Skip to main content

Wound care

Section 6: Restricted activities that do not require an order

Wound care

6

(1)

(b)

for the purpose of wound care, including the suturing of skin lacerations, perform a procedure on tissue below the dermis or below the surface of a mucous membrane

The Regulation states that registered nurses may carry out wound care without an order. This includes cleansing, irrigating, probing, debriding, packing and dressing. It also includes suturing a laceration.

Limits and conditions

1.

Providing a client-specific order for conservative sharp wound debridement, negative pressure wound therapy, maggot debridement therapy or compression therapy

 

 

  • May be done only by those registered nurses who have successfully completed one of the following wound management education programs (or an equivalent):
    • Canadian Association of Enterostomal Therapy Education Program
    • International Interdisciplinary Wound Care Course
    • University of Toronto Master of Science in Community Health: Wound Prevention and Care
    • University of Western Ontario Master of Clinical Science: Wound Healing
    • Wound Ostomy Continence Nursing Education Program.

2.

Carrying out conservative sharp wound debridement, negative pressure wound therapy, maggot debridement therapy or compression therapy

 

 

    • May be performed within autonomous scope of practice by registered nurses who have successfully completed the education requirements in 1. (above).
    • All other registered nurses must:
      • have a client-specific  order, and
      • successfully complete additional education.

3.

Diagnosing conditions associated with wounds below the dermis or below the surface of a mucous membrane

 

 

    • May be done by registered nurses who have successfully completed the education requirements in 1. (above).
    • All other registered nurses must:
      • follow an established decision support tool, and
      • successfully complete additional education.

4.

Suturing skin lacerations

 

 

    • All registered nurses, including those who have successfully completed the education requirements in 1. (above):
Home > Nursing standards > RN Scope of Practice > Part 4: Restricted activities for registered nurses > Section 6: Restricted activities that do not require an order > Wound care