NHS Benchmarking has highlighted that 39% of district nursing clinical time is spent in wound care, with additional research suggesting that 20% of this work relates to venous leg ulcers. 6.4 Selection of Wound Dressing Product 6.4.1 Nurses should adhere to the wound care guidelines (PAT/T 6) when choosing appropriate wound management products. The SWAAG can be used to aid your assessment of wounds and to help you to consider various treatment options for managing a wound. Further advice on this topic can be found under NICE guidance1 – Inadvertent Peri-Operative Hypothermia Guideline (2008) – which includes advice such as the warming of IV fluids. | We would Next review due: 19 January 2021, if treating someone else, tell them what you're doing and make sure they're sitting or lying down, don't try to remove anything embedded in the wound – seek medical advice (see below), rinse the wound under running tap water for 5 to 10 minutes, soak a gauze pad or cloth in saline solution or tap water, or use an alcohol-free wipe, and gently dab or wipe the skin with it – don't use antiseptic as this may damage the skin, gently pat the area dry using a clean towel or pad of tissues, but nothing fluffy such as a cotton wool ball – strands of material can get stuck to the wound, apply a sterile dressing, such as non-adhesive pad with a bandage, or a plaster – use a waterproof dressing if available, if blood soaks through the dressing, leave it in place and add another dressing, and continue to apply pressure on the wound, is too painful for you to successfully clean, becomes red and swollen or has pus coming out – it may be infected, was caused by a bite – all animal and human bites need medical attention. HSE National wound management guidelines 2018 (PDF) Published by Health Service Executive, Republic of Ireland, 26 September 2018 This guideline aims to support all clinicians in the clinical decision making process in their wound care practice. Published by National Health and Medical Research Council (NHMRC) (Aus), 02 October 2011. This guideline “HSE National Wound Management Guidelines 2018” updates the 2009 guidelines and provides a national standardised evidence based approach and expert opinion for the provision of wound care management. Leg ulcer - venous: Scenario: Venous leg ulcers, Compression stockings: Scenario: Compression stockings, Bites - human and animal: Scenario: Managing a human bite. Journal of Trauma and Acute Care Surgery 68: 721-733. A recent debate at the House of Lords, ‘Improving the standard of wound care in the NHS’, (November 2017), discussed the burden of wound management in the UK and suggested strategies on how to improve the standard of wound care across the NHS. infected wound advice should be sought from the Tissue Viability/ Wound Care Nurse Specialists. www.nottinghamshirehealthcare.nhs.uk The Tissue Viability Team C/O Ashfield Health and Wellbeing Centre Portland Street Kirkby-in-Ashfield Nottinghamshire NG17 7AE 01623 784759 . The clinical nurse may be the first caregiver to assess changes in a patient's skin and initiate wound care. This will reduce the risk of infection and encourage the healing process. The aim of the Wound Management Guidelines and Formulary is to provide practitioners with guidance and a selection of products which are preferred for use in NHS Highland, based on effectiveness, suitability, acceptability and cost-effectiveness. Wound Care Guidelines Roles and responsibilities are outlined in section 4 For wound assessment principles refer to section 5 For wound management and formulary guidance refer to section 6 For guidance on how to refer to the Tissue Viability service see section 6.12 Wound Care Clinical Guideline V1.0 Reviews new medical devices for adoption in the NHS. Problems with wound healing A lot of wounds heal without any problems. Published by Health Service Executive, Republic of Ireland, 26 September 2018. Wound 5Assessment Clinical Guideline Skin Care Service March 2018 of 41 A wound chart should be completed for every patient/client with a wound. The aim of the Wound Management Guidelines and Formulary is to provide practitioners with guidance and a selection of products which are preferred for use in NHS Highland, based on effectiveness, suitability, acceptability and cost-effectiveness. This means that germs have started to grow in the wound. However, the most common complication after surgery is wound infection. 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