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Wound Care and Laceration Repair for Nurse Practitioners in Emergency Care: Part II

Hoyt, K. Sue PhD, RN, FNP-BC, CEN, FAEN, FAANP; Flarity, Kathleen PhD, ARNP, CEN, CFRN, FAEN; Shea, Sheila Sanning RN, MSN, ANP, CEN

Advanced Emergency Nursing Journal: January/March 2011 - Volume 33 - Issue 1 - p 84–99
doi: 10.1097/TME.0b013e318208da72
Cases of Note

This is Part II of a 2-part series on wound care and laceration repair for advanced practice nurses. In Part I, the phases and categories of wound healing were outlined. The factors that affected wound healing were also discussed along with an approach for systematic wound management. Patient assessment, special circumstances involving underlying structures, and foreign bodies were also reviewed. Patient preparation, including wound cleansing, irrigation, scrubbing, and debridement were also covered along with anesthetic and analgesic tips and techniques for advanced practice nurses (APNs) in emergency care. In Part II, wound closure (e.g., sutures, staples, and adhesives) and wound closure techniques are discussed along with the pertinent aftercare instructions for patients with these wounds. Implications for APNs caring for patients with wounds in emergency care are also presented in this article.

Author Affiliations: St. Mary Medical Center, Long Beach, California (Dr Hoyt and Ms Shea); 34th Aeromedical, Evacuation Squadron Peterson AFB and Memorial Health System, Colorado Springs, Colorado (Dr Flarity).

Corresponding Author: K. Sue Hoyt, RN, PhD, FNP-BC, CEN, FAEN, FAANP, St. Mary Medical Center, Long Beach, CA 92019 (

© 2011 Lippincott Williams & Wilkins, Inc.