Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What does conservative sharp wound debridement involve?

1. Using topical agents to dissolve tissue

2. Removal of tissue at bedside with sterile instruments

3. Instructing the patient on self-care techniques

4. Application of vacuum-assisted closure

The correct answer is: Removal of tissue at bedside with sterile instruments

Conservative sharp wound debridement is a procedural approach involving the removal of necrotic or devitalized tissue from a wound using sterile instruments, typically performed at the bedside. This method aims to create a clean wound environment, facilitating healing by removing barriers to tissue granulation and epithelialization. The procedure is often executed by trained healthcare professionals who assess the wound's condition and utilize tools like scalpels or forceps to carefully excise non-viable tissue without affecting healthy tissue. This contrasts with other methods, such as the use of topical agents to dissolve tissue, which does not involve direct removal and may take longer to achieve the desired outcome. Instructing patients on self-care techniques focuses more on education and self-management rather than immediate tissue removal. Similarly, vacuum-assisted closure is a separate treatment modality that promotes wound healing through negative pressure but does not involve direct tissue debridement. Conservative sharp debridement is essential for effective wound management, especially in chronic or non-healing wounds, and highlights the importance of trained professionals performing the procedure to ensure patient safety and optimal outcomes.