Modern wound dressings are significantly more expensive per unit than traditional alternatives, such as tape and gauze, but research has shown them to be more cost effective as they are associated with faster healing rates and fewer dressing changes, Jones (2006). Also, when assessing wound care costs, it is important not to view the unit cost of the dressing in isolation, but to take into account the ‘true' cost of care including nursing time and ancillary products. Also, the human cost to the patient is incalculable, in pain at dressing changes or a reduction in quality of life having to suffer leaking dressings or daily dressing changes.

A review of wound care protocols carried out in August 2006 highlighted several issues and concerns in our facility which included;

High frequency of dressing changes, Many patients wounds presenting with high levels of exudate, Problems with dressing security (heat / incontinence) Problems with the surrounding skin Continuity of care Use of Whirlpools in our facility MRSA /VRE positive patients (critical colonization and cross contamination).

An evaluation of 18 patients was carried out looking at the dressing materials that were currently used, hourly nursing time, aid hourly time and the dressing change frequency.

The results were dramatic. We calculated that the cost of treating 18 patients in with traditional wet to dry dressings was $702.00 per day, whereas the cost of treating the same sub- set of patients with a standardized wound care protocol* cost only $468.00 per day. On a monthly basis, this would equate to $21,060 for wet to dry and $14,040 for the standardized wound care protocol*. A saving of $7020 per month.

The results from our evaluation demonstrate that standardizing wound care protocols and product utilization can be an efficacious and cost effective alternative to traditional wound dressings.