Remove wound closure materials from individuals
Overview
This standard covers removing wound closure materials from individuals. It is applicable in a variety of care settings including hospitals, care homes, the individuals own home or other community settings such as GP surgeries.
This standard involves removing and disposing of wound closure materials using an aseptic technique and following organisational guidelines and procedures, as and when directed by a relevant practitioner.
Performance criteria
You must be able to:
- access and accurately interpret all relevant work instructions and information
- work safely at all times and in accordance with all relevant legislation, guidelines, policies, procedures and protocols
- deal promptly and effectively with any problems within your control and report those which cannot be solved
- identify and minimise hazards and risk in the workplace
- communicate with the individual and key people at a pace, in a manner and at a level appropriate to the individual's understanding, preferences and needs
- respect the individual's rights and wishes relating to their consent, privacy, beliefs, and dignity
- provide support to the individual and ensure health and safety measures are implemented at all times
- check the individual's identity and confirm the planned activity
- gain valid, informed consent from the individual in accordance with specific procedures
- confirm all equipment and materials are appropriate to the method of removal of wound closure material and fit for purpose
- confirm the absence of contra-indications to removing wound closure material
carry out removal of the wound closure material:
- causing the individual minimal distress, discomfort or pain
- at an appropriate time according to the individual's plan of care
- following the agreed procedure
- using the correct technique
stop the activity, reassure the individual and seek advice without delay if you have any problems in removing the wound closure material
- ensure all wound closure material had been completely removed
- dispose of waste in accordance with organisational procedures
- complete and store all relevant documentation in accordance with organisational requirements
Knowledge and Understanding
You need to know and understand:
- the current legislation, guidelines, policies, procedures and protocols which are relevant to your work practice and to which you must adhere
- the scope and limitations of your own competence, responsibilities and accountability as it applies to your job role
- how to access and interpret all relevant work instructions and information
- specific procedures for reporting issues which are beyond your competence, responsibilities and accountability
- the duty to report any acts or omissions that could be unsafe/detrimental to you or others
- the hazards and risks which may arise during the execution of your work role and how you can minimise these
- how to adapt communication styles in ways which are appropriate to the needs of the individual
- the correct use of any equipment and PPE to protect the health and safety of you and others
- the principles, practice and procedures associated with informed consent
- the needs of individuals including issues relating to dignity, confidentiality, and privacy
- organisational management structures, roles, and responsibilities
- the importance of applying standard precautions to removing wound closure materials from individuals and the potential consequences of poor practice
- why individuals should be supported and informed about the nature of the of the activity
- the concerns and worries which individuals may have in relation to wound closures
- the adverse reactions which may occur following procedures and how to identify and deal with these
- the anatomy and physiology of the skin and underlying tissues in relation to the type of wound closure material used and the removal of wound closure material
the following regarding wound healing:
- the process of wound healing
- factors affecting wound healing
- potential complications of wound healing
- cross infection
the principles and working practices associated with sepsis
- how aseptic technique contributes to the control of infection
- potential sources of contamination when undertaking removal of wound closure material and appropriate measures to reduce or deal with them
- the potential consequences of wound contamination
- the equipment and materials required for removing wound closure materials
- why resources should be prepared before you start the activity
- the importance of following the procedure exactly as it is specified, and the potential effects of not doing so
- the importance of packing away used equipment and soiled dressings prior to leaving the immediate care area
- how to dispose of waste in accordance with organisational procedures
- how to complete and safely store all relevant documentation in accordance with organisational requirements