{"id":4474,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/tissueviability\/"},"modified":"2025-03-20T14:38:14","modified_gmt":"2025-03-20T14:38:14","slug":"tissueviability","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/vascularsurgery\/tissueviability\/","title":{"rendered":"Tissue Viability"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">This nurse-led service provides specialist advice for the management of patients with: Complex wounds, Wound healing challenges and Pressure Ulcer prevention.<\/h4>\n\n\n\n<p>&nbsp;<br>Diabetic Foot Ulcers should always be referred to&nbsp;<a href=\"\/refhelp\/guidelines\/Diabetes\" target=\"_blank\" rel=\"noreferrer noopener\">Diabetic Podiatry Teams or Clinics<\/a><\/p>\n\n\n\n<p>A member of the Tissue Viability Service (TVS) should be available to provide advice Monday to Friday (excluding Bank Holidays).<\/p>\n\n\n\n<p>Please be aware the TVS is NOT a dressing service and therefore TVS staff do not supply wound care products or compression bandages<\/p>\n\n\n\n<p>For Tissue Viability Service Provision documents, referral processes, response times and guidance see&nbsp;<a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Pages\/TissueViability.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Tissue Viability &#8211; Intranet site<\/a>.&nbsp;See individual pages and guidelines on TV Intranet pages for more specific advice in Primary Care Management section below.<\/p>\n\n\n\n<p>For general enquiries and referrals&nbsp; from Health care&nbsp;professionals&nbsp; see email address on&nbsp;&nbsp;<a rel=\"noreferrer noopener\" href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Pages\/TissueViability.aspx\" target=\"_blank\">Tissue Viability &#8211; Intranet site<\/a><\/p>\n\n\n\n<p><strong>GE &amp; RR 23.02.20<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading has-alert-red-color has-text-color has-link-color wp-elements-a44cd83f76fd9468a16a02fd5a937c74\">Please note different process for Adults, Children and some community areas<\/h4>\n\n\n\n<h4 class=\"wp-block-heading\">Who can refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>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.<\/li>\n\n\n\n<li>Referrals will not be accepted from non-registered staff, patients, relatives or staff who are not undertaking the primary wound care interventions.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p>Follow the link for your area on the <a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Referring\/Pages\/default.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Tissue Viability Referral Page<\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Wound Management (General)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>For formulary product information including dressing selection guides please see the <a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/East%20Region%20Formulary\/Pages\/East%20Region%20Formulary%20(ERF).aspx\" target=\"_blank\" rel=\"noreferrer noopener\">East Region Formulary Pages<\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Acute Wounds<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Guidelines\/Pages\/Burns.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">See Information on Burns and how to refer to the Regional Burns Unit<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Guidelines\/Pages\/SkinTearsandLacerations.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Tissue Viability Guidance\u00a0on Skins and Tears\u00a0<\/a>\u00a0\u00a0<\/li>\n\n\n\n<li><a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Guidelines\/Pages\/SurgicalWounds.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Tissue Viability\u00a0guidance on Surgical Wounds\u00a0<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Guidelines\/Pages\/Minor-Injury-Wounds.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Minor Injury Guidance<\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Chronic and Infected wounds<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Guidelines\/Pages\/InfectedWounds.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Information on chronic and infected wound management<\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Leg Ulcers\/wounds<\/h4>\n\n\n\n<p><a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Guidelines\/Leg%20Ulceration%20and%20Oedema\/Pages\/default.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Leg Ulcer Guidance<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Pressure Ulcer Prevention and Management<\/strong><\/h4>\n\n\n\n<p><a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Guidelines\/Pressure%20Ulcer%20Prevention\/Pages\/default.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Pressure Ulcer Prevention, Management and Reporting<\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><strong>General wound care advice and pathways&nbsp;are in the Primary Care Management tab<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Community Resources to Support Patient Involvement in Wound Care&nbsp;<\/h4>\n\n\n\n<p>If you have access to the NHS Lothian Intranet this can all be found via this link&nbsp;<a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/TissueViability\/Pages\/COVID-19-Tissue-Viability-Resources.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">COVID-19 Community TV resources (Intranet)<\/a>&nbsp;(Intranet)<br><br>If you are unable to link then please access documents below:<br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Letter-to-patients-re-involvement-in-wound-care-V1-27-03-20.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Letter to patients re involvement in wound care V1-27-03-20.pdf<\/a><br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Patient-involvement-in-wound-care-set-up-checklist-V1-27-03-20.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Patient involvement in wound care &#8211; set up checklist V1-27-03-20.pdf<\/a>&#8211; Set-up checklist for community team&nbsp;<br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-How-to-care-for-your-wound-V1-27-03-20.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">How to care for your wound V1 27-03-20.pdf<\/a>&nbsp;&#8211; &nbsp;step-by-step process<br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-ANTT-Wound-Process-GUIDE-Nov-2019.