Wound Dressing Competency Tool1

Wound Dressing Competency Tool1

The Victorian Department of Health is making this document freely available on the internet for health services to use and adapt to meet the National Safety and Quality Health Service Standards of the Australian Commission on Safety and Quality in Health Care. Each health service is responsible for all decisions on how to use this document at its health service and for any changes to the document. Health services need to review this document with respect to the local regulatory framework, processes and training requirements

The author disclaims any warranties, whether expressed or implied, including any warranty as to the quality, accuracy, or suitability of this information for any particular purpose. The author and reviewers cannot be held responsible for the continued currency of the information, for any errors or omissions, and for any consequences arising there from.

Published by Sector Performance, Quality and Rural Health, Victorian Government, Department of Health

February 2014

Wound Dressing Competency Tool1

Key: I – Independent S – Supervised A – Assisted M – Marginal D – Dependent(Refer‘Bondy’ Rating Scale p.5)

Note:Shaded area indicates minimum criteria to meet clinical competency

* The following workflow has been used as an example only. If the health care worker follows the principles of aseptic technique but performs tasks differently they should be deemed competent providing individual technique does not breech the aseptic field.

• Performs hand hygiene

• Wipes down trolley with a disinfectant wipe

• Gathers required equipment and supplies

• Place dressing pack on the top shelf and all items on the bottom shelf. If the trolley has a draw – (do not go into the draw without removing gloves and performing hand hygiene.

• Dons protective eyewear and surgical mask as necessary

• Discusses procedure with patient and obtains verbal consent if patient conscious/able to provide consent

• Maintains patient dignity and exposes patient only as much as necessary

• Performs hand hygiene

• Entering patient room, open dressing pack and add items required ensuring items remain sterile. Prepare the patient.

• Don a pair of Non sterile gloves and loosen old dressing so it can be removed with a pair of forceps. Remove gloves.

• Performs hand hygiene.

• Option 1 - Using non sterile gloves remove the old dressing without touching the wound and discard with gloves.

• Option 2 - Using non sterile gloves and a forcep remove old dressing and discard with dressing items and forcep.

• Option 3 - Using no gloves and a forcep remove old dressing and discard dressing items and forcep

• Option 4 - If required to touch the wound – use sterile gloves and a forcep and discard as per option 3.

• If extra items are required for use, remove gloves if being worn and perform hand hygiene prior to getting items out of a draw in the trolley or before leaving the room to obtain further items.

• Open items, perform hand hygiene and put on gloves before continuing with dressing.

• Performs hand hygiene.

• Using sterile forceps cleanse area as required without contaminating the forceps and the other items on the trolley / clean field.

• Complete dressing and remove gloves if applicable

• Performs hand hygiene.

• Assists patient to a comfortable position

• Covers patient

• Wipes down trolley with a disinfectant wipe

• Performs hand hygiene

• Document procedure in patients’ medical record.

Staff member being assessed:______

Assessor:______Signed (Assessor): ______

(Please print name)

Date of Assessment: ______

Standard Achieved: (please circle one)Competent (C)Not Yet Competent(NYC)

Comments (if required):

Wound Dressing Competency Tool1

Action Plan

Please document the agreed education plan and completion timelines for staff assessed as not yet competent:

Staff Member Name______

Staff Member Signature______

Staff Member Ward______

Educator Name______

Educator Signature______

Proposed Completion Date______

Wound Dressing Competency Tool1

‘Bondy’ Rating Scale

Bondy, 1983

References

ACORN. (2012-2013). Standards for perioperative nursing including nursing roles, guidelines and position statements. Adelaide: ACORN.

Bondy, K.N. (1984) Clinical Evaluation of student performance: the effects of criteria on accuracy and reliability. Research in Nursing and Health, 7(1), 25-33.

Bondy, K.N. (1983) Criterion-Referenced Definitions for Rating Scales in Clinical Evaluation. Journal of Nursing Education, 22(9), 376-382

Cabrini Health Policy and Procedures Manual & Cabrini Nursing Clinical Protocol Manual

Rowley, S., & Clare, S. (2011). Aseptic Non Touch Technique (ANTT): Reducing Healthcare Associated Infections (HCAI) by Standardising Aseptic Technique with ANTT across Large Clinical Workforces. American Journal of Infection Control, 39(5), 90.

Standards Australia, (2003), Australian/New Zealand Standard: Cleaning, disinfecting & sterilising reusable medical & surgical instruments & equipment, & maintenance of associated environments in health care facilities. Sydney: Standards Australia.

Wound Dressing Competency Tool1