Authors (including presenting author) :
Lee YFT(1), Ng SKS(1), Lee WY(1), Chan YM(1), Yung TK(1), Chan SL(1), Lau WY(1)
Affiliation :
(1) Coronary Care Unit, Department of Medicine, Pamela Youde Nethersole Eastern Hospital
Introduction :
CIED wound problem is health care professional’s main concern e.g wound gapping or wound infection. They occur when patients were discharged home. Patients are lack of resources, information or knowledge on how to look after their CIED wound. So the program is developed to streamline our care and provide immediately support to the patient when needed.
Objectives :
The program is designed (1) to fill up the service gap, (2) to minimize wound problem and (3) empowerment patient’s self-care management and awareness through different sources of education materials.
Methodology :
A nursing wound team performs all wound dressings and removal of stitch or Zipline during routine wound round. Early recognition, early intervention, early follow up are adopted in managing wound cases until they are completely healed. Early signs of wound problem (e.g. hematoma or superficial infection) would be tackled frequently at nurse clinic. Education with an information leaflet and post discharge phone FU would be provided as well as the ad hoc walk in support in order to reinforce patient and relatives on the importance of wound care. Outcome measures are categorized as: (1) Number of head count attendance in nurse clinic; (2) number of unplanned admission due to wound problem; (3) staff and patient satisfaction survey.
Result & Outcome :
A nursing wound team performs all wound dressings and removal of stitch or Zipline during routine wound round. Early recognition, early intervention, early follow up are adopted in managing wound cases until they are completely healed. Early signs of wound problem (e.g. hematoma or superficial infection) would be tackled frequently at nurse clinic. Education with an information leaflet and post discharge phone FU would be provided as well as the ad hoc walk in support in order to reinforce patient and relatives on the importance of wound care. Outcome measures are categorized as: (1) Number of head count attendance in nurse clinic; (2) number of unplanned admission due to wound problem; (3) staff and patient satisfaction survey.
The overall results are encouraging since we streamline the care delivery journey. Reduction of doctor’s workload and lengthening the frequency of arrhythmic clinic follow up. Reduction of the unplanned admission and A&E visit. Also, nurses get more autonomy in managing the CIED wound and show their expertise in management.
