(PI-034) An Innovative Approach in Outpatient Wound Healing Center

Tanya Pintado, BSN, RN, CWON – Wound Care Nurse, Wound, UM Wound Healing Ostomy & Hyperbaric Med

Introduction: The objective of the project was to focus on developing a streamlined process for introducing and utilizing an autologous skin cell suspension device, previously confined to the operating room, into an outpatient wound healing center (WHC). The integration of such device aims to enhance patient care, improve clinical outcomes, and expand the availability of specialized treatments in non-hospital environment. Given the unique demands of outpatient care, the process was addressed to meet the challenges, such as device transition to outpatient setting, proper training for all healthcare professionals, and patient suitability. By tailoring device use to the outpatient context, we seek to optimize operational efficiency, reduce healthcare costs, and provide patients with greater access to advanced medical technologies. This abstract outlines the key considerations, strategies, and benefits associated with adapting surgical equipment for outpatient use, ensuring that it is both effective and safe in a less controlled clinical environment.

Methods: An evidence-based practice was adopted for implementing an autologous skin cell suspension device in an outpatient WHC. A thorough review of the device’s clinical evidence was essential. The process then began with multiple hands-on in-services to ensure proper device and skin harvesting tool usage, this included the wound care team and physicians. A candidate selection criteria was established based on identified indications for the procedure. An algorithm was developed to guide patient selection, wound criteria, required instruments and medications.

Results: The device was successfully used in the outpatient WHC, avoiding hospital admissions, time under general anesthesia and operating room time. This approach led to significant progress in patient outcomes and enhanced operational efficiency. Implementing this device in an outpatient WHC demonstrated its feasibility and enhanced the range of tools at our disposal.

Discussion: Best practices for the procedure were developed, including continuing education for staff and patients, the use of relaxation techniques, proper procedural preparation, and clear communication of post-care instructions to patients. This approach has set the foundation for further innovation in outpatient wound healing and the continued advancement of healthcare in clinical settings.