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">ANTT Wound Process GUIDE Nov 2019.pdf<\/a>&nbsp;&#8211; which process to choose for which wound type<br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Simple-Wound-Care-Nov-2019.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Simple Wound Care Nov 2019.pdf<\/a>&nbsp;-photographic process (will print in B&amp;W as well as colour)<br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Complex-Wound-Care-Nov-2019.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Complex Wound Care Nov 2019.pdf<\/a>&nbsp;&#8211; photographic process (will print in B&amp;W as well as colour)<br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Patient-Wound-Care-Record-V1-27-03-20.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Patient Wound Care Record V1-27-03-20.pdf<\/a><br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Wound-Care-Plan-V1-27-03-20.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Wound Care Plan V1-27-03-20.pdf<\/a><br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Top-tips-for-reducing-wound-care-visit-time-02-04-20.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Top tips for reducing wound care visit time-02-04-20.pdf<\/a><br><br>Patient Information leaflets<br>\u00b7 Chronic Wounds and infection<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Appendix-4-A4-version-of-PIL-Chronic-Wounds.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;A4 version of PIL Chronic Wounds.pdf<\/a><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Appendix-4-A5-version-of-PIL-Chronic-Wounds.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">A5 version of PIL Chronic Wounds.pdf<\/a><br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-C-Section-Patient-Information-Leaflet-V2-A5-Version-09-05-19.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">C-Section Patient Information Leaflet.pdf<\/a><br>\u00b7 Prevent Pressure Ulcers &#8211; Order via PECOS system -(Lot 1452, PandaPrint &lt; \u00a32 per 100)<br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Patient-cellulitis-leaflet.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Patient cellulitis leaflet.pdf<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Leg Ulcer Management, Resources and Ordering\/Support from companies<\/h4>\n\n\n\n<p>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-Leg-Ulcer-Management-and-Resources-April-2020.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Leg Ulcer Management and Resources-April 2020.pdf<\/a>&nbsp;&#8211;&nbsp; with links to websites, videos, and support contact details&nbsp;<br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viability-BPS-Compression-Hosiery-2nd-Ed-2015-April-2020.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">BPS Compression Hosiery 2nd Ed 2015-April 2020.pdf<\/a>&nbsp;&#8211; Compression Hosiery Best Practice Statement (2nd Ed 2015)<br>\u00b7&nbsp;<a href=\"\/files\/sites\/2\/Tissue-Viabilty-Cellulitis-pathway-April-2020.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Cellulitis pathway-April 2020.pdf<\/a>&nbsp;&#8211; Cellulitis of Lower Limb Guidance<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Company Specific Information, Ordering and Home Delivery<\/h4>\n\n\n\n<p>\u00b7&nbsp;<a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Tissue-Viability-Ordering-Compression-Hosiery-Products-for-Home-Delivery-Covid-2020.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Tissue-Viability-Ordering-Compression-Hosiery-Products-for-Home-Delivery-Covid-2020.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Ordering Compression Hosiery Products for Home Delivery (Covid 2020).pdf<\/a>&nbsp;&#8211; Activa Compression Hosiery Products&nbsp;<br>\u00b7&nbsp;<a rel=\"noreferrer noopener\" href=\"\/files\/sites\/2\/Tissue-Viability-Ordering-Ready-Wrap-Covid-2020.pdf\" target=\"_blank\">Ordering Ready Wrap Covid 2020.pdf<\/a>&nbsp;&#8211; Activa ReadyWrap &#8211; Ordering and Home Delivery<br>\u00b7&nbsp;<a rel=\"noreferrer noopener\" href=\"\/files\/sites\/2\/Tissue-Viability-Haddenham-Making-it-Easier-to-Order-2020.pdf\" target=\"_blank\">Haddenham &#8211; Making it Easier to Order 2020.pdf<\/a>&nbsp;&#8211; EasyWrap (Haddenham) &#8211; Ordering and measurement guide<br>\u00b7&nbsp;<a rel=\"noreferrer noopener\" href=\"\/files\/sites\/2\/Tissue-Viability-Ordering-FarrowWraps-from-JOBST-Delivered-2020.pdf\" target=\"_blank\">Ordering FarrowWraps from JOBST Delivered 2020.pdf<\/a>&nbsp;&#8211; FarrowWrap (Jobst) &#8211; Ordering and Home Delivery<br>\u00b7&nbsp;<a rel=\"noreferrer noopener\" href=\"\/files\/sites\/2\/Tissue-Viability-Remote-support-Medi-UK-2020.pdf\" target=\"_blank\">Remote support Medi UK 2020.pdf<\/a><br>\u00b7&nbsp;<a rel=\"noreferrer noopener\" href=\"\/files\/sites\/2\/Tissue-Viability-ChronicOedema-COVID-19-April-2020.pdf\" target=\"_blank\">Chronic Oedema-COVID 19-April 2020.pdf<\/a>&nbsp;&#8211; Haddenham &#8211; Additional Information re support\/training<\/p>\n\n\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This nurse-led service provides specialist advice for the management of patients with: Complex wounds, Wound healing challenges and Pressure Ulcer prevention. &nbsp;Diabetic Foot Ulcers should always be referred to&nbsp;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<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4504,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[683],"class_list":["post-4474","page","type-page","status-publish","hentry","category-tissue-viability"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/vascularsurgery\/tissue-viability\/\" rel=\"tag\">Tissue Viability<\/a>","rttpg_excerpt":"This nurse-led service provides specialist advice for the management of patients with: Complex wounds, Wound healing challenges and Pressure Ulcer prevention. &nbsp;Diabetic Foot Ulcers should always be referred to&nbsp;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","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4474","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4474"}],"version-history":[{"count":5,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4474\/revisions"}],"predecessor-version":[{"id":23483,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4474\/revisions\/23483"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4504"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4474"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}