![]() ![]() The percentage of non-healing wounds (not healed 12 weeks after admission) decreased from 33% (48 of 144) to 20% (42 of 212). (Since the average cost of a nursing visit can range from $100 to $150, reducing the frequency of the visits required from daily to two to three times a week results in significant savings.) Within eight months of the program’s launch, the percentage of patients requiring daily visits decreased from 52% (75 of 144) to 20% (43 of 212). In addition, the program manager conducts bedside consultation and instruction about complex cases to expand the primary wound nurses’ knowledge. These decisions are made in collaboration with the primary physician. The conference may result in changing the treatment pathway for the patient or, if the wound has shown no signs of improvement in a 14-day period, referring him or her to a wound center. 2009, Vol.55, issue 1.Īn expert program manager (Lorraine) provides the treatment protocols for each case and oversees all wound patients by conducting weekly case conferences with the primary wound nurse. 2007 Smith & Nephew Time Principles of Wound Bed Preparation, Module 23 and Ostomy Wound Management, Jan. A lot of information used to formulate them came from the following sources: Agency for Healthcare Research and Quality (formerly known as the Agency for Health Care Policy and Research), May 1992 National Pressure Ulcer Advisory Panel, Feb. Montefiore’s Home Health Agency uses treatment pathways and specialty-dressing protocols for all wound classifications, which Lorraine designed, employing best-practice guidelines. After completion, they take the wound-care certification course and exam offered through the National Alliance of Wound Care and Ostomy. When generalist nurses join the wound team, they receive two years of mentoring under the direction of an experienced certified wound manager (Lorraine Poliey). In October 2008, the Home Health Agency of the Montefiore Hospital System, which serves New York’s Bronx, Westchester, and Putnam counties, created a specialized nursing team for wound patients who previously had been treated by generalist nurses from multiple teams. Patients with chronic wounds such as diabetic, pressure, and ischemic ulcers, those related to venous stasis, and non-healing surgical wounds often receive home nursing care by nurses who have basic wound care training.
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