Skin & Wound Document Updates

Provincial Nursing Skin & Wound Committee

Provincial Intraprofessional Skin & Wound Committee

Document Update Notification

Date Document Type    Document  

(click to access new document)

Nature of Update
Jun 19, 2019 Product Information Sheet

 

Atrac-tain Document reviewed/revised
Jun 19, 2019 Product Information Sheet

 

Secura Extra Protective Cream Document reviewed/revised.
Jun 19, 2019 Product Information Sheet

 

Remedy Hydraguard Cream New document
Jun 19, 2019 Product Information Sheet

 

Remedy Nourishing Cream New document
Jun 19, 2019 Product Information Sheet

 

Remedy No-Rinse Cleanser New document
Mar 28, 2018 Product Information Sheet

 

Metra Superabsorbent New document
Mar 14, 2018 Product Information Sheet No Sting Skin Prep Revised to add the statement ‘do not use with Molnlycke silicone dressings’
Mar 8, 2018 Decision Support Tool

Guideline

Guideline: Application of Compression Therapy Added the links for two patient education health resources: Managing Your Venous Disease and Compression Therapy
Mar 2, 2018 Product Information Sheet

 

Ultrasorb AP Underpad Added a new size of pad
Mar 2, 2018 Product Information Sheet Triad Re-added that paste dressing should not be used on eschar
Feb 28, 2018 Decision Support Tool

Guideline

Assessment & Treatment of Pressure Injuries in Adults & Children Major Revision
Feb 28, 2018 Decision Support Tool

Guideline Summary

Assessment & Treatment of Pressure Injuries in Adults & Children Major Revision
Feb 28, 2018 Staff Education Resource

 

How to Stage Pressure Injuries New document
Feb 28, 2018 Decision Support Tool

Guideline

Prevention of Pressure in Injury Adults & Children Minor revision to include Braden Assessment Schedule
Feb 28, 2018 Decision Support Tool Procedure/Documentation Braden Risk & Skin Assessment – Adults Minor revision to include Braden Assessment Schedule
Feb 28, 2018 Patient Education Resource

Short

Pressure Injury Prevention Education Fact Sheet New document
Feb 28, 2018 Patient Education Resource

Long

Pressure Injury Prevention Education Booklet New document
Dec 19, 2017 Product Information Sheet Aquacel Ag + Extra New Product Information Sheet – Aquacel Ag + Extra is replacing Aquacel Ag Extra
Nov 30, 2017 Decision Support Tool

Guideline

Prevention of Pressure in Injury Adults & Children Major revision
Nov 30, 2017 Decision Support Tool Procedure/Documentation Braden Risk & Skin Assessment – Adults Major revision
Nov 30, 2017 Decision Support Tool

Intervention Guide – Adult

Braden Scale Intervention Guide – Adults Major revision
Nov 30, 2017 Decision Support Tool

Intervention Guide –  Children

Braden Q Intervention Guide – Children Revision
Nov 30, 2017 Documentation Flow Sheet Braden Risk & Skin Assessment Flow Sheet (BRSAFS) Major Revision
Nov 30, 2017 Staff Education Resource –

Poster

Braden/BradenQ Risk & Skin Assessment Schedule New document
Nov 30, 2017 Staff Education Resource – Poster/worksheet Braden Risk Assessment New document
Nov 30, 2017 Staff Education Resource – Poster Head-to-Toe Skin Assessment New document
Nov 30, 2017 Staff Education Resource – Poster Raise the HOB New document
Nov 30, 2017 Staff Education Resource

Video

Sitting up in Bed New document
Nov 30, 2017 Staff Education Resource

Learning module

Pressure Ulcer Prevention (Braden Scale) New module
Nov 27, 2017 Product Information Sheet Mepilex Border for Pressure Injury Prevention PISheet updated to include both sacral and heel dressing as PIP devices; renamed to differentiate the use of this dressing from its use for wound care.
Nov 27, 2017 Product Information Sheet Mepilex Border for Wound Care Updated to add in sacral and heel dressings.

Renamed to differentiate the use of this dressing from its use as a Pressure Injury Prevention device.

