Types of on-excisional debridement
Patient has an infected stage 4 decubitus ulcer of the buttock. The ulcer was debrided as an outpatient the week prior to admission. Patient is now admitted for IV antibiotic's. The ulcer is described by the surgeon as having a small amount of adherent necrotic slough. The surgeon ordered daily wet-to-dry saline dressings to debride the remaining amount of minimal necrotic slough.
Are wet-to-dry saline dressings considered a form of non-excisional debridement? If so, would extirpation of skin alone or subcutaneous and fascia be used for the body site.
Appreciate any thoughts/suggestions.
Paula Scheiderich, RHITClinical Documentation Improvement