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Wound care

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

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.

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):

900 – 200 Granville St
Vancouver, BC  V6C 1S4
Canada

info@bccnm​.ca
604.742.6200​
​Toll-free 1.866.880.7101 (within Canada only) ​


We acknowledge the rights and title of the First Nations on whose collective unceded territories encompass the land base colonially known as British Columbia. We give specific thanks to the hən̓q̓əmin̓əm̓ speaking peoples the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations and the Sḵwx̱wú7mesh-ulh Sníchim speaking Peoples the Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), on whose unceded territories BCCNM’s office is located. We also give thanks for the medicines of these territories and recognize that laws, governance, and health systems tied to these lands and waters have existed here for over 9000 years.

We also acknowledge the unique and distinct rights, including rights to health and wellness, of First Nations, Métis, and Inuit peoples from elsewhere in Canada who now live in British Columbia. As leaders in the settler health system, we acknowledge our responsibilities to these rights under international, national, and provincial law.​