Nov 27, 2017 Product Information Sheet Mepilex Updated to add in sacral and heel dressings.
Oct 30, 2017 Product Information Sheet Medihoney Antimicrobial

Wound Gel

PISheet reviewed.
Oct 30, 2017 Product Information Sheet Medihoney Antimicrobial

Medical Honey

PISheet reviewed.
Oct 30, 2017 Product Information Sheet Skintegrity Wound Cleanser New Product Information Sheet
Oct 18, 2017 Product Information Sheet Tubigrip Molnlycke has updated Tubigrip’s calf measurement/product size chart
Sep 28, 2017 Product Information Sheet Mepilex Border Post-Op

 

New Product Information Sheet
Sep  5, 2017 Product Information Sheet Hypergel Removed as product has been discontinued by the vendor.
Sep  5, 2017 Product Information Sheet Mepilex Border Lite PISheet reviewed.
Sep  5, 2017 Product Information Sheet Mepilex Lite PISheet reviewed.
Sep  5, 2017 Product Information Sheet Mepilex Border PISheet reviewed.
Sep  5, 2017 Product Information Sheet Mepilex PISheet reviewed.
Sep 5, 2017 Product Information Sheet Alldress PISheet reviewed.
Sep 5 , 2017 Product Information Sheet Mepilex Transfer PISheet reviewed.
Sep  5, 2017 Product Information Sheet Mesorb PISheet reviewed.
Sep  5, 2017 Product Information Sheet Mesalt PISheet reviewed.
Sep  5, 2017 Product Information Sheet Mepitel One PISheet reviewed.
Sep  5, 2017 Product Information Sheet Mepitel PISheet reviewed.
Aug 24, 2017 Product Information Sheet Mepilex Border Flex New Product Information Sheet
Aug 22, 2017 Product Information Sheet Mepilex Transfer Ag New Product Information Sheet
Aug 22, 2017 Product Information Sheet Restore Contact Layer Flex New Product Information Sheet
Aug 22, 2017 Product Information Sheet PHMB Gauze for Skin Folds & Contractures New Product Information Sheet
Aug 22, 2017 Product Information Sheet PHMB Gauze for Wounds New Product Information Sheet
Aug 22, 2017 Product Information Sheet Biatain Ag Revised Product Information Sheet
Aug 5, 2017 Decision Support Tool

Procedure

Wound Packing Revised to include bookmarking to allow for easier searching for specific document sections.
Aug 5, 2017 Decision Support Tool

Procedure

Wound Cleansing Revised to include bookmarking to allow for easier searching for specific document sections.
Jul 4, 2017 Product Information Sheet PICO Revised the PISheet to indicate that tendon and bone are not contraindicated for PICO use, need to use a contact layer interface
Feb 26, 2017 Decision Support Tool

Guideline

Assessment, Prevention and Treatment of Moisture Associated Skin Damage (MASD) in Adults & Children New document
Feb 26, 2017 Decision Support Tool

Guideline Summary

Prevention and Treatment Interventions for MASD New document
Feb 26, 2017 Product Information Sheet Ultrasorb AP Underpad New Product Information Sheet
Feb 26, 2017 Product Information Sheet Mesh Underwear New Product Information Sheet
Feb 26, 2017 Product Information Sheet Comfort Day Light New Product Information Sheet
Feb 26, 2017 Product Information Sheet Comfort Day Extra New Product Information Sheet
Feb 26, 2017 Product Information Sheet Comfort Day Plus New Product Information Sheet
Feb 26, 2017 Product Information Sheet Fecal Collector New Product Information Sheet
Feb 26, 2017 Product Information Sheet Flexiseal New Product Information Sheet
Feb 26, 2017 Product Information Sheet InView Extra New Product Information Sheet
Feb 26, 2017 Product Information Sheet InView Special New Product Information Sheet
Feb 26, 2017 Product Information Sheet Urinary Pouch New Product Information Sheet
Jan 31, 2017 Product Information Sheet Debrisoft New Product Information Sheet
Jan 31, 2017 Decision Support Tool

Procedure

Wound Cleansing Revised to provide direction that at least 100ml of solution is needed for wound cleansing and that a sterile cotton gauze(s) is to be use to gently and firmly remove any loosened slough/debris and wick any excess solution from the wound bed.
Jan 31, 2017 Decision Support Tool

