Say Goodbye to Wet-to-Dry Wound Care Dressings:
- 4Apr 21, '13 by NRSKarenRN, BSN, RN AdminHome Healthcare Nurse:
July/August 2011 - Volume 29 - Issue 7 - p 429–440
Say Goodbye to Wet-to-Dry Wound Care Dressings: Changing the Culture of Wound Care Management Within Your Agency
In the past two decades, randomized controlled trials have repeatedly demonstrated that wet-to-dry dressings are not the most appropriate in all healthcare settings or wound care situations emphasizing the previously documented historical research. In fact, the first research-based recommendation for moist wound healing as opposed to allowing the wound to dry out was published nearly 50 years ago (Winter, 1963).
Research-based evidence published by the U.S. government as clincial practice guidelines has shown that a moist wound environment is a primary factor for the wound healing process to occur. Wet-to-dry dressings allow the wound base to dry and healing cells to desiccate within the wound. These dressings can also be very painful for the patient, they physiologically impede wound healing, and the labor and supplies involved can add up to unnecessarily spent dollars.Last edit by NRSKarenRN on Apr 21, '13
- 0Apr 21, '13 by woohSad this article is from 2011 (when it was already well-known wet to dry wasn't great) and we're STILL getting orders for it.
What's really annoying is that most of the orders for wet-to-dry I've had over the years, the doctor didn't actually intend for wet-to-dry to be done, they wanted a moist dressing.
Big reason I'm grateful we have a very involved team of WOCNs at our facility.
- 0Apr 22, '13 by mommy.19We are no longer in the Stone Age! There are numerous dressing options for wounds of all types which are easily accessible in today's world of instant gratification. The key is recommending appropriate options to the ordering practitioner, be your patient's advocate! Would it be any different if the practitioner ordered a questionable dose of an oral med? No---- we as nurses would call to confirm and possibly recommend other options.
- 0Apr 22, '13 by tyvinWe need to help educate our docs. Print up some current research and fax/email it to the docs who are famous for ordering the wet to dry. Perhaps implementing a policy that when wet to dry is ordered that so and so be done. If facilities would ban these dressings then the docs would get on board real quick.
Do we really need the Federal Government to come in and do it for us like they do with chemical restraints? There are some serious issues with people getting the wet to dry dressings. We do have the power.
- 0Apr 22, '13 by CapeCodMermaid, RNWe haven't used wet to dry dressings in long term care for years. We refuse to take orders for them and educate the docs who try to tell us to use them. We have a doc who specializes in wound care. He makes rounds weekly. He would flip if he ever saw a wet to dry.