Ala. Admin. Code r. 610-X-6-.13 - Standards For Wound Assessment And Care
Current through Register Vol. 40, No. 6, March 31, 2022
(1) It is within the scope of a licensed
nurse practice to perform wound assessments, including but not limited to
staging of a wound and making determinations as to whether wounds are present
on admission to a healthcare facility, pursuant to an approved standardized
procedure, outlined in Rule
610-X-6-.12,
Standardized Procedures, including supervised clinical practice and
demonstrated clinical competence, initially and at periodic
intervals.
(2) The minimum training
for the licensed nurse who performs selected tasks associated with wound
assessment and care shall include:
(a)
Anatomy, physiology, and pathophysiology.
(b) Fluid and electrolyte balance.
(c) Equipment and procedures used in wound
assessment and care.
(d) Chronic
wound differentiation.
(e) Risk
identification.
(f) Measurement of
wound.
(g) Stage of
wound.
(h) Condition of the wound
bed, including:
(i) Tissues.
(ii) Exudate.
(iii) Edges.
(iv) Infection.
(i) Skin surrounding the wound.
(j) Pain.
(k) Complications, prevention, and nursing
intervention.
(l) Identification
of any contributing factors, including but not limited to:
1. Perfusion/oxygenation.
2. Nutritional status.
3. Infection.
4. Medications.
5. Diabetes.
(m) Photographing wounds.
(3) The licensed nurse may provide
wound care beyond their basic education, in accordance with an order from an
authorized prescriber and after successful completion of an organized program
of study, supervised clinical practice, and demonstrated clinical competence,
initially and at periodic intervals.
(4) The minimum training for the licensed
nurse performing selected tasks associated with wound care shall include:
(a) Dressing changes, including authorized
prescriber ordered medication or topical treatment or topical dressing,
including:
1. Chemical debridement.
2. Enzymatic debridement.
3. Autolytic debridement.
4. Application and maintenance of wound vac
therapy,
(b) Systemic
support, including but not limited to
1.
Adequate diet.
2.
Hydration.
3. Turning and
repositioning.
4. Reducing shear
and friction with movement.
5.
Incontinence care.
(5) Sharp debridement is reserved for
registered nurses with national certification that included didactic
instruction, supervised clinical practice, and demonstration of competency,
initially and at periodic intervals.
Notes
Author: Alabama Board of Nursing
Statutory Authority: Code of Ala. 1975, ยงยง 34-21 -1(3)(b), 34-21-2(a) (21), 34-21-2(c) (6).
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