Wound Debridement

Specialties Geriatric

Published

I was just wondering who does wound debridements in Long term care facilities?? Is it within an RN's Scope of practice to do Wound debridement!! thanks for your help

lilreepeace

5 Posts

I was just wondering who does wound debridements in Long term care facilities?? Is it within an RN's Scope of practice to do Wound debridement!! thanks for your help

At the LTC facility I work at, the doctor does it.

vjgold

2 Posts

physical therapist do it at our facility? Doctors orders of course :)

the MD usually does it where I work as well. I haven't seen the nurses do it unless they are working the Burn Unit.

hospicemom

159 Posts

Specializes in hospice.

as long as it is not surgical debridement we are allowed to do it.

Fonenurse

493 Posts

Specializes in Multiple.
as long as it is not surgical debridement we are allowed to do it.

Get the maggots to do it - very clean and efficient. No, I'm not kidding, they make a lovely job of it, as long as the patient can tolerate the idea of maggots. Best debridement I have ever seen!

hospicemom

159 Posts

Specializes in hospice.
Get the maggots to do it - very clean and efficient. No, I'm not kidding, they make a lovely job of it, as long as the patient can tolerate the idea of maggots. Best debridement I have ever seen!

you know, I have heard soooo much about this and yet have never brought myself to ask a doc for an order of maggots:).....but let me tell you, I have worked with and continue to treat wounds that may benefit from this. do we have any websites or some more info on this so I can research a bit?? and thanks for the advice, Ill let you all know how it works.

letina

828 Posts

you know, I have heard soooo much about this and yet have never brought myself to ask a doc for an order of maggots:).....but let me tell you, I have worked with and continue to treat wounds that may benefit from this. do we have any websites or some more info on this so I can research a bit?? and thanks for the advice, Ill let you all know how it works.

We use maggott therapy for wound debridement and have great results. Here's a link with some info :

http://medent.usyd.edu.au/projects/maggott.htm

jsteine1

325 Posts

At the LTC facility I work at, the doctor does it.

In many LTC's the physical therapists do wound care and debridement. Nurses are doing it more since PPS as the LTCs do not want to pay therapy for that service anymore.

Fonenurse

493 Posts

Specializes in Multiple.
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