Hands-on RN wound and ostomy care, with visits based on clinical need.
Managing a wound or ostomy for the first time can feel uncertain. Andreen Robinson, MSN, RN provides direct, provider-ordered wound and ostomy care, with visits scheduled around clinical need and provider orders where required, rather than a fixed calendar.
Patients and caregivers managing a wound or ostomy that needs ongoing clinical attention
- Patients and caregivers managing a wound at home after surgery or hospitalization
- Patients adapting to a new ostomy and their family caregivers
- Wounds that need more than one visit to track healing and adjust the care plan
- Caregivers preparing to take over a routine from a discharging provider
What this is
- Hands-on wound care and dressing changes per your provider’s treatment plan
- Pouch changes and ostomy site care
- Tracking healing progress visit to visit and adjusting the plan as it changes
- Teaching skin care routines and supply organization for between visits
- Clarifying which signs require a call to the provider, urgent care, or 911
What you’ll leave with
Wound or ostomy care handled by an RN for as long as it’s clinically needed, with progress tracked and a plan for when visits can step down.
Based on clinical need and provider orders where required, reassessed at each visit rather than fixed in advance.
Steady healing progress, a routine the family can manage confidently, and prompt escalation if something changes.
Visits step down as healing progresses, ending with a written summary, or referral to a wound care specialist if the wound exceeds individual RN scope.
Situations this program helps with
A patient home after abdominal surgery with a new ileostomy. Neither the patient nor his spouse had seen one before. The hospital showed them the basics; they need someone to walk through it again, slowly, in their kitchen.
A man with a surgical wound that isn’t healing as expected. His home health visits ended last week. His daughter is managing the dressing changes based on what she remembers from a handout.
A woman with a wound at a bony prominence. Her son is managing dressing changes alone, not sure whether what he’s seeing is normal healing or something to report to the surgeon.
What families ask before scheduling
Does HVPN need a physician order to perform wound care?
For hands-on wound or ostomy care, provider orders are required when clinically indicated. We discuss what is needed at the initial consultation and coordinate with your provider accordingly.
What if I’m already getting wound care from another provider?
We can complement existing care or provide continuity when another provider steps down. If your situation requires a wound care specialist beyond individual RN scope, we’ll tell you and refer accordingly.
What supplies do I need on hand?
We review appropriate supplies for your wound or ostomy before the first visit so you know what to have ready. You do not need to purchase anything in advance without guidance.
Can you teach my spouse or adult child to manage the routine?
Yes. Teaching the hands-on routine to the family caregiver is one of the most valuable parts of these visits. We teach step by step, with time to practice.
How do you track healing progress?
At each visit we note the wound’s appearance, size when measurable, and any changes—and communicate findings to your provider when warranted.
What if the wound looks worse between visits?
We establish clear criteria at each visit for what to watch for and what warrants a call to your provider versus an urgent care visit or 911.
When another provider may be more appropriate
HVPN does not perform wound care independently without provider direction, does not manage wounds requiring a wound care specialist or WOCN beyond individual RN scope, and does not provide continuous wound care coverage in place of a licensed home care agency. See our Terms of Use for full service scope.
Request a consultation
A brief, no-obligation conversation to confirm fit and schedule your appointment.
Request a ConsultationYou may also need: Caregiver Education & Coaching or Post Hospital Recovery Program.
Skilled wound and ostomy care at home, from an RN you know by name.
Request a consultation to discuss your provider’s treatment plan and schedule your first visit.
Request a Consultation