Procedure

Culture & Sensitivity Swab for Potential Wound Infection Revised to provide a link to the new Wound Infection Guideline.
Jan 31, 2017 Decision Support Tool

Guideline

Assessment, Prevention and Treatment of Wound Infections New document
Jan 31, 2017 Decision Support Tool

Guideline Summary

Assessment, Prevention and Treatment of Wound Infections New document
Jan 9th, 2017 Education Module Conservative Sharp Wound Debridement (CSWD) Learning Module DRAFT Final version of this document will be posted end of May 2017.
Oct 25, 2016 Decision Support Tool

Guideline

Prevention of Skin Breakdown due to Pressure, Friction/Shear and Moisture in Adults and Children October 2016 Guideline revised to bring its prevention interventions in line with the April 2016 NPUAP Guidelines, additional changes included guidance on determining turning/repositioning schedules, doing a Head-to-Toe Skin Assessment when the Braden Risk Assessment is being completed and for those clients at risk, an increased frequency for doing Braden Risk re-assessments for acute/critical care units as well as Community Care.  The Braden Interventions Algorithm (Appendix B) has also been revised.
Oct 21, 2016 Decision Support Tool

Guideline

Application of Compression Therapy for Venous Insufficiency and for Mixed Venous/Arterial Insufficiency Revised to clarify that for tubular compression or over-the counter compression stockings which deliver a compression therapy of 20mm/hg or less, that a Lower Limb Assessment (Basic & Advanced) is to be done but an AB is not always required.

Links to the Duke Procedure and Unna Procedure done.

Oct 21, 2016 Education Module Application of Compression Therapy for Venous Insufficiency and for Mixed Venous/Arterial Insufficiency Revised to reflect the above change in the guideline.

Links to the Duke Procedure and Unna Procedure done.

Oct 21, 2016 Product Information Sheet EdemaWear Update to reflect change that ABI assessment is not always required
Oct 21, 2016 Product Information Sheet Tubigrip Update to reflect change that ABI assessment is not always required.
Oct 21, 2016 Decision Support Tool

Procedure

Procedure: Duke Boot (with self-adherent wrap) Procedure replaces the current PISheet.

Duke Boot video linked to Procedure.

Oct 21, 2016 Decision Support Tool

Procedure

Procedure: Unna Boot (without self-adherent wrap) Procedure replaces the current PISheet.

Unna Boot video linked to Procedure.

Oct 21, 2016 Product Information Sheet Viscopaste (Duke Boot) PISheet removed as this is now a procedure  – redirect link provided.
Oct 21, 2016 Product Information Sheet Viscopate (Unna Boot) PISheet removed as this is now a procedure –

redirect link provided.

