Poster
PI-004
Adding a Hypochlorous Acid Preserved Wound Cleanser to Your Inpatient Wound Care Protocol: Standardization Examples, A Case Series
Emily Greenstein, APRN, CNP, CWON-AP, FACCWS
Catherine Milne, MSN, APRN, CWOCN-AP – Advanced Practice Wound, Ostomy, Continence Nurse, Connecticut Clinical Nursing Associates; Rafael Mazuz, MBA, BSc; Eilon Schiner, BA; Tiffany Hamm, BSN RN ACHRN CWS; Jeff Mize, RRT CHT CWCA – WoundReference, Inc.
Introduction: Approximately 2% of all hospitalized patients worldwide have a chronic wound, and older adult patients are at highest risk, because aging impairs the healing process.1 As many as 70% of these wounds recur, and 34% are accompanied by infection.2
Wound cleansing, topical dressings, and negative pressure wound therapy with instillation (NPWTi) are all treatment options for managing these wounds. Wound cleansing and NPWTi can aid in the removal of exudate, debris and contaminanats. Topical dressings help promote tissue granulation, maintain a moist healing environment and in promoting autolytic debridement.
As a precursor to the use of dressings, or NPWT, the use of HAPWOC as a noncytotoxic option on as a wound cleansing solution can be helpful for wound cleansing, and mechanical reduction of germs/biofilm and necroticic debris. It can be used repeatedly and often due to its proven noncytotoxic nature on cells. nd continued healing. Additionally, it provides an acidic pH to the wound bed, and this is conducive to healing. This is in contrast to cytotoxic cleansers that contain sodium hypochlorite, e.g. Dakin’s.
Background: We have standardized the of HAPWOC on most types of wounds in the acute side of our hospital. We have presented extent of such usage previously. This poster will present cases of the versatile use of HAPWOC in a four patient case series.
Method: Each patient selected was treated in the inpatient setting for more than five days. Different types of wounds were managed utilizing HAPWOC in several different modes.
Results: Each of the patient’s showed improvements in the size and tissue quality of their wounds. The wounds also remained free from odor and infection.
Discussion: Patients who are admitted to the hospital with an acute or chronic wound are at high risk for the development of infection. HAPWOC is a versatile preservative-free solution that has been found to reduce bioburden and allow continue healing.
References
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