Wound Care Certificate Day 2/4 - Lesson 2A: Clinical Best Practices in Wound Care

Please watch the following recorded lecture and respond to the discussion question below.

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What best practice guidelines are used in your organization and how are they implemented? What are some benefits and limitations to their use?

Instructions: You must post your responses in the comments section below before the next live lesson on Day 3. The instructor will review your comments and have a debrief discussion at the start of the next live session. The comments section will not be moderated otherwise.

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12 comments on “Wound Care Certificate Day 2/4 - Lesson 2A: Clinical Best Practices in Wound Care

  1. WP Documents/Tools with BPG's (not exclusive):
    -Braden Skin Risk Assessment Tool
    -Bates Jensen Wound Assessment Tool
    -Pressure Injury Prevention Policy
    -Emergency Restraint Policy
    -Foot Care Policy
    -Falls Policy

    WP aligns their Policies, Procedures and available tools with BPG's from professional associations such as the RNAO; Policies, Procedures, Tools, Medical Directives etc. are reviewed on specific schedules to ensure the most up to date information is provided to staff.

    By utilizing the specifics of each guideline, clinicians can ensure they are providing the most appropriate care while building on their professional skills and education.
    As mentioned above, BPG's are important to ensure appropriate and evidence-based care is provided. However, WP offers a very unique setting where elevated risk of harm in a situation may require attention prior to having the ability to implement a BPG. Debriefs and incident reporting post such occurrences are vital to ensure a review of the situation can be done and a plan to better implement BPG's can be discussed for similar incidences in the future.

  2. We use the Braden Scale skin assessment upon admission, daily observation with patients consent and based on their ongoing mental status, Documentation and team communication.

  3. Our organization has its own policymakers that basically mirror the Best Practice Guidelines. I am a Best Practice Champion, and with respect to wound care or anything medical based, the emphasis in our care has focused on the psychiatric piece, and the knowledge skill and judgment has fallen on the NP or other health care providers to assess and treat. These gaps in our care model have been identified and as we are moving towards a more comprehensive model of care, providing more education opportunities for staff and certainly will promote positive outcomes for our patients.

  4. Braden Skin Risk Assessment
    Bates Jensen Wound Assessment Tool
    Completing assessments can sometimes be easier with patients on the unit I work on because they can be fairly independent. Some of the limitations we can face depends on the safety of the staff and patients. As well as patients that are in active psychosis or patients that are refusing any treatment.

  5. we have braden scale, wound assessment, document changes (improvements or deteriorate) all through meditech. challenges are patients dx, refusals that affect treatments for wounds. benefits are documented hx & all clinicians that are part of the care team for patient can read the documents on patient.

  6. we use Braden skin assessment, wound care documentation, recovery plan of care and clinical updates, I have also used photography for a wound here, ADL ensuring proper nutrition, dietary consults. We have also had Bayshore assess wounds

  7. Braden skin assessment
    Wound and skin assessment documentation
    Daily observation during ADLs
    Team communication

  8. In my role, I use a dermatology photography best practice document to help in accurately capturing an image that is consistent with the assessment of a wound.

  9. Wound and Pressure Ulcer Assessment Intervention(Meditech) which helps us determine level of risk as well as healing progression.
    Standardized assessment of Risk Factors
    - Braden Scale and Bates Jenson Wound Assessment Tool(BWAT).
    On our unit during shower/bath times we try to keep up with skin assessments and document any findings.
    I do agree though based on where we work it is often difficult to treat the wounds because we have other factors to think about ie repeated self harm, psychosis and some patients just refusing medical intervention altogether just to name a few.

  10. Braden Skin Risk Assessment, Bates Jensen Wound Assessment Tool, Pressure Injury Prevention Policy includes NPUAP Pressure Injury Stages

  11. Due to the nature of the facility we work in, BPG's are not often referenced as our patients MH and safety needs are complex and best practice, while always the goal, is not always achieveable. We do our best to support the physical health needs of our patients however many concessions are typically made or creativity used in order to meet even basic outcomes.

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