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Next review due: 19 January 2021, if treating someone else, tell them what you're doing and make sure they're sitting or lying down, don't try to remove anything embedded in the wound – seek medical advice (see below), rinse the wound under running tap water for 5 to 10 minutes, soak a gauze pad or cloth in saline solution or tap water, or use an alcohol-free wipe, and gently dab or wipe the skin with it – don't use antiseptic as this may damage the skin, gently pat the area dry using a clean towel or pad of tissues, but nothing fluffy such as a cotton wool ball – strands of material can get stuck to the wound, apply a sterile dressing, such as non-adhesive pad with a bandage, or a plaster – use a waterproof dressing if available, if blood soaks through the dressing, leave it in place and add another dressing, and continue to apply pressure on the wound, is too painful for you to successfully clean, becomes red and swollen or has pus coming out – it may be infected, was caused by a bite – all animal and human bites need medical attention. The National Wound Care Strategy Programme (NWCSP) has been commissioned by NHS England and Improvement to improve the prevention and care of Pressure Ulcers, Lower Limb Ulcers and Surgical Wounds.. Our mission is to implement a consistently high standard of wound care across England by reducing unnecessary variation, improving safety and optimising patient experience and outcomes. NHS Benchmarking has highlighted that 39% of district nursing clinical time is spent in wound care, with additional research suggesting that 20% of this work relates to venous leg ulcers. It is based on … If the wound is painful for the first few days, you can take over-the-counter painkillers such as paracetamol or ibuprofen. A plaster or larger dressing is usually all that is needed to stop a wound bleeding. Visit your nearest minor injuries unit or walk-in centre, or call NHS 111 if the wound: You can also find details of urgent care services in your local area. A group of district nurses, practice nurses, tissue viability nurses (TVN), clinical management and members of the Medicine Optimisation Team (MOT) have selected the dressings for the Wound Care Formulary. This will reduce the risk of infection and encourage the healing process. Problems with wound healing A lot of wounds heal without any problems. Wound margins - oedema, colour, erythema (measure extent), and maceration. Many new technologies, often more expensive, stall because of this focus on the cost when in fact they can make real differences to patients. A plaster or larger dressing is usually all that is needed to stop a wound bleeding. Wound Type Aim Recommended dressing Recommended dressing No or low exudate Moderate to high exudate Epithelialising wound To protect area and encourage healing. Stitches (sutures) The length of time your stitches need to stay in place depends on where the wound is on your body. Discuss with the person: Their treatment priorities and if possible, address these first. 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Advice by programme. Application These guidelines pertains to all areas, departments and services of Tees, Esk and Wear Valleys NHS Foundation Trust Associated guideline reference and title IPC Standards (Universal) Infection Prevention and Control Precautions IC/0002/v3 Aseptic Technique Policy IC/0020/v2. Wound Management Guidelines Page 4 ‐ 6 C. Formulary Page 7 ‐ 14 Wound 5Assessment Clinical Guideline Skin Care Service March 2018 of 41 Guideline - Key objectives of wound assessment 9 Factors that could delay wound healing 9 Specific assessment of the wound 13 Summary of the wound assessment process 17 ‘carcinoma’, ‘wound dressing’, ‘wound care’, ‘wound pain’, ‘wound management’. It's important to clean a wound before applying a plaster or dressing. The Wound Care Guidelines have been written by the Tissue Viability Team and is based on a wide range of clinical evidence and peer reviews. 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