Oct 21, 2016 Product Information Sheet Prevalon Turn & Position System New Product Information Sheet
Aug 01, 2016 Product Information Sheet SkinSleeve Protector New Product Information Sheet
July 31, 2016 Product Information Sheet Safe Boot II New Product Information Sheet
Jul 31, 2016 Product Information Sheet SecureSleeves New Product Information Sheet
Jul 31, 2016 Product Information Sheet Waffle FootHold Boot New Product Information Sheet
Jul 31, 2016 Product Information Sheet Waffle FootHold Plus Boot New Product Information Sheet
Jul 31, 2016 Decision Support Tool Guideline: Prevention of Skin Breakdown due to Pressure, Friction/Shear and Moisture in Adults & Children Major guideline revision
Jun 13, 2016 eLearning Module Pressure Ulcer Prevention New module
May 16,, 2016 Decision Support Tool Guideline: Assessment, Prevention & Treatment of Skin Tears New document
May 16, 2016 Decision Support Tool Guideline Summary: Skin Tears New document
May 16, 2016 Product Information Sheet Steri-Strips for Type 1 Skin Tears Updated to reflex the change in classification of Skin Tears from Categories to Types
Apr 14, 2016 Product Information Sheet Marathon New Product Information Sheet
Apr 01, 2016 Product Information Sheet Mepilex Border Sacrum for PUP New Product Information Sheet
Apr 01, 2016 Product Information Sheet Body Support New Product Information Sheet
Mar 27, 2016 Product Information Sheet InterDry Ag Updated: added a statement that although sheets are perforated, the sheets may be cut in whichever direction would fit best for the skin fold.
Mar 27, 2016 Product Information Sheet Ventopedic Heel and Ankle Offloading Boot New Product Information Sheet
Mar 27, 2016 Product Information Sheet No-Slip Wedge Positioning Cushion New Product Information Sheet
Mar 27, 2016 Product Information Sheet Tubipad New Product Information Sheet
Mar 27, 2016 Product Information Sheet Heel/Elbow Protector New Product Information Sheet
Mar 27, 2016 Product Information Sheet DermaSaver Skin Sleeve New Product Information Sheet
Mar 27, 2016 Product Information Sheet Waffle Foot Title renamed from ‘Waffle Boot’ to ‘Waffle Foot’; category renamed to “Heel Suspension: Support
Dec 14, 2015 Product Information Sheet HeelZup with Thigh Support Category renamed to “Heel Suspension: Support
Dec 14, 2015 Product Information Sheet Heelzup Supreme Category renamed to “Heel Suspension: Support
Dec 14, 2015 Product Information Sheet HeelZup Cloud Category renamed to “Heel Suspension: Support
Dec 14, 2015 Product Information Sheet HeelZup Category renamed to “Heel Suspension: Support
Dec 14, 2015 Product Information Sheet LTC Heel Lift Wedge Category renamed to “Heel Suspension: Support
Dec 14, 2015 Product Information Sheet Prevent Wedge Category renamed to “Heel Suspension: Support
Dec 14, 2015 Product Information Sheet Prevalon Heel Protector Boot Category renamed to “Heel Suspension: Boot
Dec 14, 2015 Product Information Sheet PRO-HeeLx Heel Protector New Product Information Sheet
Dec 14, 2015 Product Information Sheet Ventopedic Heel Elevation Boot w Butterfly Lift New Product Information Sheet
Dec 14, 2015 Product Information Sheet Tru-Clear Contracture Boot New Product Information Sheet
Jun  28, 2015 Decision Support Tool Wound Cleansing Procedure Revised procedure to reflect changes made in Wound Bed Preparation Guideline regarding appropriately saving unused dressing pieces.
Jun 28, 2015 Decision Support Tool Wound Packing Procedure Revised procedure to reflect changes made in Wound Bed Preparation Guideline regarding appropriately saving unused dressing pieces.
Jun 28, 2015 Decision Support Tool Swab for C&S in Suspected Wound Infection Procedure New procedure.
Jun 19, 2015 Decision Support Tool Wound Bed Preparation Clarified points to consider when making a decision to save dressing pieces.

Added a footer statement indicating that expert consensus (PNSWC and Provincial Infection Control) was used to develop the saving dressing pieces process as there is no literature to support or refute this practice.

Jun 19, 2015 Product Information Sheet Iodosorb Health Canada indicates that Iodosorb is shown to disrupt and eradicate biofilm
Jun 19, 2015 Product Information Sheet OASIS Change of vendor name from Healthpoint to Smith & Nephew
Jun 19, 2015 Product Information Sheet Santyl Change of vendor name from Healthpoint to Smith & Nephew
Jun 19, 2015 Product Information Sheet NU-DERM Alginate Change of vendor name from Systagenix to KCI
Jun 19, 2015 Product Information Sheet NU-DERM Hydrocolloid Change of vendor name from Systagenix to KCI
Jun 19, 2015 Product Information Sheet Prisma Change of vendor name from Systagenix to KCI
Jun 19, 2015 Product Information Sheet Promogran Change of vendor name from Systagenix to KCI
Jun 19, 2015 Product Information Sheet Silvercel Non-Adherent Change of vendor name from Systagenix to KCI
Jun 19, 2015 Product Information Sheet Tielle Change of vendor name from Systagenix to KCI
Jun 19, 2015 Product Information Sheet Heelzup Cloud Revised to provide clarity regarding daily care
Jun 05, 2015 Product Information Sheet Heelzup w Thigh Support Revised to provide clarity regarding daily care
Jun 05, 2015 Product Information Sheet Heelzup Revised to provide clarity regarding daily care
Jun 05, 2015 Product Information Sheet LTC Heel Lift Wedge New Product Information Sheet
Jun 05, 2015 Product Information Sheet Prevent Wedge New Product Information Sheet
Jun 05, 2015 Product Information Sheet Heelzup Supreme New Product Information Sheet
Jan 02, 2015 Product Information Sheet Skin IQ Micro Manager New Product Information Sheet
Jan 02, 2015 Product Information Sheet Carbonet Document revised to accurately reflect the sizes and application of this product.
Dec 13, 2014 Decision Support Tool Guideline: Maggot Debridement Therapy (MDT) in Adults & Children Revised to add a statement regarding removing the maggot dressing in the event of the client’s death
Dec 13, 2014 Decision Support Tool Procedure: Maggot Debridement Therapy (MDT) in Adults & Children Revised to add a statement regarding removing the maggot dressing in the event of the client’s death

