Cheryl Carver's blog

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Wound Dressing Supplies

By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

I feel like I am spinning my wheels on this warm sunny day in Ohio. My passion for wound care continues to grow, but I have days like these every once in a while. I always say, "We don't know what we don't know, right?" So I keep chipping away to educate and mentor other health care professionals.

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Staphylococcus aureus biofilm

By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

One of my favorite topics to discuss in wound care is biofilms. When I conduct wound care in-services or trainings, I always ask the audience, "Who wants to tell me what a biofilm is?" There is silence. From that point, I proceed to tell my little story about biofilms. It sounds a little like this...You know when we go to bed at night, get up in the morning and feel that sticky film on our teeth? We brush our teeth with a minty-fresh toothpaste. Now our teeth feel clean. By the next morning, that sticky, fuzzy feeling returns, right? Or, when your pet's water dish develops that slimy swamp layer and then you change it? Well that, my folks, is a biofilm!

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job safety training

By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

I was thinking back to the days when I worked as a hyperbaric technologist. Hyperbaric medicine has significantly evolved over the past decade. Many things stick out in my mind, such as criteria for insurance payor reimbursement, hyperbaric dosing, and regulatory standards, to name a few. Those were the days when we had to fax hyperbaric research articles and case studies to the utilization review departments of insurance companies. Ninety-nine percent of the time, panel review board members didn't know what hyperbaric oxygen therapy (HBOT) was. I would also get asked, "Do you mean 'bariatric'?" (instead of hyperbaric). The legwork seeking prior authorization for HBOT was dreadful during that time.

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safety net

By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

Substandard documentation tops the list of mistakes for long-term care facilities. It involves "all hands in the chart" so to speak. This encompasses all disciplines, from the nursing assistant to the physician. Discrepancies and gaps in documentation put your facility at risk of litigation. Impeccable documentation is essential in defending any case. Your facility must have a "safety net" in place. This "safety net" consists of educating staff about the importance of timely and detailed documentation not only for the facility, but for their license. Often times, clinicians are not aware of the legal repercussions of their actions. Surveyors will also consider other related Federal Tags (F-Tags) during investigations for compliance.

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Nursing Skills

By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

As a wound care consultant, I receive many requests to conduct ongoing in-services of various topics with "all" nursing staff. This request is intended for the LVN/LPN and RN staff. My definition of "all" nursing staff is licensed nurses AND certified or state tested nursing assistants.

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By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

Being an independent wound care education consultant in long-term care, I get a lot of questions regarding moisture-associated skin damage (MASD). Is it MASD or a pressure ulcer? When do I change it from MASD to pressure ulcer in my documentation?

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Doctor's pocket

By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

It is kind of funny to me, but we all tend to first take a gander at the alphabet soup on badges or business cards. But I ask you this, "Is this what stamps or marks us of all of our achievements?" There are many who think so, and that’s okay. There are numerous physicians and nurses that have earned international recognition, published books/journals, and even have lectured all over the world that do not have any type of wound care certification. Does this mean they are not a "true" wound care specialist?

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As a child, I did my best to teach my stuffed animals. I lined them up perfectly, and set up my little card table and chairs. I couldn’t wait to grow up and become a real teacher. Teaching what, I didn’t know. Well, since then I have become a wound care educator for physicians and nurses. I’ve been thinking a lot lately about wound care education. Not education in terms of course curriculum, but education as the process of transforming one’s thinking and perspective.

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By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

As a traveling wound care educator for physicians, I am observing many changes within the state survey process for long-term care. Wound care physicians working in long-term care are feeling the same anxiety that facility leaders and staff members are, as the time nears the window for an annual state survey.

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band aid treats

By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

It is getting close to Halloween! Halloween is one of my favorite holidays, so lets have some fun with the serious subject of long-term care facility state surveys, which can occur regardless of the holidays...

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