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.
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
Leg wound
- Guidance for identifying Cellulitis or Red Legs
- Pathway for Well Legs
- Lower Leg Wound Guidance
- Lower Leg Skin Tears
- Pathway for Pre Tibial laceration
- Lower Leg Wound Pathway (Primary Care)
- Lower Leg Wound Pathway (Secondary Care)
- Pathway for Leg Ulceration (Primary Care)
- Pathway for Leg Ulceration (Secondary Care)
- Pathway for Lower Limb Assessment Tier 3 and 4
- Application of safe soft bandaging
- Vascular Service – Peripheral Arterial Disease (PAD) /Chronic Limb- Threatening Ischemia Disease Referral Form
- Vascular Service – Venous Insufficiency Referral
Foot wound
- Foot ulcer guidance
- Pathway for Foot Ulceration (Primary Care)
- Pathway for Foot Ulceration (Secondary Care)
- 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
- Skin Care Pathway for MASD including IAD
- Pathway for Pressure Ulceration
- Pathway for Prevention of Medical Device Related Pressure Ulcers
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Neonatal Medical Related Pressure Ulcer Prevention
- https://www.dbth.nhs.uk/wp-content/uploads/2024/04/Neonatal-Medical-Related-Pressure-Ulcer-Prevention.pdf
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‘DBTH pressure ulcer prevention care plans aSSKINg’
- https://www.dbth.nhs.uk/wp-content/uploads/2024/04/aSSKINg-Red-Care-Plan.pdf
- https://www.dbth.nhs.uk/wp-content/uploads/2024/04/aSSKINg-Amber-Care-Plan.pdf
- https://www.dbth.nhs.uk/wp-content/uploads/2024/04/aSSKINg-Green-Care-Plan.pdf
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Link below includes the DBTH Pressure Ulcer Prevention Mattress Selection
- https://www.dbth.nhs.uk/wp-content/uploads/2024/03/DBTH-Pressure-Ulcer-Prevention-Mattress-Selection-Guide-2024-1.pdf
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Link below shows the DBTH Prevention and Management of Heel Pressure Ulcers poster
- https://www.dbth.nhs.uk/wp-content/uploads/2024/03/Heel-Pressure-ulcer-Management-poster.pdf
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Link below shows how slide sheets prevent Pressure Ulcer to the heels poster
- https://www.dbth.nhs.uk/wp-content/uploads/2024/03/How-slide-sheets-help-prevent-pressure-ulcers-to-the-heels-poster.pdf
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Demonstrating the benefits of Slide Sheet
- https://www.youtube.com/watch?v=1cTRpauNsXQ
Burns
MDSAS Burns Injury Referral criteria, please see link below
Malignant fungating wound
Skin tears and traumatic wounds
Surgical wounds
- Pathway for Breast surgical wounds
- Pathway for Obstetrics or Gynaecology surgical wounds
- Pathway for Orthopaedics Hips or Spine surgical wounds
Negative Pressure Wound Therapy including PICO
- PICO and NPWT selection guide
- DBTH NPWT ordering and returning guide
- Renesys Application Guide for Foam
- Renesys Application Guide for Gauze
Optimisation of wound pathways
TIMES pathway
Other relevant forms or documents
Discharge from DBTH communication and Doncaster Wound Care Alliance referral forms
- DBTH Discharge with Wounds Communication Form Pathway
- Discharge with Wounds Communication Form A
- Discharge with Wounds Communication Form B
Community dressing requests
Complex Lives patient with a wound
Formulary product information and guidance documents
Cleanse, Debride, Protect – time to make a difference (the tick tock attachment)
Debridement pad (the prontosan debridement pad feedback brochure attachment)
Clinical outcomes with Cleanse, Debride, Protect (the DRI Clinic patient attachment)
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