Clinical pathways are a common component in the quest to improve the quality of health. Clinical pathways aim to enhance the quality of care by guideing the user through the evidence based decision-making, translating clinical practice recommendations into clinical processes, which in turn will:
- Shorten the duration of the process with faster diagnosis
- Increase coherence of care between different professionals provides
- Reduce the risk of opposing opinions and therapies
- Avoid duplication
- Increase the opportunity for patient empowerment
- Reducing the risk of errors
- Enable cost effectiveness
- Increasing job satisfaction.
All associated pathways and policies can be found below or within the formulary. If you are using the formulary to open the associated pathway (PDF) save this document to your local PC, enable editing, double click on the paper icon in the PDF link column. The PDF will open in a separate screen.
To help you navigate to the most appropriate pathway for the wound type you are managing you can use our Doncaster Wound care Formulary and Associated Pathway and Polices Navigation Flowchart
Doncaster Wound care Formulary and Associated Pathway and Polices ‘Navigation Flowchart’
Follow the Aetiology of wounds pathways section first. If there is not a pathway relevant for the wound type you require, follow the Optimisation of wound pathways section.
Aetiology of wounds pathways
Wound bed preparation
- Wound Bed Preparation Pathway (formally known as wound cleansing)
- B. Braun Prontosan – Time to make a difference_V1 – Video (video-cdn.net)
- Prontosan system User Guide
- Pathway for Larval Debridement Therapy
Leg wound
- Guidance for identifying Cellulitis or Red Legs
- Pathway for Well Legs
- Why you have been referred to a vascular clinic
- Pathway for Lower Limb Lymphoedema including Lymphorrhea weeping legs
- Pathway for a Limb Haematoma
- First to dress lower leg wound pathway for Emergency Departments
- Lower Leg Wound Guidance
- Pathway for Pre tibial laceration
- Pathway for External Fixator and Pin Site Cares
- Leg Ulcer pathway
- Lower Limb Assessment Pathway Tier 3.4 and District Nurse
- Appendix-1-Lower Limb Assessment Criteria Tier 3.4 and District Nurses
- Appendix-2-Compression options following a Lower Limb Assessment
- Appendix-3-The recommended Lower Limb Assessment Frequency
- Pathway for the application of Soft Lower Leg Bandaging
- Vascular Service – Peripheral Arterial Disease (PAD) /Chronic Limb- Threatening Ischemia Disease Referral Form
- Vascular Service – Venous Insufficiency Referral
- How to apply wadding/ K soft bandage (For the use within safe soft bandage then you don’t need to measure the ankle)
- How to apply a Type 2/ K lite bandage
- How to apply UrgoKtwo compression for leg ulcers
- Application of Actico
Foot wound
- Foot Ulcer Diagnosis Guidance
- Foot Ulcer Assessment Pathway Secondary Care
- Foot Ulcer Pathway
- What are Neuropathic and Ischaemic Foot Ulcers
- Appendix-4-Difference between Neuropathic and Ischaemic Foot-Ulcers
- Vascular Service – Peripheral Arterial Disease (PAD) /Chronic Limb- Threatening Ischemia Disease Referral From
- Vascular Service – Venous Insufficiency Referral
Pressure ulcers and Moisture associated skin damage
- How to Prevent a Pressure Sore
- What to look out for if you care caring for a loved one with a Pressure Sore
- Pressure Ulcer Clinical Pathway Secondary Care
- Pathway for Skin Care Regime for MASD
- Pathway for Pressure Ulcer Management
- Pathway for Category 3 or 4 pressure ulcers for consideration of surgical debridement and revision
- Prevention of Medical Device Related Pressure Ulcers MDRPU guidance
- Prevention of Paedatrict/Neonatal Medical Device Related Pressure Ulcers (DRPU)
- aSSKINg-Red-Care-Plan for secondary care
- aSSKINg-Amber-Care-Plan for secondary care
- aSSKINg-Green-Care-Plan for secondary care
- aSSKINg-NNU-care-plan
- Pressure Ulcer Prevention Mattress Selection Guide
- Prevention and management of heel pressure ulcers
- NWCSP Categorisation Tool
- How slide sheets help prevent pressure ulcers to the heels
- Demonstrating the benefits of slide sheets
Burns
- Adult Burn Referral Guidance
- Pathway for Non Complex Burn Management Adults
- Paediatric minor burns injury pathway
- MDSAS-ED referral crieria
- Pathway for Burns First Aid
Malignant fungating wound
Skin tears and traumatic wounds
- Skin Tear Pathway
- Pathway for Medical Adhesive Related Skin Injuries MARSI
- Pathway for Pre tibial laceration
Surgical wounds
- Information about the healing progress of your surgical wound – Is my surgical wound healing normally?
