Authors (including presenting author) :
Hung YW (1), Leung EMK (1), Tam TSP (1), Wong SF(1), Lam PL (1), Koo YY (1), Tsang YY (1)
Affiliation :
(1) Community Nursing Service, Our Lady of Maryknoll Hospital
Introduction :
Wound packing is the process of applying packing material to a wound cavity/undermining/tunneling,promoting moist wound healing and encouraging the growth of granulation tissue to prevent premature closure. Retained wound packing material is a sentinel event of HA Risk Alert Issue. To ensure that wound packing is performed in a safe way, it requires community nurses to assess the patient’s physical status and wound condition, document the wound dressing and packing procedures correctly, as well as to monitor the wound healing progress in a professional approach. In order to enhance the patient’s safety and quality of care related to wound packing,the project was developed to standardise the practice and documentation of wound packing so as to minimize the communication gap and maintain the continuity of care between hospital and Community Nursing Service(CNS).
Objectives :
1.To reinforce the evidence-based practice of wound packing among community nurses; 2.To standardise the nursing documentation of wound packing in CNS.
Methodology :
In-house wound care training was provided by Advanced Practice Nurse in CNS by educational seminar, sharing the updated evidence-based approach and good practice alignment related to wound packing. Skill and technique for improving nursing handover and communication with patient/carer related to wound packing were reinforced. Audits of wound documentation in CBNS Home Care Record and Wound Assessment & Treatment Form were then performed for quality control, evaluating the compliance and also assessing the discrepancy between them. Wound packing electronic template was tailor-made for nursing staff to facilitate and guide the nursing documentation. Satisfactory survey towards the educational seminar and the use of electronic template was conducted.
Result & Outcome :
Total 26 community nurses in OLMH CNS attended the educational seminar on 17 Nov 2020. For the satisfaction survey by questionnaire, the returned rate was 100%. All participants agreed that the seminar content was practical by providing references and strengthening their clinical confidence to perform wound packing safely. Compliance checks of wound documentation in CBNS Home Care Record and Wound Assessment & Treatment Form were performed. The overall compliance rate increased from 63% (15 cases) to 78% (13 cases) before and after the seminar. Furthermore, after introducing and using the tailor-made electronic documentation template, the overall compliance rate increased significantly to 100% (15 cases). Regarding the satisfaction survey towards the electronic documentation template, all participants agreed that the template was easy to use, convenient, detailed and effective to facilitate and standardise the nursing documentation of wound packing.
