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8 Thoughts to “Providing wound care in the home: An option to explore”

  1. Ronda Worrall

    I’ve been in home health/hospice for 17 years. I’ve only been certified in WCC for 3 years but plan in Nov. 2012 taking the advanced diabetic class. In my small rural area the physicians don’t know what to order as they weren’t instructed in school. Wound care is a challenge without ever learning it all. I love it!! I feel wounds heal better at home than in the hospitals and have less infections. I’m thankful for the resources from the certification and then I have built another binder I call my “wound Bible” and compare many products , tips and notes of things I’ve tried. I wish I had more ostomy knowledge from the class, even though I don’t like or have to do many. I find many of the older WOCN nurses will say, “what is WCC”? I’m glad I’m rural and will probable never do maggot therapy. Yuck!

    1. Hey Rhonda! Thanks for your post. I love that “wound care Bible” binder idea its nice to keep it all in one place. For years I would drive around with books in my trunk lol !!
      I hear you on the “wish I had more O knowledge.” You are NOT alone on this that is why we have been putting alot more O topics at WOW (wild on wounds convention)as I know many of you guys are pulled in on these cases due to the lack of Ostomy nurses being available. That is another reason why we wanted to partner with this publication to support you guys in these issues. Keep up the good work! Let me know if you need anything as you ALWAYS have the WCC hotline and I can answer O questions too 🙂 NancyWCEI

  2. Jen Cluff

    Hello. I am thrilled you were able to make such as difference in that patients life. Home care is a challenging and rewarding setting. My only comment is regarding WCC. As a WCC are you educated on ostomies? I didn’t believe that was covered in training. If that’s accurate, you have educated me on the role of a WCC. Thanks!
    Jen Cluff RN BSN CWON

  3. Hi Jen, thanks for your post and good question. Our WCC course covers skin & wound mgt but we have a section on peristomal skin issues as we are finding that many of the WCC’s are being pulled in on these cases cause there is not a Ostomy nurse available or close to them. I have also been including more O topics at our annual convention and doing some seminars on this to help support the WCC’s.

  4. amy wisniewski

    Is there a regulation requiring homecare agencies to provide wound care supplies, even if they are not on medicare? Our agency always supplies the products, stating it is the law, however I cannot find this regulation anywhere.

    1. Donna Sardina

      Amy,
      Guidelines for reimbursement of wound care supplies varies based upon the clients payment source. In addition to Medicare, some other payment sources, such as Medicaid, Insurance companies, and state assistance programs, may require that a home care agency provide supplies.

  5. Kristen

    I’m a PT, and the HH agency I work for is considering having PTs become more active in “nursing only” wound care cases that are not making progress (ie to use e-stim or ultrasound, anodyne, etc,. to accelerate wound healing). Does this fall within Medicare guidelines for HH physical therapy? I know it is within my scope of practice to perform wound care, but is it appropriate in a HH environment? Thank you

  6. Are home health aides allowed to provide wound care? And to what extent? Or are they only to “reinforce” wound dressings?

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