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Wound Field Concept

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  • #68664
    Fiona de Sousa
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    Fiona de Sousa

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    Hi All,

    I was recently introduced to the wound field concept by a new graduate
    nurse who had failed her aseptic non touch technique competency as she
    was using the wound field concept that she was taught at her university.

    Although I can find theoretical information on this concept I have not
    found any research to show that this is a clinically better practice
    than using an ANTT. It does not appear to be included in the latest
    Australian Infection Control Guidelines or the new national standards
    either.

    Does anyone have any references to support the wound field concept
    especially in relation to reduction in HAI rates?

    Does anyone use this concept in their facility?

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

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    #68665
    Matt Mason
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    Matt Mason

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    #68666
    Sue Greig
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    Sue Greig

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    Hi Fiona,
    The ‘wound field concept’ was being taught in some tertiary centres and several years ago was criticised as not being compliant with the need for ANTT especially in acute care, with acute wounds or devise management. I was advised at the time that it’s premise is that the dressing field and the ‘wound’ field are the same and neither are sterile and all items can move between each freely.

    Several of us lobbied strongly that this not be taught for acute care and if it had any place in health care it would only be in the community or home care situation when dealing with chronic wounds but the principles confused practice and allowed for poor practice that put patients at risk in the acute care setting.

    Regards,
    Sue

    Sue Greig
    Infection Prevention and Control Clinical Nurse Consultant
    Sydney Hospital and Sydney Eye Hospital

    (02) 9382 7199 (direct)

    Senior Project Officer
    National HAI Prevention Program
    Australian Commission on Safety and Quality in Health Care
    Email sue.greig@safetyandquality.gov.au

    Hi All,

    I was recently introduced to the wound field concept by a new graduate nurse who had failed her aseptic non touch technique competency as she was using the wound field concept that she was taught at her university.

    Although I can find theoretical information on this concept I have not found any research to show that this is a clinically better practice than using an ANTT. It does not appear to be included in the latest Australian Infection Control Guidelines or the new national standards either.

    Does anyone have any references to support the wound field concept especially in relation to reduction in HAI rates?
    Does anyone use this concept in their facility?

    Kind Regards,

    Fiona De Sousa
    Infection Prevention & Control Coordinator
    Sydney Adventist Hospital
    Fiona.Desousa@sah.org.au
    185 Fox Valley Road, Wahroonga, NSW, 2076

    If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
    is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
    Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
    by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
    _____________________________________________________________________
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    visit http://www.messagelabs.com
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