Fabiola Jimenez's blog

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Nutrition Management

Fabiola Jimenez, RN, ACNS-BC, CWOCN

While I was providing foot care to a patient, one of my coworkers overheard me advising the patient that she will need a lot more protein to heal her wound, and some changes to her diet will be necessary and therefore tighter control of her blood glucose and improved hemoglobin A1c. Later, I was approached by a coworker who told me: "Because you are not a Registered Dietitian, you cannot discuss dietary needs with the patient." I disagree.

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Skin Care

By Fabiola Jimenez, RN, ACNS-BC, CWOCN

Have you noticed the tissue trauma that occurs to the posterior aspect of the scrotum? It appears like road rash, partial tissue loss, and denudation. Many times it is weepy, and looks it appears quite painful to the patient.

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Education

By Fabiola Jimenez, RN, ACNS-BC, CWOCN

I recently celebrated 30 years in nursing and completed my fourth year as a certified wound, ostomy and continence nurse. Since I took my current position in November of 2014, I have conducted Annual Skin Care Skin Fairs, usually in the fall. In the spring, to coincide with Nurses' Week, I join the hospital nursing educator and host the mandatory equipment fair where the staff is required to put hands on the various equipment we use in patient care. Twice a month during nursing orientation I present the products used for skin care, basics of wound care, and ostomy care. The staff is encouraged to return during subsequent months during new staff orientation and reinforce skills with which they do not feel comfortable.

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Nurses communicating about patient

by Fabiola Jimenez, RN, ACNS-BC, CWOCN

To tell you the truth, I was not exactly sure what I was getting into when I decided to go to Wound Ostomy and Continence (WOC) nursing school. My reference was my experience during my Clinical Nurse Specialist (CNS) clinical rotations where I worked with a colorectal surgeon and the Nurse Practitioner (NP). The patients we saw had everything to do with a WOC’s expected body of knowledge.

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nursing career

By Fabiola Jimenez, RN, ACNS-BC, CWOCN

Nursing has given me great opportunities; some of them I never imagined possible. I started as a medical surgical nurse in an oncology unit where the treatment of the day was gauze soaked in Dakin's solution for the management of post op radical neck surgery. I moved on to intensive care, travel nursing, Army nursing, and endoscopy. It was in endoscopy and working with the colorectal surgeons, who helped me get my clinical experience while pursuing a master's degree in nursing, where I found out that it all could be tied together with a certification in wound, ostomy, and continence (WOC), and a wound care nurse is born!

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