© Springer-Verlag Wien 2015
Luc Téot, Sylvie Meaume, Sadanori Akita, William J. Ennis and Veronique del Marmol (eds.)Skin Necrosis10.1007/978-3-7091-1241-0_4646. Regulations for Conservative Sharp Debridement for Nurses in the USA
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Premier Health Solutions, LLC, Cherry Hill, NJ, USA
46.1 Introduction
Sharp debridement can be performed either by conservative sharp wound debridement (CSWD) or by surgical sharp debridement. Conservative sharp wound debridement (CSWD) is defined as the removal of loosely adherent devitalized tissue with a scalpel or scissors, above the level of viable tissue, and is not likely to result in blood loss. It is different from sharp debridement performed by physicians and is performed by other health-care professionals. CSWD is not as aggressive as debridement performed by physicians who remove devitalized tissue down to a viable, bleeding wound bed. Any method of surgical debridement requires specially trained, competent, qualified health-care professionals [1, 2].
46.2 Regulations in the USA for Conservative Sharp Wound Debridement
In the USA, regulations for sharp debridement vary from state to state, and each state’s Nurse Practice Act or Board of Nursing dictates specific regulations for this procedure.
The following information is a state-by-state summary and can be used as a guide.
Note: Regulations may change, so the nurse who may want to practice sharp wound debridement is responsible for contacting the individual state practice act prior to performing this procedure.
A list of contact information for each state board can be found at the following link: www.allnursingschools.com/faqs/boards.php [3]
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