Wound Care Plan

Diabetic foot – infected requiring surgical debridement

Last Updated
16 June 2025
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Quick Overview

Reference ID Number: TWS-WCP-92

Categories

Diabetic Ulcer

Scope of Practice (ScOP) Designation

Medical Officer,Registered Nurse (RN),Enrolled Nurse (EN)

Treatment Goals

To remove any cellular debris or puss from the cavity where there is a skin bridge or sinus

Aim of Dressing

Saturate sinus cavities with iodine to remove and/or kill the bacterial load causing the infection

Frequency of Dressing Change

Everyday

References

Shopping List

Dressing Pack (Large),Iodine (100ml) (AKA Betadine),Ribbon Gauze (1.25cm x 1m),Zetuvit Plus (10cm x 10cm),10ml luer lock syringe,18g Cannula,Cotton Bandage and Crepe,Normal Saline

Associated Tutorials

Vac – Forefoot with Bridge Dressing
Page Table of Contents

    Product Selection Disclaimer:

    The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

    Photo Gallery

    Care Plans

    Post-operatively after washout

    Following days after surgical washout has occurred where the likihood of cellular debris and puss is still in the track ward based iodine flushed ,ay occur before a more long term plan is enacted.

     Swipe 
    Step 1

    Prepare your sterile field

    Prepare you sterile field and open up all your sterile wound care products using ANTT
    Products Used
    Step 2

    Clean the wound

    Using normal saline and gauze clean the wound bed
    Products Used
    Step 3

    Flush the sinus with iodine (part a)

    You may wish to put on PPE in case their is some inadvertently splashing during the irrigation. Draw up the iodine into the 10ml syringe
    Products Used
    Step 4

    Flush the sinus with iodine (part b)

    Connect the 10ml syringe to the 18g cannula catheter (with the inducer removed and safely discarded)
    Products Used
    Step 5

    Flush the sinus with iodine (part c)

    Stick the catheter down the sinus and gently push downw on the syringe to flush the cavity. You may need to augment the wound to help open up the passage. Always look at the distal end of the passage to watch for the iodine coming out
    Products Used
    Step 6

    Pack wound(s) with iodine

    soaked and lightly squeeze out the betadine soaked gauze and lay into the wound bed(s)
    Products Used
    Step 6

    Secure

    Cover wounds with zetuvit and cotton bandage and crepe
    Products Used

    Ongoing management

    Once the immediate infect has passed a more long term management of the wound can begin

     Swipe 
    Step 1

    Prepare your sterile field

    Prepare you sterile field and open up all your sterile wound care products using ANTT
    Products Used
    Step 2

    Clean the wound bed

    Using normal saline and gauze clean the wound bed
    Products Used
    Step 3

    Setup VAC dressing

    Apply the VAC dressing to the wound bed
    Products Used
    Step 4

    Order appropriate foot wear

    Order a forefoot offloading Darcoe shoe
    Products Used