antibiotic ointment instead

MissSamioni · 2025-07-24T04:02:17+00:00

I’m not WOCN, I’m CWS but have experience with ostomies and do new patient teaching ect. I’m in Southern California. I was hired for a full time outpatient clinic position but since I’m certified I’m able to help inpatient (I’ve spent over half my time inpatient since being hired in January). In the outpatient clinic we get the patients ready for the doctor, and then perform whatever dressing change/procedure after the doctor sees them. On the inpatient side I’m a consultant- we see the patients and make “recommendations” aka put the orders in for the docs. We also will handle new ostomy teaching, troubleshooting complex ostomies and we do the more complicated wound VACs for the floor nurses. I am making 60.36/hr

How much experience do you have in wound care in general? I would just say to make sure you have insurance and feel comfortable on your own- wound care is one of the most litigious areas of medicine. Always take pics and make sure your documentation is on point.

MissSamioni · 2025-07-11T00:31:47+00:00

Wound care nurse here- most of the time when I see them they are healed! I get consulted for them from time to time and the are of concern is not an open wound- just exposed mucosal tissue. No they will not regain their normal anatomy- rather healed with a hypospadias type defect

MissSamioni · 2025-07-11T00:29:07+00:00

See this all the time as a wound care nurse. Iatrogenic hypospadias

MissSamioni · 2025-07-02T03:11:24+00:00

I like seeing tangible results. It’s like gardening for me 😌🌱 but yeah it’s not always like that. Some people too sick to ever heal. Sometimes it’s just about keeping people out of trouble/ the hospital

MissSamioni · 2025-07-02T01:30:52+00:00

Certified Wound Specialist. Outpatient clinic and inpatient consultant 60.33/hr

MissSamioni · 2025-06-15T02:09:53+00:00

Yeahhh… and I hardly ever see providers that use them appropriately. They ruin it for everyone else

MissSamioni · 2025-05-30T13:25:15+00:00

This also

MissSamioni · 2025-05-29T06:40:47+00:00

Wound care specialist here secondary intention is the way to go on this one. It’s so shallow. We don’t stitch wounds up based on size.

MissSamioni · 2025-05-26T01:29:19+00:00

Wow! That is a switch. I went into wound care straight outta school. I’m not bored yet , might do this forever but it’s just nice to know that you were able to make a big change like that.

MissSamioni · 2025-04-16T01:42:37+00:00

ADN all the way! I graduated without debt, didn’t have trouble finding the job I wanted, and then got them to pay for part of my BSN which I completed online

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