Wound Care Providers: A Case Study

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.

The data collection was carried out as the participants came for wound dressing. The explanation was given to each patient regarding how the conventional group is being treated with povidone-iodine and the herbal group with formulation prepared by the researcher. The demographic variables were collected following the norms laid by diabetic protocol. The protocols included were, checking of vital signs, BMI, RBS, nail care, sensation checking by cotton wool tip and cold and hot water, monofilaments and plantar pressure checking. The wound measurement was made by using of Texas stage and grade scale and Wagner grade scale. This data collection was carried out at the pre-test level, post-test level 1 after 15 days and again post test level 2 after

The process of wound assessment requires accurate and appropriate interventions while dealing with the patients. There are some major components which the operator must consider to effectively access an infection, and they require a range of skills and knowledge. These factors are the knowledge of relevant anatomy and physiology, the understanding of the various factors that accelerate wound growth, and the ability to listen and understand the patient’s needs. In wound accessing, the doctor should have an idea concerning the number and location of wounds, the required treatments depending on the type of infection, the type of wound in accordance to various grading given, and the procedures to follow to achieve the treatment

On assessment, the wound was slightly exudates, odour, sloughs and dry skin patches on the surroundings. Sprakes (2010) state that, holistic assessment of patient and the wound are essential in order to facilitate the wound healing process. Ousey and McIntosh (2010) points out that, chronic wounds are exacerbated by a sequence of misdiagnosis, neglect, incompetence or inappropriate treatment strategies. I observed that, M’s wound was with exudates and sloughs; this

Data collection was from the questionnaire that consisted of questions related to experience background, training for wound and wound care, responsibilities and in regards to wound care guidelines, including the wound registration form. This was collected in Monday through Friday within a week.

The International Wound Infection Institute declares that because of increasing mortality rates due to SSI, it is imperative to identify patients at risk, as well as follow preventive measures to try and contain these infections. Further, groups like the National Institute for Health and Care Excellence in the U.K. and the Surgical Care Improvement Program in the U.S. along with the National Health and Medical Council of Australia, agree that health care workers should be educated and have the information to prevent the spread of SSI 's. (Clinical Practice). In order to reduce the number of surgical site infections (SSIs) a number of procedures and practices can be bundled for the optimal prevention of the spread of these infections. There are procedures that can be done pre-op, during the surgical procedure, as well as post-op to ensure that a patient does not contract an infection at the surgical site. These procedures include patient safety practices, patient assessment, healthcare worker safety practices, operating room safety procedures, along with basic education of the health care workers, patient and caregivers once the patient is discharged.

In the model below, we assume that an agency is used. Home telehealth option 3 involves store-and-forward telemedicine integrated with telehealth consultation. The patient is managed by a homecare agency or nursing facility as in usual care. A digital camera and instruction kit are provided to the caregiver or nurse. If it is the caregiver, we assume that he or she is willing and able to operate the digital camera. This option also assumes that secure internet access is available for transmitting the photos via e-mail. Digital photos of the PU and surrounding skin are taken every week. They are then forwarded to the SCI Center for review by a nurse and for documentation in the medical record. The nurse contacts the managing agency for any treatment recommendations. SCI telehealth consultation with a nurse practitioner or physician at a local VA spoke facility is scheduled if the wound is either getting worse or appears healed. In case of poor healing or complications, expeditious intervention and treatment plan alterations would be implemented.

In order to fullfill my healthcare competency in evidence-based practice, the leadership goal that I have formatted is to obtain my certification in wound management. I will begin to work towards attaining my wound certification by discussing my future goal with the Director of Nursing, in hopes to find financial resources and the support needed to complete all requirements. I would like to obtain my certification in wound management by January 30th 2016. One of the resources that will be an excellent guide is the assistance of house doctors. In my current position, I have been able to schedule joint visits with providers in the patient’s home, for assessment and coordination of wound management on the patients we currently serve. Also, our current computerized system for completion of visit note entries has a very detailed wound management field. In persuing wound certification I will be able to acquire more knowledge in wound management, applying the education to wounds on patients who are at risk of developing wounds, have existing complication for non healing wounds and on achieving agency wide goal for improving non- deteriorating wounds. With medicare and medicaid keeping track of wounds and posting outcomes for the public to review, this will be an asset for my current place of employement.

The design of this study will be quasi-experimental, in that the standard elements of the studies mentioned before will be present in this proposal, but with the inclusion of a newer solution, that are being used in order to clean wounds and prevent infection from occurring once the wounds have been dressed with a novel silver dressing. This will include a solution that contains Manuka Honey in it (the active ingredients are not all known yet, only that a chemical reaction that takes place when exposed to a wound is the formation of benzoyl peroxide (Mandal and Mandal, 2011)), and covered/packed with Mepilex wound dressings. This will also serve as only a baseline sample — no combinations

The article by Fernandez and Griffiths (2013), compares the use of tap water to other cleaning solutions when cleaning wounds. The current practice found in the article was using normal saline because of its isotonic properties and its ability to not affect the healing process of the wounds. Current literature states that clinicians should caution when using on wounds that have exposed tendons or bone and that normal saline should be used in this case. So with that in mind, the authors conducted a study based on tap water effects in wound care.

