Second OpinionsWound Class Questions

Wound Class Questions

I would appreciate help on how wound vacuum-assisted closure is being classified as to wound class in the OR. I can see the index op as anything but clean (I), but what about subsequent replacement procedures (sometimes up to 4-5 times)? I've seen the wound class vary each time, for the same patient, from II to III to IV and even back and forth. It is very confusing.

Started by: Bertha Ruiz (Other) at August 23, 2016 (12:51 pm)

Comments and Responses

 

Depending on the patient specific improvement of the wound, I think the wound class could change from replacement to replacement. Assessment of the wound for exudate and inflammation should occur at each replacement and the location of the wound could also have an impact on how well the wound heals. There are many factors such as the patient's nutritional status, circulatory status, oxygenation as well as the patient's adherence to the use of the wound vac that could affect the wound class (2011 Rothrock, p.309).

L. Anderson (Other) at August 24, 2016 (9:27 am)

I would say anything less than intact skin wound be at least a III. If it is infected then IV.

Michelle J. (OR Manager/Supervisor) at August 23, 2016 (3:10 pm)

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