- Pathway for Orthopedic Hip and Spinal Wounds
- Pathway for Obstetrics Gynaecology and Breast Surgical Wounds
Negative Pressure Wound Therapy including PICO
- PICO and Negative Wound Therapy NPWT Selection Guide
- Negative Pressure Wound Therapy NPWT Ordering Collecting and Returning Pathway Secondary Care
- Application Guide for NPWT Renasys Foam
- Application Guide for NPWT Renasys Gauze
- RENASYS Application Guide GAUZE
- RENASYS Application Guide FOAM
- PICO 7 Application
Digital Images in wound care
- Information about digital images in wound care Digital Images in wound care
Optimisation of wound pathways
Other relevant forms or documents
Discharge from DBTH communication and Doncaster Wound Care Alliance referral forms
- Wound Care Shared Care communication form eForm
- Pathway for Discharge Communication and Referrals for patients living with wounds
- Discharge with wounds Form A
- Discharge with wounds Form B
- Discharge with wounds Form C
Community dressing requests
- Appendix-13 Wound Alliance Dressing request form
- Appendix 14-Off-Formulary prescribing request form a Doncaster Wound Care Alliance Tier-4-or-3-Wound Care Specialist Services
- WCA dressing request form
Complex Lives patient with a wound
Formulary product information and guidance
Acticoat Flex
Biatain Silicone
Clearfilm
Comfeel
Cutimed and Leukomed
Flaminal
- Flaminal’s unique mode of action
- Flaminal Overview
- How to use Flaminal
- How to use Flaminal as a wound filler in cavity wounds
Hoisery
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- How to apply JOBST FarrowWrap: Footpiece
- How to apply JOBST FarrowWrap: Legpiece
- JOBST UlcerCare application
- Tips for easy donning of JOBST forMen Ambition Knee High Stockings
- Tips for easy doffing of JOBST forMen Ambition Knee High Stockings
- Tips for easy donning of JOBST UltraSheer Knee High Open Toe Stockings
- Compression Hosiery and Wrap Product Order List
Kliniderm
Larval Therapy
- How Larval Therapy is Produced
- Larval Therapy application: using bagged larvae for wound debridement
Prontosan
- TICK TOCK Prontosan Range Brochure
- Prontosan Debridement Pad Brochure
- Clinical Wound bed preparation in practice
- The Prontosan Mode of Action
- Prontosan Debridement Pad
Proshield treatment range
UrgoClean Ag
- How to apply UrgoClean Ag dressings
- How to pack a cavity wound with UrgoClean Ag dressings
- UrgoClean Ag Mode of Action : the only silver dressing with complete & continuous cleaning action
- UrgoClean Ag in Real Life Booklet
UrgoStart plus
- How to apply UrgoStart plus pad dressings
- How to apply UrgoStart plus border dressings
- How to apply UrgoStart Plus for Mixed Aetiology Leg Ulcer
UrgoTul
Other relevant information
- Appendix 1 Lower Limb Assessment Criteria Tier 3.4 and District Nurses
- Appendix-2 Compression options following a Lower Limb Assessment
- Appendix 3 The recommended Lower Limb Assessment Frequency Tier 3.4 and District Nurses
- Appendix-7 Compression Hosiery and Wrap Product Order List
- Appendix-8 Competency for Lower Leg Bandaging
- Appendix-9 Competency for UKTWO
- Appendix 10 Assessment of competency Negative pressure wound therapy
- Appendix-11 Competency for MESI ABPI Medical Device
- Appendix-19 Assessment of competnecy Practical Application of Compression Bandaging UrgoK Four System
- Pathway for Discharge Communication and Referrals for patients living with wounds
- Criteria of T.I.M.E.S and the assessment of associated barriers to wound healing
- Factors associated with increased risk of surgical site complications and wound infection
- Generic wound assessment minimum data set
- British Lymphoedema Society Guidelines on the Management of Cellulitis in Lymphoedema
- Legs matter cellulitis guidance
- Moisture Edges and Surrounding Skin
- Pressure Ulcer Categorisation Tool
- T-Tissue
- Wound Culture Sampling/Swabbing
- Wound Infection
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