Wounds have a major impact on an individual’s quality of life due to many factors such as pain, infection, increase drainage and foul odor. Factors such as diabetes, hypertension, coronary artery disease, nutrition, peripheral vascular diseases, vitamin deficiency, smoking, infection, stress, obesity, and medications can affect wound healing. The presence of those factors that can impede wound healing makes it crucial for accurate assessment, early diagnoses and appropriate treatments. Thus, choosing appropriate treatments in the management of chronic wounds is vital to wound healing. Silver dressings have been shown to be very effective in the treatments of chronic wounds and leg ulcers. Due to the advance in technology, the use of Silver has expanded. Nowadays, there are many types of Silver impregnated dressings such as elemental silver, inorganic compound, organic compound and silver nitrates. Choosing appropriate silver impregnated dressings is vital to wound management and cost savings. The roles of the CWCN is to obtain a thorough history, provide correct assessment and diagnoses, recommend appropriate treatments, educate staff and patients on types of dressings, intended/ adverse effects, proper dressing changes, collaborate with multidisciplinary teams such as dieticians for proper nutrition, physicians, surgery, vascular lab, nurses and so on. In addition, the CWCN is responsible to develop regular in service on wound assessment and new

Shawna Garito BSN, RN, CWON is a nationally certified wound and ostomy specialist at Sacred Heart Hospital in Pensacola, Florida. She has been serving the Sacred Heart Ministry for 8 years in the cardiology, intensive care, and wound care capacity. She holds certifications in Advanced Cardiac Life Support (ACLS), Basic Life Support (BLS) and Diabetic Foot and Nail Care. Currently, she provides advanced wound healing modalities for patients with wounds originating from diabetic complications, venous and arterial disease as well post-operative dehiscence. She also provides pre and post-operative education and teaching to new colostomy, ileostomy and urostomy patients.

For example, it was one author’s experience, when working in a cardiac surgery center in Duhok, Iraq, that five adult patients who were suffering from sternal wound infections died after open heart surgery. This is significant because they all died within 1 month. The investigation into the cause showed that the surgery instruments were not sterilized using the adequate and ideal method. Therefore, staff nurses in cardiac surgery departments need nursing knowledge so that they can provide safe care that reduces or eliminates post-operative infections. For example, they need instructions about sterilizing equipment, giving medications, and evaluating patients before, during, and after heart surgery. Nurse educators are prepared to provide teaching strategies to staff nurses to assure quality care. The purpose of this proposed quasi-experimental study is to investigate whether education for operating room staff nurses will result in fewer wound infections in adult patients after open heart surgery. Educational content will include sterilization program, medication program, and nursing care program.

Pressure ulcers remain an issue in nursing, as they cause financial losses to not only the patients, but also the healthcare sector. In addition, the expenses arising from extended hospital stays, an increase in readmissions, and admissions to the hospital are included as well. Over the years, preventive interventions have focused on the elimination of pressure ulcers. In such cases, the prevention strategies have concentrated on the role of nurses in preventing the occurrence of pressure ulcers. Current texts reveal strategies that can be implemented in order to effectively manage and prevent pressure ulcers in the healthcare sector. The use of a proficient wound care team is common in many skilled nursing facilities. The failure for the effective management of this ulcer demonstrates a need for the adoption of new beneficial strategies. While previous researchers have proposed investigations on the effectiveness of a wound care team in the management of a pressure ulcer patient, the gap between writings and implementation still persists. Nurses have a role in presenting a plan that will encourage effective prevention and management of

Nurses of all generations are faced with the challenge of keeping up with a healthcare atmosphere that is fast paced, technologically advancing, and ever evolving while also staying current on skills to provide safe, effective, quality care to their patients. Particularly challenging are skills that are uncommon to everyday practice, such as specialty wound care dressing application and care. Elder et al. (2014) points out that there is a lack of simple education tools on prevention and management of wounds that are targeted at nurses. Evidence demonstrates and milestone reports from the Institute of Medicine (IOM) (2011) highlight that changes in nursing education are needed. Still the nursing workplace is evolving at a much faster rate than new, effective education modalities are being implemented. Using technology is a skill “essential for today’s nurse to be competent in supporting their work and in empowering and supporting patients” (Holland et al., 2012). Video-based education has been shown in several studies and articles to have positive effects education in the medical setting (Brydges, et al., 2009; Holland et al., 2012). Health care organizations must work to seek out and support evidence-based practice (EBP) interventions that promote continued nurse education, particularly in wound care in