This nurse-led service provides specialist advice for the management of patients with: Complex wounds, Wound healing challenges and Pressure Ulcer prevention.
Diabetic Foot Ulcers should always be referred to Diabetic Podiatry Teams or Clinics
A member of the Tissue Viability Service (TVS) should be available to provide advice Monday to Friday (excluding Bank Holidays).
Please be aware the TVS is NOT a dressing service and therefore TVS staff do not supply wound care products or compression bandages
For Tissue Viability Service Provision documents, referral processes, response times and guidance see Tissue Viability – Intranet site. See individual pages and guidelines on TV Intranet pages for more specific advice in Primary Care Management section below.
For general enquiries and referrals from Health care professionals see email address on Tissue Viability – Intranet site
GE & RR 23.02.20
Please note different process for Adults, Children and some community areas
Who can refer:
- Registered Medical, Nursing staff (including care home staff who are on the direct referral pathway) and AHP healthcare professionals who are undertaking the primary wound care interventions.
- Referrals will not be accepted from non-registered staff, patients, relatives or staff who are not undertaking the primary wound care interventions.
How to refer:
Follow the link for your area on the Tissue Viability Referral Page
Wound Management (General)
- For formulary product information including dressing selection guides please see the East Region Formulary Pages
Acute Wounds
- See Information on Burns and how to refer to the Regional Burns Unit
- Tissue Viability Guidance on Skins and Tears
- Tissue Viability guidance on Surgical Wounds
- Minor Injury Guidance
Chronic and Infected wounds
Leg Ulcers/wounds
Pressure Ulcer Prevention and Management
General wound care advice and pathways are in the Primary Care Management tab
Community Resources to Support Patient Involvement in Wound Care
If you have access to the NHS Lothian Intranet this can all be found via this link COVID-19 Community TV resources (Intranet) (Intranet)
If you are unable to link then please access documents below:
· Letter to patients re involvement in wound care V1-27-03-20.pdf
· Patient involvement in wound care – set up checklist V1-27-03-20.pdf– Set-up checklist for community team
· How to care for your wound V1 27-03-20.pdf – step-by-step process
· ANTT Wound Process GUIDE Nov 2019.pdf – which process to choose for which wound type
· Simple Wound Care Nov 2019.pdf -photographic process (will print in B&W as well as colour)
· Complex Wound Care Nov 2019.pdf – photographic process (will print in B&W as well as colour)
· Patient Wound Care Record V1-27-03-20.pdf
· Wound Care Plan V1-27-03-20.pdf
· Top tips for reducing wound care visit time-02-04-20.pdf
Patient Information leaflets
· Chronic Wounds and infection
A4 version of PIL Chronic Wounds.pdf
A5 version of PIL Chronic Wounds.pdf
· C-Section Patient Information Leaflet.pdf
· Prevent Pressure Ulcers – Order via PECOS system -(Lot 1452, PandaPrint < £2 per 100)
· Patient cellulitis leaflet.pdf
Leg Ulcer Management, Resources and Ordering/Support from companies
· Leg Ulcer Management and Resources-April 2020.pdf – with links to websites, videos, and support contact details
· BPS Compression Hosiery 2nd Ed 2015-April 2020.pdf – Compression Hosiery Best Practice Statement (2nd Ed 2015)
· Cellulitis pathway-April 2020.pdf – Cellulitis of Lower Limb Guidance
Company Specific Information, Ordering and Home Delivery
· Ordering Compression Hosiery Products for Home Delivery (Covid 2020).pdf – Activa Compression Hosiery Products
· Ordering Ready Wrap Covid 2020.pdf – Activa ReadyWrap – Ordering and Home Delivery
· Haddenham – Making it Easier to Order 2020.pdf – EasyWrap (Haddenham) – Ordering and measurement guide
· Ordering FarrowWraps from JOBST Delivered 2020.pdf – FarrowWrap (Jobst) – Ordering and Home Delivery
· Remote support Medi UK 2020.pdf
· Chronic Oedema-COVID 19-April 2020.pdf – Haddenham – Additional Information re support/training
