Wound care
6
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(1)
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(b)
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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
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The Regulation states that registered nurses may carry out wound care without an order. This includes cleansing, irrigating, probing, debriding, packing and dressing. It also includes suturing a laceration.
BCCNM limits and conditions
1.
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Providing a client-specific order for
conservative sharp wound debridement,
negative pressure wound therapy,
maggot debridement therapy or
compression therapy
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May be done only by those registered nurses who have successfully completed one of the following wound management education programs (or an equivalent):
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Nurse Specializing in Wound Ostomy Continence Education Program NSWOCC-EP
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International Interdisciplinary Wound Care Course
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University of Toronto Master of Science in Community Health: Wound Prevention and Care
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University of Western Ontario Master of Clinical Science: Wound Healing
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Wound Ostomy Continence Nursing Education Program.
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2.
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Carrying out conservative sharp wound debridement, negative pressure wound therapy, maggot debridement therapy or compression therapy
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May be performed within autonomous scope of practice by registered nurses who have successfully completed the education requirements in 1. (above).
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All other
registered nurses
must:
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have a client-specific order, and
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successfully complete additional education.
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3.
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Diagnosing conditions associated with wounds below the dermis or below the surface of a mucous membrane
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May be done by registered nurses who have successfully completed the education requirements in 1. (above).
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All other
registered nurses must:
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follow an established decision support tool, and
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successfully complete additional education.
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4.
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Suturing skin lacerations
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All
registered nurses, including those who have successfully completed the education requirements in 1. (above):
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May
only
suture uncomplicated skin lacerations as outlined in the Provincial Nursing Skin and Wound Committee
decision support tool,
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Must follow this decision support tool when suturing such lacerations, and
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Must successfully complete additional education.
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