presentervickiross welcome clean vs sterile wound technique developing evidence based guidelines of...
TRANSCRIPT
![Page 1: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/1.jpg)
PresenterVickiRoss
WelcomeClean vs Sterile Wound Technique
Developing Evidence Based Guidelines of Care
![Page 2: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/2.jpg)
Clean VS Sterile Questions
Does uncertainty exist on technique?
Is there sufficient evidence? What are the current practices? How can one design a guideline?
![Page 3: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/3.jpg)
Literature Review
Studies describe inconsistent practices
51% favored sterile, 43% clean, WOCN (1993)
No scientific foundation behind choices
![Page 4: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/4.jpg)
Current evidence
Perleman et al. (2004) ER suturing study
Lawson, Juliano, and Ratliff (2003) Open surgical wounds
“Stotts, et al. (1997) No significant effect on infection
![Page 5: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/5.jpg)
Current Practices
Follow procedure in reference book, i.e. Mosby
Mosby (2006) … follow hospital policy!
WOCN Position Statement (2001)…Clean for mostAACN Procedure Manual (2005)…Clean/surgical grafts
![Page 6: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/6.jpg)
GUIDELINES OF CARE KEY PLAYERS
Wound Healing Department
Infectious Disease DepartmentSurgical Steering CommitteeClinical Practice CommitteeNursing Education
![Page 7: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/7.jpg)
GUIDELINES OF CARE
SURGICAL WOUNDS
NOT APPROXIMATED WITH EXPOSED HARDWARE OR
ORGANS
IMMUNOSUPRESSED/PRIMARY CLOSURE
FIRST DRESSING CHANGE
STERILE TECHNIQUE→ OR USE
![Page 8: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/8.jpg)
GUIDELINES OF CARE
→ USE
NON SURGICAL WOUNDS
IMMUNOSUPPRESSEDMD ORDER
NURSING JUDGEMENTSTERILE TECHNIQUE
![Page 9: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/9.jpg)
GUIDELINES OF CARE
USE
UlcerationsTraumatic woundsLacerationsUnapproximatedSurgical woundsMiscellaneous
Clean Technique
![Page 10: PresenterVickiRoss Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care](https://reader035.vdocuments.us/reader035/viewer/2022072015/56649ed35503460f94be383e/html5/thumbnails/10.jpg)
The End
THANK YOU