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Reader Reports

Reader Report: Wound Care Demographics & Staffing Levels

Editor’s Note: This summer, Today’s Wound Clinic sent readers a two-part emailed survey regarding their wound clinics’ demographics and staffing practices. In this edition of Reader Report, we present the results of Part 1 of that survey. Results for Part 2 will publish later this winter.  Thanks to all readers who participated in our survey!

 

Question 1: Which of the following components make up wound care at your facility? (Select all that apply.)

A. Inpatient wound care (64.7%)
B. Outpatient wound care (92.4%)
C. Hyperbaric Oxygen Therapy (HBOT; 59.7%)
D. Outreach program (nursing home, partner facility, community education; 16%)
E. Infusion therapy (10.1%)
F. Durable medical equipment distribution (6.7%)

Question 2: If the facility offers outpatient wound care, where are the services delivered?

A. In an off-campus free-standing facility (18.6%)
B. Within the main facility (55.1%)
C. Free-standing on the main hospital campus (21.2%)
D. N/A (5.1%)

Question 3: How is wound care managed?

A. Through the hospital (57.7%)
B. Through a third party (11.7%)
C. A combination of both (30.6%)

Question 4: Which levels of management spend 60% or more of their time participating in patient care?

A. Director (12.2%)
B. Manager (20.9%)
C. Clinical coordinator/supervisor (34.8%)
D. N/A (32.2%)

Question 5: Does wound care staff leave the department and support/provide consultation to other hospital areas (eg, emergency department) that are not counted in the “total visits” statistic?

A. Yes (48.7%)
B. No (51.3%)

Question 6: What percentage of wound care visits is inpatient wound treatment?

A. 1-25% (41.7%)
B. 26-50% (14.8%)
C. 51-75% (7.8%)
D. 76-100% (11.3%)
E. N/A (24.3%)

Question 7: What percentage of wound care visits is inpatient HBOT?

A. 1-25% (94.4%)
B. 26-50% (2.2%)
C. 51-75% (1.1%)
D. 76-100% (2.2%)

Question 8: What percentage of wound care visits is outpatient wound treatment?

A. 1-25% (10.9%)
B. 26-50% (11.8%)
C. 51-75% (20.9%)
D. 76-100% (56.4%)

Question 9: What percentage of wound care visits is outpatient HBOT?

A. 1-25% (65.3%)
B. 26-50% (8.4%)
C. 51-75% (3.2%)
D. 76-100% (23.2%)

Question 10: How does wound care provide HBOT? (Select all that apply.)

A. Monoplace - 1 chamber (8%)
B. Monoplace - 2 chambers (36.6%)
C. Monoplace - 3 chambers (8.9%)
D. Monoplace - 4 chambers (11.6%)
E. Monoplace - > 4 chambers (2.7%)
F. Multiplace chamber (8%)
G. N/A (34.8%)

Question 11: What percentage of wound care visits is for acute conditions?

A. 1-25% (62.8%)
B. 26-50% (17.7%)
C. 51-75% (8.8%)
D. 76-100% (1.8%)
E. N/A (8.8%) 

Question 12: What percentage of wound care visits is for chronic conditions?

A. 1-25% (2.7%)
B. 26-50% (15.3%)
C. 51-75% (27%)
D. 76-100% (53.2%)
E. N/A (1.8%) 

Question 13: What percentage of wound care visits is for nursing home or skilled nursing facility patients?

A. 1-5% (20.4%)
B. 6-10% (20.4%)
C. 11-15% (14.2%)
D. 16-20% (9.7%)
E. 21-25% (10.6%)
F. > 25% (10.6%)
G. N/A (14.2%)

Question 14: Which of the following types of wounds are treated by wound care personnel? (Select all that apply.)  

A. Arterial ulcers (98.2%)
B. Burns (78.2%)
C. Pressure/decubitus ulcers (98.2%)
D. Dermatitis (fungal, incontinence related; 75.5%)
E. Diabetic pressure ulcers (99.1%)
F. Nonhealing surgical wounds (96.4%)
G. Traumatic injuries (90.9%)
H. Venous stasis leg ulcers (96.4%)
I. Necrotizing infections (70%)
J. Atypical wounds/immune-related wounds (85.5%)
K. Complex ostomy (52.7%)
L. Ostomy complications management (56.4%)
M. Ostomy with ulcerations (64.5%)

Question 15: Which of the following types of wounds are treated by wound care with HBOT? (Select all that apply.)

A. Diabetic foot ulcers (DFUs) or ulcers of the lower extremities (89.7%)
B. Acute peripheral arterial insufficiency (46.2%)
C. Acute traumatic peripheral ischemia (37.2%)
D. Compromised skin grafts (75.6%)
E. Osteoradionecrosis (80.8%)
F. Progressive necrotizing infections (42.3%)
G. Actinomycosis (16.7%)
H. Chronic refractory osteomyelitis (87.2%)
I. Soft tissue radionecrosis (84.6%)
J. Crush injuries (42.3%)
K. Gas gangrene (38.5%) 

Question 16: What are the routine hours of operation for wound care? (Select all that apply.)

A. On call 24/7 (8.1%)
B. < 5 days/week (5.4%)
C. Monday-Friday < 8 hours/day (17.1%)
D. Monday-Friday 8-12 hours/day (73.9%)
E. Monday-Friday 12+ hours/day (2.7%)
F. Saturday < 8 hours/day (5.4%)
G. Saturday 8-12 hours/day (3.6%)
H. Saturday 12+ hours/day (0.9%)
I. Sunday < 8 hours/day (1.8%)
J. Sunday 8-12 hours/day (3.6%)
K. Sunday 12+ hours/day (0.9%) 

Question 17: How many hours per week does the medical director dedicate to both medical and administrative responsibilities for the wound care department?

A. < 8 hours (31.8%)
B. 8-16 hours (19%)
C. 17-24 hours (6.4%)
D. 25-32 hours (6.4%)
E. 33-40 hours (10%)
F. > 40 hours (7.3%)
G. N/A (19.1%) 

Question 18: What percentage of wound care visits involves the treatment of 5 or more wounds?

A. 1-5% (26.7%)
B. 6-10% (33.3%)
C. 11-15% (13.3%)
D. 16-20% (5.7%)
E. 21-25% (6.7%)
F. > 25% (7.6%)
G. N/A (6.7%) 

Reader Reports
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