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THE DEVELOPMENT OF NURSE LED LEG ULCER CLINICS IN PRIMARY CARE

THE DEVELOPMENT OF NURSE LED LEG ULCER CLINICS IN PRIMARY CARE. PUBLIC HEALTH NURSING SERVICE SLIGO/LEITRIM/WEST CAVAN CATRIONA DUIGNAN, AADPHN. AIM OF INITIATIVE:.

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THE DEVELOPMENT OF NURSE LED LEG ULCER CLINICS IN PRIMARY CARE

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  1. THE DEVELOPMENT OF NURSE LED LEG ULCER CLINICS IN PRIMARY CARE PUBLIC HEALTH NURSING SERVICE SLIGO/LEITRIM/WEST CAVAN CATRIONA DUIGNAN, AADPHN

  2. AIM OF INITIATIVE: • To develop Nurse Led Clinics for clients with lower limb ulceration that require a service which delivers the best care which is evidence based and standardised with improved patient outcomes

  3. DRIVERS FOR ROLE EXPANSION NATIONAL • Venous leg ulcers prevalence = 0.12% in the adult population increasing to 1.03% in > 70yrs LOCAL • The Absence of Wound Management specialist resources for 4 years • Establishment of Tissue Viability Nursing Service Development Group (Integrated Services)

  4. LOCAL Point Prevalence Study (S/L/WC) ISA 2011: • 46.5% of all wounds were Leg/Foot Ulcers (201 of 432) • 79.1% of those were treated in the Community (159 of 201) • 52% of the total wounds within the PHN Service were Leg/Foot Ulcers (159 of 303) Tissue Type/Dressing Audit (S/L/WC) PHN Service 2011: • 43% of all wounds to be Leg/Foot Ulcers • Of 100 wounds 55.13% of wound management time was spent on Leg/Foot ulcers (21hr 30mins) over a 1 week period

  5. HOW? • Establishment of ‘Link Nurses’ • Standardised referral pathways • Strengthen links with Podiatry,G.P’s,Practice Nurses, Tissue Viability CNS and Vascular Services • Strengthen links between hospital & primary care services • Standardised documentation, assessment, treatment and care bundles • Access/support education and training

  6. DEVELOPMENT OF NEW SKILLS / COMPETENCIES • Link Nursing Programme building capacity within the service • Development of leadership skills • Teamwork - new working links across the ISA • Conduction of training needs analysis • PHN service as stakeholders inform education and training initiatives

  7. CHALLENGES AND SUPPORTS • ‘National Best Practice and Evidence Based Guidelines for Wound Management’ (HSE 2009) • Infrastructure/resources • Human resources • Staff motivation • Education and training • Clinical audit / evaluation

  8. BENEFITS • More appropriate use of resources • Reduced Treatment times • Evidenced based care with improved patient outcomes • Standardisation of care

  9. THANK YOU FOR LISTENING! • CATRIONA DUIGNAN, AADPHN PUBLIC HEALTH NURSING SERVICE • SLIGO/LEITRIM/WEST CAVAN

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