Added definition for aseptic technique and update the first 9 procedure steps to bring this document in line with the Wound Cleansing DST

Dec 13, 2014 Product Information Sheet HeelZup with Thigh Support Revised to added new sections: Daily Care and Cleansing the Device
Dec 13, 2014 Product Information Sheet HeelZup Cloud New document
Dec 13, 2014 Product Information Sheet HeelZup New document
Dec 13, 2014 Product Information Sheet Aquacel Ag Extra for Wounds Revised to remove Viscopaste from the contraindication statement of not using silver products with oil-based products based on updated Smith&Nephew information.
Dec 13, 2014 Product Information Sheet Aquacel Ag Extra for Burns Revised to remove Viscopaste from the contraindication statement of not using silver products with oil-based products based on updated Smith&Nephew information.
Dec 08, 2014 Product Information Sheet Triad Revised to clarify the amount of product to use in the wound and on the peri-wound skin
Dec 08, 2014 Product Information Sheet Waffle Foot Previous Waffle Boot PISheet renamed to Waffle Foot and new sections added: Daily Care and Cleansing the Device
Dec 08, 2014 Product Information Sheet Tubigrip – Lower Leg Application Added new size – J
Dec 08, 2014 Documentation Braden Risk Assessment & Interventions Flow Sheet

Braden Risk Assessment & Interventions Flow Sheet Documentation Guideline

Revised to provide a standard approach as to when to refer to OT/PT/Wound Clinician; as well as clarified the interventions.

Revised to reflect the changes to the Flow Sheet.

Dec 08, 2014 Algorithm Braden Scale Interventions: Algorithm Revised to include new schedule for reassessment on Pediatric units
Dec 08, 2014 Decision Support Tool Braden Scale for Predicting Pressure Ulcer Risk in Adults and Children/Infants: Guideline Document revised to reflect update information related to Pediatrics – removed Modified Braden Q reference – now using Braden Q; updated Braden Q reassessment schedule
Dec 08, 2014 Decision Support Tool Prevention of Skin Breakdown due to Pressure, Friction/Shear and Moisture in Adults & Children/Infants: Guideline Document revised to remove Modified Braden Q reference
Dec 08,2014 Decision Support Tool Pressure Ulcer Assessment and Treatment Guideline Summary Updated the document’s date to keep it in-line with the guideline
Dec 08, 2014 Decision Support Tool Assessment and Treatment of Pressure Ulcers in Adults & Children: Guideline Document’s definitions of no-touch and clean aseptic technique revised to include direction regarding saving dressing pieces
Dec 06, 2014 Decision Support Tool Wound Bed Preparation: Guideline Document’s Strategies for Prevention and Treatment of Infections section revised to provide clarification of when dressing pieces could be saved. Definitions of no-touch and clean aseptic technique revised to include direction regarding saving dressing pieces
Dec 06, 2014 Guideline Summary Wound Bed Preparation Guideline Summary Revised the date to November in keeping with the guideline.

