Wound Classification Algorithm Wound classification is a ...

1 No to AllClass IVDirty o r InfectedWound Classification AlgorithmWound classif ication is a team res ponsibility. It should be determined at the end of the procedure. It needs to be a communicati on between surgeon, the nurse and other members of the team. Th e objective is to classify the Wound at the time of the surgery to reflect and capture any events that may have occurred during the procedure. Use the Alg orithm below to help determine Wound clas sification for s urg ical the Procedure:Was there: Pus, purulence or abscess?

2 Perito nitis? Clinical evidence of infectio n? Perforated viscera*prior to incision? Devitalized tissue requiring dissection/resection? Traumatic Wound s greater than 4 hours old Fecal contamination p rior to incision?Was there: Acute in flammation su ch as no n-purulent diverticulitis ? Gross sp illage** from the GU tract, respiratory tract or GI tract (includ ing b ile)? Necrotic tissue without infection or not req uiring dissection/resection? Major break in sterile techn ique? Non-purulent gangrene?

3 Fib rinous exud ate? Open, Fresh accidental Wound ?No to All Did th e p rocedure require entry into th e Respiratory, GI, or GU system?No to AllNote: *Perforated viscera may includ e b owel perfo ration, ruptured appendix, anastomotic leak, perforated gastric ulcer, or fistu la**Gross sp illage includ es any spillage that occurs durin g the case that can be seen with th e naked eye Adapted f ro m JL Zinn, Cone Health, Greensboro, NC; published February 2012 AORNYes to an y questionYes to an y questionClass IIIC ontaminated Class IIClean Contaminated YesClass ICLEAN