Programme 2021

9:05 AM - 9:40 AM

Management of Personal Protective Equipment (PPE) injuries

Julie Tyrer, Tissue Viability Nurse Consultant, Liverpool Heart and Chest NHS Foundation Trust

This session will re visit the background to the problem of skin damage caused by PPE and the scale of the problem; how it became a worldwide issue.
It will discuss the pathophysiology of how skin damage is caused by PPE; and describes some of the most common skin conditions related to the use of PPE and how they can be effectively managed.
Importantly, the session includes how skin problems could be prevented when wearing PPE; and lessons learned for future practice.

9:40 AM - 10:15 AM

How to run a remote Tissue Viability review service during Covid-19 using digital technology

Louise Savine, Lead Tissue Viability Nurse, Imperial College Healthcare NHS Trust

This session will review how the acute Tissue Viability service ran a successful remote review service using an electronic patients record system and wound care photographs.

Telemedicine has been around for a long time now, predominately in the community setting due to distance and locations of teams. Within the acute sector, telemedicine is not used as there is a fixed population of patients and the Tissue Viability team can see patients more easily in person.

During phase one and two of the global pandemic the Tissue Viability team was reduced to one clinician patient facing and one clinician working from home responsible for a patient population of 1500 split over 3 main hospital sites.

This session will explore how we coped with this new way of working and how we successfully kept the service running.

10:15 AM - 10:50 AM

Community TVN’s experience during Covid 19

Sylvie Hampton, Independent Tissue Viability Nurse Consultant,

Covid 19 has involved a change in practice for all those in healthcare. Wounds have always required assessment and treatment in person but Covid 19 robbed many patients of that opportunity.

Each practitioner has had to develop a new method of treatment in order for wounds to continue healing. This session will discuss those changes and what it means for the future of wound care.

11:10 AM - 11:45 AM

Digital nurse education – getting it right

Fiona Downie, Senior Lecturer Advanced Practice , Anglia Ruskin University

This session will look at the pros and cons of delivering wound care education in a digital format. The discussion will include the following: how to get participants engaged in online learning; how to plan and deliver the education; keeping meetings/sessions secure; how can we keep wound care education real and relevant to clinical practice if delivered online. Fiona will also discuss the difference between asynchronous and synchronous delivery of education. Finishing the session looking at what are the opportunities of digital education going forward.

11:45 AM - 12:20 PM

Promoting patient autonomy, empowerment and self-care during Covid-19

Alison Schofield, Clinical Manager & Honorary Tissue Viability Nurse, Mole Digital & York Teaching Hospitals NHS Foundation Trust

The Covid-19 pandemic necessitated doing things differently, and many services rose to the challenge. The NWCSP recommended the following:
  • Supporting more patients to self-care.
  • Increasing the use of telemedicine.
  • Using tele-triage before home visits.
As we support more patients in supported to self-care, requiring fewer face to-face visits how do we empower patients to be involved in carrying out their own care? How do we encourage concordance and how do we change the culture of wound care delivery? Self-care can only occur safely after a full initial assessment, and good shared-care systems are needed to ensure adequate dressings, clinical review, and support.

What have we learned from the past 12 months and how do we ensure that supported self-care has the right systems in place, appropriate tools to support the patient and clinicians and become part of everyday practice, not only a crisis solution?

1:05 PM - 2:10 PM

The National Wound Care Strategy Programme for England – An Update

Dr Una Adderley, Director, National Wound Care Strategy Programme

The National Wound Care Strategy Programme (NWCSP) commenced work in September 2018 with a focus on improving the care of lower limb wounds and surgical wounds. 

 Since then, the clinicians, academics and others involved with the programme have worked together to examine the current state of wound care in England and plan what needs to happen to make meaningful improvements.

 NWCSP Recommendations for both lower limb wounds and surgical wounds have now been published and work is ongoing to implement these recommendations into practice.

 This presentation will provide an update on the plans for implementing the NWCSP Lower Limb recommendations and a discussion about implementation of the Surgical Wounds Recommendations, particularly in relation to the post-Covid pressures on surgery.

2:35 PM - 3:10 PM

Wound hygiene

Angela Walker, Podiatry Lead Clinical Specialist, Birmingham Community Health Care NHS Foundation Trust

Over the years there have been many ideas on what is considered best practice in wound care and as clinicians we hope we are providing this.

With research, experience and sharing of ideas, practice evolves and new concepts are supported and promoted.

Wounds considered ‘hard to heal’ have been increasing, along with the complexity of the patients we see. Evidence of biofilm in these wounds has been noted.

The International Consensus on Wound Hygiene was published in 2019 and gives a practical guide to managing hard to heal wounds. Wound hygiene is based on four simple steps in wound preparation and appropriate dressing choice. The concept is easy to follow and implement whatever the experience or scope of practice of the clinician involved.

Evaluations and outcomes of the practice have been positive, with some outstanding results.