 

Dec 06, 2014 Decision Support Tool Wound Packing: Procedure Revised to reflected the changes made to the when dressing pieces could be saved.  Aseptic Technique definitions changes to match those in the Wound Bed Prep Guideline.
Dec 06, 2014 Decision Support Tool Wound Cleansing Procedure Aseptic Technique definitions changes to match those in the Wound Bed Prep Guideline.
Sep 23, 2014 Product Information Sheet Pico Revised to remove the 2cm depth limitation – clarification added that wound depth needs to be appropriately filled to ensure proper healing of the wound.
Sep 23, 2014 Decision Support Tool Lower Limb Ulcer Venous Arterial Mixed Assessment and Treatment Guideline Reposted with correct document date
Sep 20, 2014 Guideline Summary Wound Bed Preparation Guideline Summary New document.
Sep 20, 2014 Decision Support Tool Wound Bed Preparation: Guideline New document.
Sep 20, 2014 Decision Support Tool Wound Cleansing Procedure Revised to clarify procedure regarding preparing and setting up aseptic field as well as added a process for saving unused dressing pieces.
Sep 20, 2014 Product Information Sheet Povidone Iodine for Wound Care Revised to add contraindications of not using iodine with silver products or Santyl
Sep 14, 2014 Learning Module Ankle Brachial Index Learning Module Corrected the Answer Key question #3 to read correct answer is  ‘a) 1, 2 & 4’ not ‘c) 1 ,2 & 4’

Provided the correct link to the Lower Leg Assessment and Treatment Guideline

 

Sep 14, 2014 Guideline Summary Pressure Ulcer Assessment and Treatment Guideline Summary Added the following statement in the Wound Management section: ‘For dry heel ulcers, maintain eschar / protect wound with antiseptic solution &  dry dressing’ (similar to the wording on the Lower Leg Arterial Guideline Summary
Sep 03, 2014 Documentation Lower Limb Assessment Flow Sheet (LLAFS)

Lower Limb Assessment Flow Sheet (LLAFS) Documentation Guideline  paper version

Lower Limb Assessment Flow Sheet (LLAFS) Documentation Guideline  paper & Pixalere version

New documentation flow sheet and guidelines for both basic and advanced assessment of the lower limb; there are two guidelines; one to be used for those Health Authorities using just a paper LLASF and one for those Health Authorities which use both paper and Pixalere.
Aug 26, 2014 Product Info Sheet Acticoat Flex for Burns Revised to add Viscopaste to remove the contraindication statement of not using silver nanocrystalline products with oil-based product based on updated Smith&Nephew information.
Aug 26, 2014 Product Info Sheet Acticoat Flex for Wounds Revised to remove Viscopaste from the contraindication statement of not using silver nanocrystalline products with oil-based products based on updated Smith&Nephew information.
Aug 26, 2014 Product Info Sheet Acticoat for Burns Revised to remove Viscopaste from the contraindication statement of not using silver nanocrystalline products with oil-based products based on updated Smith&Nephew information.
Aug 26, 2014 Product Info Sheet Acticoat for Wounds Revised to remove Viscopaste from the contraindication statement of not using silver nanocrystalline products with oil-based products based on updated Smith&Nephew information.
Aug 26, 2014 Decision Support Tool Assessment & Treatment of Lower Limb Ulcers (Arterial, Venous & Mixed) in Adults: Guideline Revised to ensure alignment with the ABI procedure DSTs.
Aug 26, 2014 Decision Support Tool Wound Packing: Procedure Revised to  provided direction to count all packing inserted/removed for  any undermining, sinus or wound  depth greater that 1cm (>1cm).
Aug 25, 2014

 

 

Decision Support Tool Assessment and Treatment of Pressure Ulcers in Adults & Children: Guideline Revised to ensure that preventative interventions matched those laid out in the Prevention Guideline
Aug 25 2014 Algorithm Braden Scale Interventions: Algorithm Updated the Reassessment schedule for ICU/CCU to at least every 48hrs

Added schedule for Psychiatry and Pediatrics.

Added interventions for the OR (sensory and moisture sub-scales).

Aug 25, 2014 Decision Support Tool Braden Scale for Predicting Pressure Ulcer Risk in Adults and Children/Infants: Guideline Updated the Reassessment schedule for ICU/CCU to at least every 48hrs

Added schedule for Psychiatry and Pediatrics.

