6

(1)

(b)

for the purpose of wound care, including the suturing of skin lacerations, perform a procedure on tissue below the dermis or below the surface of a mucous membrane

1.

Providing a client-specific order for conservative sharp wound debridement, negative pressure wound therapy, maggot debridement therapy or compression therapy

• May be done only by those registered nurses who have successfully completed one of the following wound management education programs (or an equivalent):
  • Nurse Specializing in Wound Ostomy Continence Education Program NSWOCC-EP
  • International Interdisciplinary Wound Care Course
  • University of Toronto Master of Science in Community Health: Wound Prevention and Care
  • University of Western Ontario Master of Clinical Science: Wound Healing
  • Wound Ostomy Continence Nursing Education Program.

2.

Carrying out conservative sharp wound debridement, negative pressure wound therapy, maggot debridement therapy or compression therapy

• May be performed within autonomous scope of practice by registered nurses who have successfully completed the education requirements in 1. (above).
• All other registered nurses must:
  • have a client-specific  order, and
  • successfully complete additional education.

3.

Diagnosing conditions associated with wounds below the dermis or below the surface of a mucous membrane

• May be done by registered nurses who have successfully completed the education requirements in 1. (above).
• All other registered nurses must:
  • follow an established decision support tool, and
  • successfully complete additional education.

4.

Suturing skin lacerations

• All registered nurses, including those who have successfully completed the education requirements in 1. (above):
  • May only suture uncomplicated skin lacerations as outlined in the Provincial Nursing Skin and Wound Committee decision support tool,
  • Must follow this decision support tool when suturing such lacerations, and
  • Must successfully complete additional education.