Authors (including presenting author) :
Ngan H L
Affiliation :
Nursing Service Division, United Christian Hospital. Kowloon East Cluster
Introduction :
According to past incidents reported by HA Risk Alert, retention of dressing material was one of the most common incidents related to wound packing. Therefore, we need to remind our colleagues to have good practice and make recommendation to reduce of the risk of incidents.
Objectives :
(1) To increase the awareness of clear documentation on the number of wound packing material packed and removed in wound after any procedure related to wound dressing
(2) To reinforce the technique of wound packing should be leaving a visible tail of continuous piece of packing over the peri-wound skin
(3) To remind the application of wound packing should be different materials to cover dressing
(4) To document clearly about the length and size of wound packing materials
Methodology :
To organized the seminars of “Clinical update for wound packing” in 2 hospitals within cluster to share the incidents from Risk Alert and update recommendation on wound packing. In addition, to issue the Newsletter of wound packing to provide quick reference for clinical staff in hospitals.
Result & Outcome :
Total 4 identical seminars of “Clinical update for wound packing” had been conducted in October & November 2019. Total 269 nursing staff attended the seminar. An evaluation was collected from participants. The overall response rate was 96.3%. The scoring scale of 1 to 6, the mean score of the overall satisfaction was 5.13. Participants revealed that they were impressed by the following areas: (1) cases sharing from Risk Alert; (2) tips on wound packing technique; (3) documentation on wound packing; (4) use different materials for wound packing and cover dressing. Moreover, the Newsletter of wound packing was issued to all nursing staff through email. Most of nurses reflected that it was useful as a reminder for daily clinical practice. On the way forward, we may consider to perform clinical audit on wound packing to reinforce nurses to follow the recommendation on wound packing. As a result, we do hope that we can reduce the risk of retention of packing.