Added interventions for the OR (sensory and moisture sub-scales).

Aug 25, 2014 Decision Support Tool Prevention of Skin Breakdown due to Pressure, Friction/Shear and Moisture in Adults & Children/Infants: Guideline Updated the Reassessment schedule for ICU/CCU to at least every 48hrs

Added schedule for Psychiatry and Pediatrics.

Added interventions for the OR (sensory and moisture sub-scales).

Aug 25, 2014 Documentation Braden Risk Assessment & Interventions Flow Sheet

Braden Risk Assessment & Interventions Flow Sheet Documentation Guideline

Braden Risk Assessment & Interventions Flow Sheet revisions:

Page 1: removed the direction to staff to lower the Braden Score is additional risk factors present; direction now states to consider that clients with these additional risk factor may be at a higher risk for developing a pressure ulcer.

Page 3 Algorithm: Updated the Reassessment schedule for ICU/CCU to at least every 48hrs

Added schedule for Psychiatry and Pediatrics.

Added interventions for the OR (sensory and moisture sub-scales).

Aug 25, 2014 Documentation Wound Assessment & Treatment Flow Sheet (portrait)

Wound Assessment & Treatment Flow Sheet (portrait) Documentation Guideline

Wound Assessment & Treatment Flow Sheet (landscape)

Wound Assessment & Treatment Flow Sheet (landscape) Documentation Guideline

Wound Assessment & Treatment Flow Sheet (WATFS) revisions:

Flow Sheet and Guideline Goals of Care revised:

To Maintain/Non-healable → To Maintain

To Maintain/Palliative  → To Monitor/Manage

 

Added Guideline clarification re staging Stage X or SDTI once these ulcers are declared.

 

Revised Flow Sheet and Guideline Packing Count to provided direction to count all packing inserted/removed for  any undermining, sinus or wound  depth greater that 1cm.

Aug 22, 2014     Added new Folder for Provincial Referral Forms
Aug 1, 2014 Product Info Sheet Hydrofera Blue – Tube New product.
Aug 1, 2014 Product Info Sheet Hydrofera Blue – Heavy Drainage New product.
Aug 1, 2014 Product Info Sheet Hydrofera Blue – Standard New product.
Aug 1, 2014 Product Info Sheet PHMB Foam Dressing New product.
Aug 1, 2014 Product Info Sheet PHMB Foam Dressing with Border New product.
Aug 1, 2014 Product Info Sheet PHMB Foam Dressing with Topsheet New product.
Aug 1, 2014 Product Info Sheet Renasys Adhesive Gel Patch New product.
Aug 1, 2014 Product Info Sheet Restore Silver Contact Layer Revised to clarify the application of the product.
Aug 1, 2014 Product Info Sheet PICO Revised to clarify that the PICO dressing must be removed prior to MRI or hyperbaric treatment and then be reapplied.
Aug 1, 2014 Product Info Sheet Triad Revised to add that product can be used to debride eschar. Clarified the process for removing the paste.
Jul 7, 2014 Product Info Sheet Prevena New product.
May 19, 2014 Product Info Sheet Aquacel Extra New product.

 

May 19, 2014 Product Info Sheet Aquacel Ag Extra for Burns New product.

 

May 19, 2014 Product Info Sheet Aquacel Ag Extra for Wounds New product.
May 19, 2014 Product Info Sheet Acticoat Flex for Burns Revised to add Viscopaste to the contraindication statement of not using silver nanocrystalline products with oil-based products.
May 19, 2014 Product Info Sheet Acticoat Flex for Wounds Revised to add Viscopaste to the contraindication statement of not using silver nanocrystalline products with oil-based products.
May 19, 2014 Product Info Sheet Acticoat for Burns Revised to add Viscopaste to the contraindication statement of not using silver nanocrystalline products with oil-based products.
May 19, 2014 Product Info Sheet Acticoat for Wounds Revised to add Viscopaste to the contraindication statement of not using silver nanocrystalline products with oil-based products.
May 19, 2014 Product Info Sheet Triad Revised to add statement that, is soiled with urine or feces that the top layer of Triad can be cleansed and a new layer of Triad applied.
May 19, 2014 Product Info Sheet Prontosan Wound Irrigation Solution Revised to add a contraindication of not to use silver products with Prontosan.
Apr 22, 2014 Product Info Sheet Secura Skin Cleanser Clarified the bed-bath and perineal cleansing process for applying an appropriate amount of cleanser to a moistened warm washcloth.
Mar 30, 2014 Product Info Sheet PICO Revised steps such that dressing is applied and NPWT is turned on; if no leaks then ‘window-pane’ the transparent dressing; if leak present, lift dressing up and reapply, turn pump on and re-check for leaks.
Sep 05, 2013 Product Info Sheet PICO  New posting.

