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Presenter VickiRoss

This presentation explores the ongoing debate between clean and sterile wound techniques. Presenter Vicki Ross discusses whether uncertainty exists about these techniques, the sufficiency of current evidence, and what guidelines can be designed based on literature reviews highlighting inconsistent practices. Studies indicate that 51% of practitioners favor sterile techniques while 43% support clean techniques, with no solid scientific foundation for these preferences. The presentation summarizes current practices, key players involved in developing care guidelines, and recommendations for various types of wounds, ensuring adherence to hospital policies.

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Presenter VickiRoss

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Presentation Transcript

  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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