Clinical Practice Guideline Paper

Wound management is one of the cornerstones for nursing care however, effective wound care extends far beyond the application of the wound itself. Nurses may be required to assess, plan, implement, and evaluate wound care; therefore, order to fill these roles it’s critical to have an understanding of the several different areas of wound care such as, integumentary system, classification of wounds, wound procedures, and documentation. Knowledge in each of these areas will allow nurses to make well informed decisions about wound care, and as a result play an active part in wound healing.

Choosing of this dissertation among ED staff especially AMO so that they will be able to perform the procedure correctly, safely and practice according to current research based recommendations, to ensure effectiveness and patient safely. Cases of wound infection from T&S procedure can be reduced and increase patients trust in the provided services. Staff will be able to implement the procedures properly and safe in accordance with the recommendation, based on studies of wound infection from the patients.

I showed the supernumerary nurse the proper way of preparing an NPWT using a non-touch sterile technique, started by slowly cleaning the surrounding skin prior to the application of the pressure dressing. Since it was the first time of the preceptee to perform a pressure dressing, I have provided my preceptee the principles of wound management so that it will reinforce the knowledge of the supervised nurse and skills on the management of wound using NPWT. I also provided the preceptee the protocols and the wound management chart to take note of the type of solutions to be used in managing a surgical wound. We also documented in the progress notes what we have performed, and informed the nurse in-charge on the frequency of dressing change in a week.

While University Hospital is already on the brink of completely preventing pressure ulcers I would still recommend implementing all of the current practices but also add new additions to the team. Currently, we have a wound care team that diligently treats at risk and affected patients. Adding a nutritionist into the team to guarantee treatment from within along with prescribed medications. This will make the team and the strategies multidisciplinary. In addition to that, each treatment should be customized for each patient in regards to cost options and best treatment for their health. The project would also have to be performed repetitively without error to ensure that it is actually helpful. Patients’ skin should continue to be examined thoroughly in common places where ulcers could arise, the standardized pressure ulcer risk assessment should be used, and the proper care should be distributed once evaluated. The team should continue to record its progress and also provide company update emails to inform the facility, as well as send the appropriate data to the higher ups for public posting.

In this paper we will present critical analysis on the different views on nursing the wound dressing focusing primarily on the possible infections ranging from technique to use of silver to the overall impact made by these choices.

Performs patient teaching on surgical topics including DVT prevention and importance of skin preparation. While assessing a patient, Ms Davidson noticed that a patient has an open wound. She offered to clean and bandage patient wound. She

Clinical Practice Guidelines (CPG) are evidenced-based statements to help guide everyday practice of nursing. The recommendations of this CPG were generated from a systematic review and clinical analysis of literature obtained to answer a clinical question. This paper will discuss the scope and purpose, stakeholder involvement, rigor of development, recommendations, and the application of pressure ulcer prevention guidelines as recommended by the Clinical Guidelines Committee of the American College of Physician’s (ACP).

This rating scale is used to determine whether or not research is worth putting into practice. During the appraisal of research, there is a different level of evidence that is taking into consideration. There is three quality rating with five different categories. The quality rating is graded from high, good, and low or major flaw level of evidence. A high-quality research requires the study to be well structured and organized with all the necessary elements and definite conclusion. Research is considered good when the result is within normal limits and the conclusion although not conclusive can lead to more research. Lastly, a low-quality rating did not provide much information and stayed inconclusive (Dearholt.& Dang, 2012, p. 12P). There is five level of evidence in which research can fall under. The level is from I to V. the level I includes all systematic review researches that are experimental with a randomized controlled trial. These researches might be randomized with or without meta-analysis.

A wound can be described as damage to an area of the body, it can be internal or external, external wounds are damages that affect the skin and the anatomy of the skin. It is named by the type of forces that caused them. This essay briefly describes the current state of wound care in Canada, and also the projection wound care in Canada in the next 10 years. In order to understand where we are, we need to reflect on the genesis of wound care practice in

The research conducted in this study was through a quasi experimental design, and therefore has a Level III evidence (Lee and Noh, 2016). This level contains research that was obtained via a controlled trial without randomization. This type of evidence ranks just below systematic review at Level I and randomized controlled trial at Level II. Level III evidence

Implementation stage consists of: (1) tracking, (2) collaboration, (3) planning, and (4) management. It will take place during the second month. During this stage, skin condition record (Appendix A), multidisciplinary team checklist (Appendix C), and chain of communication guide (Appendix D) will be implemented. All clinicians involved during this stage must utilize these documents. This stage involves bedside nurse, nutritionist, physical therapist, wound care nurse, and an intensivist. Primary nurse will track pre-admitted and developing pressure ulcers in patients. Skin condition record will be used to assess and document description. Staff nurse will follow chain of communication protocol afterwards. Collaboration will take place once a pressure ulcer is

Cicconi, Claypool, and Stevens managed a quality improvement project to record data of how effective and beneficial the recommended practice of double gloving during surgery. The purpose of their quality improvement project is to decrease the amount of possible pathogen to skin contact from punctured gloves, reduce the amount of sharps injuries in the operating room, and to create awareness for healthcare clinicians of any potential biohazards in the workplace. Before the start of their project, their data in the year of 2006 showed that there were 26 surgery exposures out of 61 total hospital exposures (42.6% total exposure).

The American Nursing Association develops guidelines and procedures for nursing practice which include the standards or definitions of what it means to provide competent and quality care. The association has the responsibility of developing the scope and standards that are applied to the practice of all nursing professionals and act as an outline for nursing specialty practice (American Nursing Association 2010). Main components of the nursing practice are assessment, diagnosis, outcome identification, planning, implementation, and evaluation.

Keywords: new patient, clinical guidelines, mistreatment, higher rate, staff to patient relations, patient/staff relations, communication, quality care

Clinical practice guidelines (CPG) are designed to improve the quality of healthcare services, decrease unwanted, ineffective and harmful interventions for patients. CPG are used to facilitate treatments for each individual patient’s by maximizing the benefits, minimizing the risk of harm and obtain treatment with an acceptable cost. Researchers had proven that CPG is a bridge for change and improving health outcomes. The effectiveness of CPG is perceived to be helpful in clinical decision making. CPG are developed to assist healthcare providers such as doctors and nurses in decision making for specific clinical outcomes (Vlayen, et. al. 2005)