To all family docs in Ontario- If you refer a diabetic wound to OHAH for nursing care (wound care) please be aware of several things: a thread🧵 - ThreadSky

drodjig.bsky.social • 108 days ago

To all family docs in Ontario-
If you refer a diabetic wound to OHAH for nursing care (wound care) please be aware of several things: a thread🧵

Comments

slawekwojtowicz.bsky.social•72 days ago

Well, there is hope. This ancient remedy seems to CURE infected and/or diabetic ulcers like nothing else. Simple to make at home. https://youtu.be/UI5bnoGH7K8?si=robPpedubiJq0IHG

drodjig.bsky.social•108 days ago

1/Most of the nursing staff that will be doing dressing changes do not know anything about wounds, they will not communicate with you when a wound is deteriorating or changing. Even when a wound becomes necrotic, no one will tell you.

drodjig.bsky.social•108 days ago

2/They will quickly change a dressing. That’s all.
Sometimes they won’t even wash the surrounding tissue. Due to pressures not to waste supplies, they might not use enough tape to keep a dressing in place for 20 minutes after they have left.

drodjig.bsky.social•108 days ago

3/ the ET nurse or NSWOC might not see your patient for weeks after referral and even then, they could be fresh out of training and not have the confidence they need to sharp debride appropriately.

drodjig.bsky.social•108 days ago

4/ You need to have eyes on these wounds minimum weekly even if home care is in place. If you yourself have no extra wound care training, get it, or send all of your patients to a wound care specialist.

drodjig.bsky.social•108 days ago

5) it’s best if you get wound care training and with each referral to OHAH attach an extra document with very specific details and I mean step by step details and specific dressing you want for an untrained nurse to be able to follow like an instruction manual, as well as a list of supplies.

drodjig.bsky.social•108 days ago

6)I even suggest encouraging direct communication between the nurses and yourself (although agencies have policies to prevent this from happening)

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