Physiotherapists providing wound care in Ontario - PowerPoint Presentation

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Physiotherapists providing wound care in Ontario

Pamela E Houghton, PhD PT; Ethne L Nussbaum, PhD PT MEd; Lyndsay Orr, MClSc

BScPT

; Deirdre O’Sullivan, MClSc

BScPT

.

InterACTION

2018

Ontario Physiotherapy Association

Toronto Marriott Airport Hotel, April 13 – 14, 2018.

Session Objectives

After attending the session participants will:

Know what is required in order to roster as an independent practitioner providing wound care with the College of Physiotherapy of Ontario;

Be able to identify their learning needs for providing effective wound care;

Know what resources are available for learning and/or improving their knowledge and skills in the field of wound care

Controlled Acts for Purpose of Wound Care

cleansing

soaking

irrigating

probing

debridingpackingdressing

WOUND CARE PRINCIPLES

College Standard for Controlled Acts

Physiotherapists must be able to prove that they have successfully completed training for the controlled acts they perform. This can be formal education or training delivered on the job. During the training, the physiotherapist must:

Learn the indications, contraindications, adverse outcomes, and risks associated with performing the controlled act.

Practice the controlled act under the supervision of a person who is authorized to perform it.

Be evaluated on the knowledge, judgement, and practical skills needed to perform the controlled act.

Show that they are able to safely and competently perform the controlled act

http://www.collegept.org/Standards/Controlled_Acts

WOUND CARE PRINCIPLES

Maximising opportunity as a PT in Wound Care

Within Ontario wound care can be performed

to the full scope of your abilities under the mechanism of a medical directive or delegation

independently if you are a rostered practitioner

Remaining on the College roster for wound care

You must have performed and/or received training in the authorized activity in the last 2 years.

Opportunities for acquiring the education for

independent practice

MClSC

Western University

Wound Care Management OPA Courses

International Interprofessional Wound Care Course (IIWCC)

On the job training, e.g. hospital training

Level 1 is an on-line course. :

Content covers the basic knowledge underpinning best practices in wound care

When registrants elect to demonstrate their learning in the Level 1 course, they may take the on-line test and must obtain a minimum of 70% on the test to qualify to take the Level 2 course

Upon completion of Level 1 & 2 and providing they meet the requirement of clinical experience, it is expected that participants will be in a position to roster with the CPO to perform the authorized activity of treating a wound below the dermis

Wound Care for Physical Therapists.

Level 1 – basic knowledge

Uses cases and clinical scenarios to enhance prior knowledge.

Discusses best practice guidelines including wound bed preparation paradigm to develop a comprehensive wound care plan.

Discusses valid and reliable wound assessment tools to describe wound status, including infection and deterioration, and to evaluate whether wound treatments are effective.

Discusses different categories of wound dressings and their role in managing the local wound environment. Includes opportunity to handle and manipulate many different types of dressings.

Includes practice and a test of clinical skills -

irrigating, probing, packing and dressing wounds

using universal precautions and good aseptic technique.

Wound Care for Physical Therapists

Level 2 – Clinical Skills

Wound Care for Physical Therapists – Level 3

Level 3 courses are open to PTs who have successfully completed Levels 1 and 2 or PTs who already perform controlled acts under medical directive or delegation.

Level 3A workshop includes:

Performing & interpreting vascular tests of the lower limb including Ankle Brachial Pressure Index (ABI)

Selecting/applying compression systems to manage chronic leg edema

Identifying appropriate clients and applying removable and non-removable foot offloading devices

Prescribing exercise programs that will optimize mobility and address underlying causes of skin breakdown

Level 3B workshop on advanced therapies includes:

Electrical stimulation, ultrasound, laser and ultraviolet therapy

Biophysical interactions, clinical effectiveness, supporting research and equipment

Demonstration of techniques and practice by participants

Level 4 course teaches wound debridement.

INTERNATIONAL INTERPROFESSIONAL WOUND CARE COURSE (IIWCC)

A certificate course accredited by the University of Toronto’s Continuing Education & Professional Development office

Two  mandatory residential weekends  (4 days each)

Fourteen self-study modules -

nine required to complete

: 5 Faculty Chosen (F), 4 Student Chosen (S)A selective related to course content interpreted/ presented to class members and a written report that is translated to each student's day-to-day activities

Masters of Science in Community Health: Wound Prevention and Care.

Dalla

Lana School of Public Health / The University of Toronto

Program Director, Dr. Gary

Sibbald12 months full-time; up to 6 years part-time

Introduction to Public Health Sciences

0.5

Public Health Policy

0.5

Wound Prevention & Care

1.0

Teaching & Learning in the Health Professions (A): Principles and Theories

0.5

Teaching & Learning in the Health Professions (B): Practical Issues and Approaches

0.5

Required Practicum

MScCH

0.5

Masters of Clinical Science

in Wound Healing (

MClSc

-WH)

One year, 7 courses; Starting each September

Distance Education (onsite (5 wks) + online)

Clinical Speciality + Research Experience

Inter-professional (PT, MD, RN, OT, Chir, etc.)

Students & Instructors from across Canada

www.westernu.ca/fhs/pt

FOR MORE INFORMATION:

Website

email:

phoughto@uwo.ca

or

charding@uwo.ca