Archive for the ‘Infection’ Category

Learn how written discharge instructions can protect your practice

Tuesday, July 16th, 2019

discharge instructions

Accurate, complete and defensive documentation is essential in all areas of practice, and wound care nursing is no exception.

wound care

By Nancy J. Brent, MS, JD, RN

One component of documentation that is of utmost importance is written discharge instructions. In the following case, this was one of the central issues the federal court had to evaluate — Shelton v. United States, 804 F. Supp. 1147.

The patient sought treatment at a VA hospital after he was bitten on the tip of the middle finger of his right hand during an altercation with a female after they left a bar.

The wound was painful and bleeding.  He called 911, stating he had been shot. He would not allow the paramedics to examine his finger.

The ED admitting nurse noted on the admission form he had suffered “trauma” to his right middle finger. He was then seen by an ED physician, whom he told he was bitten and that he had been shot.

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The Case of the Dirty Wound Care Clinic

Friday, December 15th, 2017

Nancy Collins, PhD, RDN, LD, NWCC, FAND

We have made progress in reducing healthcare-associated infections, but still have a long way to go, especially when patients complain of dirty, dingy hospitals and wound care clinics.

Dirty Wound Care Clinics and Infections

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

I feel a little like girl detective Nancy Drew as I ask you to consider the Case of the Dirty Wound Care Clinic. Let me explain. In a recent lawsuit, the plaintiff alleged that her mother’s wound did not heal and became infected because of the lack of cleanliness in the hospital-based clinic where she was receiving treatment. It would not surprise me if your initial reaction to this claim is that it is nonsense, so let’s take a closer look.

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Top Tips for Best Wound Cleansing Practices

Friday, June 30th, 2017

Are your wound cleansing practices up-to-date? Find out with these top tips for cleaning wounds properly and choosing the right cleansers.

Top Tips for Best Wound Cleansing Practices

 

When you get clinicians together to talk about wounds, dressing choices are usually a popular topic. Wound cleansing? Not so much.

Cleaning a wound thoroughly – and frequently – is a crucial part of wound care. In fact, you should clean a wound every time you change a dressing – unless it’s contraindicated. Why is it so important? Cleaning a wound:

  • removes loose debris and planktonic (free-floating) bacteria.
  • provides protection to promote an optimal environment for healing.
  • facilitates wound assessment by optimizing visualization of the wound.

So, how do you know if your wound cleansing practices are up-to-date? It all comes down to choosing the appropriate cleansers and cleaning the wound using the correct wound cleaning technique.

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