*Integrated Clinical Pathways (ICPs) can be found on the CCAC portal. Atypical wound
Frequency of visits and treatment products may change at the discretion of the nurse or wound care therapist, as per clinical assessment, in accordance with the ICPs. Treatment will be taught to the patient/caregiver when appropriate.
The following wound descriptors can be used to select the appropriate dressing protocols. If no selection is made, the nurse will initiate the plan of care as per ICPs and communicate on the status of the wound to the primary care provider:
Gentian Violet + Methylene Blue (Hydrofera Blue) (Every 3-7 days)
Pseudomonas infection: acetic acid (vinegar) 2.5% (5% diluted 1:1 with saline or water) Soaked gauze BID x5 days, then revert to appropriate dressing for infected wound.
Textile with Silver- Interdry Ag in Skin folds- can be hand-washed, hung to dry and reused, if appropriate, apply as the sole product (ie. No creams or ointments)
PHMB Ribbon Gauze Kerlix Roll (Antimicrobial dressing - apply dry as the sole product – Every 3 days)
Venous Stasis Ulcer
(ABPI or vascular study required prior to initial treatment, ABPI may not be accurate in diabetic and renal patients – Vascular studies required, and patients must be followed by wound care specialist.)
Compression is the cornerstone of treatment; Life long compression is necessary once ulcers heal.
Compression bandage – Coban II if ABPI 0.8-1.2 Coban lite if ABPI is <0.8 but >0.5
Elastic tubular bandage (Surgigrip) toes to knee if ABI 0.6-0.8