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Canadian Association for Enterostomal Therapy Evidence-Based Recommendations for Conservative Sharp Wound Debridement: An Executive Summary

Rodd-Nielsen, Elise; Brown, Jean; Brooke, Jillian; Fatum, Helen; Hill, Mary; Morin, Josée; St-Cyr, Liette

Journal of Wound, Ostomy and Continence Nursing: May/June 2013 - Volume 40 - Issue 3 - p 246–253
doi: 10.1097/WON.0b013e31828fd3fc

The Canadian Association for Enterostomal Therapy Conservative Sharp Wound Debridement Evidence-Based Recommendations are a result of the decision and commitment to advance clinical nursing practice to improve the provision of care to patients via development of an open source guide. The recommendations were developed by a volunteer group of ET nurses who work in clinical practice, policy development, consultation, and education in wound care. The document was developed over the course of 2 years (2009–2011); it is a distillation of existing literature, guidelines, and expert opinion. The development and dissemination of the recommendations were sponsored by the Canadian Association for Enterostomal Therapy. These recommendations should be considered in the context of the organization or care setting as well as available resources and supports. Resources and supports take the form of access to emergency care, physicians and allied health care professionals, education, administrative support, funding, supplies, equipment, and policy. The recommendations should also be applied with consideration of the evolving evidence that will further define practices in Conservative Sharp Wound Debridement. Refer to the Supplemental Digital Content associated with this article at (Supplemental digital content 1, for the complete document.

Supplemental Digital Content is Available in the Text.

Elise Rodd-Nielsen, RN, BScN, CETN (C), Project Leader and Independent ET/Education Consultant, National Capital Region, Canada.

Jean Brown, BScN, RN (retired), ETN, Leader's Assistant & Editor, Formerly of QEII Health Sciences Centre, Halifax, Nova Scotia, Canada.

Jillian Brooke, RN, BSc (Hons), CETN (C), Enterostomal Therapy Nurse, Saint Elizabeth Health Care, Windsor, Ontario, Canada.

Helen Fatum, RN, BScN, ETN, Enterostomal Therapy Nurse, North Bay General Hospital, North Bay, Ontario, Canada.

Mary Hill, RN, BScN, MN, CETN (C), Enterostomal Therapy Nurse, Wound Center, Sheldon M. Chumir Health Center, Calgary, Alberta, Canada.

Josée Morin, RN, BSc, ETN, Clinical Nurse/Enterostomal Therapist, Surgical Program Consultant (Wound/Ostomy), Center Hospitalier Universitaire de Sherbrooke, CHUS, Sherbrooke, Quebec, Canada.

Liette St-Cyr, RN, BSc, ETN, Clinical Nurse/Enterostomal Therapist, Wound and Ostomy Program, Hôpital Charles-Lemoyne Center affiliated University and Regional, The Montérégie, Greenfield Park, Quebec, Canada

Correspondence: Canadian Association for Enterostomal Therapy (,

The development panel declares no conflicts of interest.

Disclaimer: The following recommendations are related only to nursing practice and are not intended to take into account fiscal efficiencies. They are not binding for nurses and their use should be flexible while respecting the individual client/family wishes and circumstances. They neither constitute a liability nor discharge from liability. The Canadian Association for Enterostomal Therapy does not give any guarantee as to the accuracy of the information contained nor accepts any liability. Any reference to pharmaceutical or medical products does not imply endorsement.

Copyright © 2013 by the Wound, Ostomy and Continence Nurses Society