Chronic Wounds and the Role of Portable Single Use Negative Pressure Therapy in an Acute Care Hospital

Background: Negative Pressure Wound Therapy (NPWT) is a significant and essential component in the treatment of many types of challenging wounds. Research has demonstrated the known effects of NPWT. For many complex and problematic wounds, NPWT has become first line therapy. Problem: Patient compliance is often an issue with conventional NPWT.  Firstly, the devices can be bulky, limiting a patient’s mobility. The device is also loud and because of size, cannot easily be concealed.  Secondly, length of stay may be increased with convention NPWT.  There may be administrative processes that are required to activate and obtain the device.  The NPWT device may not even be readily available on the unit. Solution: Portable single-use NPWT devices enable patients to move easily.  The simple application requires minimal staff training and requires less administrative coordination to activate and discontinue therapy. The device is relatively silent and can easily be concealed increasing patient compliance. An advance practice nursing group implemented patient-specific criteria to manage the application of the portable single-use NPWT devices, based on best-evidence and specific protocols.  A nurse ensures criteria is met and approves the application of the device.  Outcomes indicators are carefully measured and tracked to assess effectiveness. Conclusion: Using carefully designed protocols, combined with a systematic evaluation, the introduction of a new wound care technology in a consistent, fiscally responsible, painless and clinically effective manner is achievable. It is hoped that studies of this type will allow for enhanced clinician education, patient safety and prove beneficial to facilities.