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Presenter VickiRoss

Welcome. Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care. Presenter VickiRoss. Clean VS Sterile Questions. Does uncertainty exist on technique?. Is there sufficient evidence?. What are the current practices?.

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Presenter VickiRoss

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  1. Welcome Clean vs Sterile Wound Technique Developing Evidence Based Guidelines of Care PresenterVickiRoss

  2. Clean VS Sterile Questions Does uncertainty exist on technique? Is there sufficient evidence? What are the current practices? How can one design a guideline?

  3. Literature Review Studies describe inconsistent practices 51% favored sterile, 43% clean, WOCN (1993) No scientific foundation behind choices

  4. 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

  5. Current Practices Follow procedure in reference book, i.e. Mosby Mosby (2006) … follow hospital policy! WOCN Position Statement (2001)…Clean for most AACN Procedure Manual (2005)…Clean/ surgical grafts

  6. GUIDELINES OF CARE KEY PLAYERS Wound Healing Department InfectiousDisease Department Surgical Steering Committee Clinical Practice Committee Nursing Education

  7. GUIDELINES OF CARE OR USE →

  8. GUIDELINES OF CARE IMMUNOSUPPRESSED MD ORDER NURSING JUDGEMENT NON SURGICAL WOUNDS STERILE TECHNIQUE USE →

  9. GUIDELINES OF CARE Ulcerations Traumatic wounds Lacerations Unapproximated Surgical wounds Miscellaneous Clean Technique USE

  10. The End THANK YOU

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