Our facility is in a real rut! All of our GP's defer to our General Surgeon for wound care orders, but he orders the same thing for any and all types of wounds! Triple Antibiotic Solution (TAS), wet-to-dry, dressing changes BID. This may be appropriate for his surgical patient who is left with an open incision, but for pressure ulcers in need of debridment, or venous stasis ulcers?
Can the TAS actually be harmful to some wounds?
The other facility I pick up some hours at (and the same surgeon has priviliges at) is in the same rut, although they do not believe in irrigating the wound well with saline at each dressing change. When asked, the surgeon really has no preference about how this is done!
With all the great products out there, there must be better ways to be treating these wounds, but he thinks there is just really good marketing by the product reps for expensive dressings, when all that is needed is 4x4's and TAS (not cheap either!).
What say you experts? Help!