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Official Journal of the Italian Association for Cutaneous Ulcers
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1774
Corti D., Ronconi R., Cosci M., Ranalli C.
Pronto Soccorso Azienda Ospedaliera Universitaria, Ospedale Careggi, Firenze, Italia
Aim. Management of patients with acute traumatic wounds and burn wounds is a critical part of emergency room (ER) services and accounts for nearly 25% of nurse workload. Published studies on nursing management of acute wound care are scarce; moreover, some authors have pointed out that the majority of traditional wound preparation methods lack evidence-based validity. Correct wound management includes a solid knowledge of skin anatomy, physiology of wound healing, impact of infection on the healing process, as well as the ability to educate patients in wound self-care. Currently, there is no shared protocol for wound bed preparation at the Emergency Department of Careggi Hospital, Florence; instead, the approach is left to the clinical judgement of the individual health operator, which results in a range of non-standard methods being practiced.
Methods. Based on clinical experience and data from a retrospective study of follow-up interviews with patients with trauma wounds and minor burn wounds medicated at the outpatient clinic by a group of ER nurses from the emergency department suggested the need for an improvement project that included the use of an educational poster illustrating ER management of patients with acute traumatic wounds and minor burn wounds, with the goal to share among heath workers the operating procedures that could be implemented in the ER. Two posters are shown here: one (70 x 100 cm) illustrates how the triage process is operated in the management of patients with wounds and burns, the other (120 x 85 cm) shows wound care management in the waiting room.
Results. During tutoring sessions with the health workers, the authors explained the content of the first poster, which was then hung in the ER waiting room. Based on an analysis of responses to anonymous satisfaction questionnaires, the poster was revised for content and artwork, and the final version printed and officially presented at a plenary meeting of ER staff in May 2009.
Conclusion. Within this study, the use of an educational poster provided a valuable and effective aid for developing the improvement project’s goals: to raise awareness of wound care processes among nurses, to implement a nursing protocol, and to raise awareness among multiprofessional staff for improved quality in the management of patients with traumatic wounds or burn wounds