 

Jul 07, 2013 Product Info Sheet  Santyl Clarified not to use Santyl with iodine, silver or PHMB dressings/products.

Clarified using a dampened Normal Saline gauze to activate Santyl when used on a wound with minimal exudate.

Provide guidance on the amount of Santyl that should be used based on the wound size.

Jul 02, 2013 Learning Module ABI Procedure for Adults for Handheld Doppler & Automatic ABI System New posting (click on the Document title and save it to your computer).
Jul 02, 2013 Decision Support Tool Procedure ABI for Adults using a Handheld Doppler Clarified name of procedure as using a handheld doppler.

Revised the frequency of ABI reassessment from one year to, as part of a comprehensive lower leg assessment, every six months for clients with a lower leg wound (goal to heal); for clients using compression therapy and for those clients who are experiencing increasing pain (not relate to infection) and/or other S&S of arterial compromise.

Jul 02, 2013 Decision Support Tool Procedure ABI for Adults using an Automatic ABI System New posting.
Jun 28, 2013 Product Info Sheet Silver Nitrate (AgNO3) for Wound Care  Added to Application Directions, “Moisten tip with sterile water.”
Jun 28, 2013 Product Info Sheet Aquacel Changed the amount of dressing overlap onto the peri-wound skin from 5cm to 1cm as per vendor information.
Jun 28, 2013 Product Info Sheet Medihoney Apinate Corrected the spelling of the product name.

 

Jun 28, 2013 Product Info Sheet  Viscopaste (Duke Boot) Correction made to the Application Directions: “Proceed up the leg and stop at 2 fingers width below the knee, using a 50% overlap and a (100%)  50% stretch of the compression wrap.
Jun 28, 2013 Product Info Sheet Allevyn Life New posting.

 

Jun 28, 2013 Product Info Sheet Prontosan Wound Irrigation Solution  New posting.
Jun 28, 2012 Product Info Sheet Surgigrip Removed.

 

Feb 26, 2013 Product Info Sheet Aquacel Ag for Wounds Changed the amount of dressing overlap onto the peri-wound skin from 5cm to 1cm as per vendor information.
Feb 26, 2013 Product Info Sheet Gelfoam for Wound Care New posting.
Feb 26, 2013 Product Info Sheet InterDry Ag Added for clarification, the indication of ‘For moisture management of denuded skin.”

Reword for clarification, the contraindication regarding use of this product for wounds now reads: “Do no use for wounds”.

Feb 26, 2013 Product Info Sheet Mepitel Added for the Contraindication section; “Do not use with skin sealant/barrier”.

Revised for spelling and clarity, the statement “Reposition the contact layer at least every second day when used for burns treated with meshed grafts or after facial resurfacing”.

Feb 26, 2013 Product Info Sheet Mepitel One Added following statement to Frequency of Dressing Change section “Reposition the contact layer at least every second day when used for burns treated with meshed grafts or after facial resurfacing”.
Feb 26, 2013 Product Info Sheet No Sting Skin Prep Clarified the Frequency of Reapplication section.
Feb 26, 2013 Product Info Sheet Santyl Revised the amount of Santyl to be applied to wound bed from ‘3mm’ to ‘2mm’ as per vendor information.
Feb 26, 2013 Product Info Sheet Tegaderm Absorbent Clear Acrylic Added to the To Apply section, “For wounds with moderate amount of exudate, apply a hydrofibre/calcium alginate to the wound bed.”