Erin M. Rajhathy, RN, BScN, MClSc-WH, NSWOC, WOCC(C), Home and Community Care Support Services South East, Kingston, Ontario, Canada.
Valérie Chaplain, RN, BScN, NSWOC, WOCC(C), Montfort Hospital, Ottawa, Ontario, Canada.
J Wound Ostomy Continence Nurs. 2021;48(6):516-522. doi: 10.1097/WON.0000000000000822.
Debridement is described in the literature as having a high level of clinical risk and may result in patient harm when performed by untrained nurses. As a result, specialized knowledge, skills, and competencies are required to initiate, direct, and perform safe and effective debridement. This executive summary provides an overview of Debridement: Canadian Best Practice Recommendations for Nurses from the Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC). The primary objective of these recommendations is to positively influence patient outcomes and enhance safety. The 12 recommendations place the safety of the patient and nurse at the forefront and highlight the educational, competency, certification, preceptor/mentorship, and legal requirements for nurses to initiate, direct, and perform all methods of debridement. We designed these recommendations to be circulated and implemented widely by nurses of various professional levels across the continuum of care and advocate for organizations and government agencies to clearly define debridement in their policies and legislative regulations.
清创术在文献中被描述为具有高度的临床风险，如果由未经培训的护士进行，可能会对患者造成伤害。因此，需要专门的知识、技能和能力来启动、指导和进行安全有效的清创术。本执行摘要概述了 Debridement：来自加拿大伤口、造口和失禁护理护士协会（NSWOCC）的护士的加拿大最佳实践推荐。这些建议的主要目的是积极影响患者的结果并提高安全性。这 12 条建议将患者和护士的安全放在首位，并强调了护士在启动、指导和进行所有清创方法方面的教育、能力、认证、导师/指导以及法律要求。我们设计这些建议是为了让各级护理人员在整个护理连续体中广泛传播和实施，并主张组织和政府机构在其政策和法规中明确界定清创术。
