The Importance of Interdisciplinary Teamwork in Wound Rounds and Assessment

Wound healing is a multi-step, ever-changing process that requires ongoing care and attention by a variety of care providers. Two critical components of wound healthcare are wound rounds and assessments, which typically occur each week. During rounds, care providers observe and discuss each patient’s condition and strategize continuing care. Providers also conduct wound assessments, which involve classifying wounds based on criteria such as size and tissue type in order to evaluate the healing process. Rounds and assessment are essential components of effective wound care and their effectiveness is dependent upon interdisciplinary teamwork.

Editor’s Note: Click here to learn how becoming a Vohra Wound Certified Nurse (VWCN™) can lead to career advancement, increased earning potential, and improved patient outcomes. 

When conducting rounds and completing wound assessments, providers must continuously communicate with one another to prevent lapses in care. This collaboration involves taking diligent notes, comprehensively documenting treatment changes, and keeping the patient and their care team informed of the treatment plan. Communication failures can have significant consequences: an estimated 70-80% of serious medical errors result from ineffective teamwork. Since wound care patients interact with many care providers, effective communication and collaboration must be practiced during wound rounds and assessments so that all pertinent information is taken into account.

According to Vohra Wound Physicians, the nation’s most trusted wound care solution, teamwork is a critical aspect of the wound healing process. The Vohra Wound Care Certification program emphasizes the importance of teamwork and encourages wound care providers to practice ongoing teamwork and communication during patient care. 

Physician Careers

The Interdisciplinary Team

Due to the complicated and often lengthy nature of wound healing, wound care requires an interdisciplinary team composed of care providers with different expertise that collaborate to improve patient outcomes. Here is a breakdown of a typical interdisciplinary wound care team:

The exact nature of this team can differ depending on the treatment facility and the patient in question, but each team member plays a distinct role and thus has a slightly different understanding of a patient’s circumstance. Only by combining this knowledge can optimal patient care be achieved. Comprehensive data and collaborative decision making also prevents wound care litigation.

The importance of teamwork has been particularly emphasized for the treatment of the diabetic foot, which occurs in approximately 15% of diabetics. In diabetic foot ulcer treatment, interdisciplinary teamwork ensures that wound etiology, medical treatment, and the need for surgical intervention is continuously assessed, leading to improved patient outcomes. 

Doctors Discussing

Teamwork in Wound Care Rounds

During wound treatment, weekly rounds are an important way that care providers assess patient status and determine treatment. Since rounds and assessments can be completed by different members of the interdisciplinary team, there must be effective communication and clear standards for assessment and care.

As wound rounds are completed, continuous dialogue enables care providers to identify problems as they arise and quickly adapt treatment. Wound nurses play an important role in this discourse, as they have the most consistent insight into the status of patient wounds and can quickly identify disruptions in the healing process, such as those caused by mechanical exertion or improper moisture.

One of the most common effects of improper communication on wound care teams is the development of pressure ulcers, commonly known as bed sores, which are localized areas of tissue damage that are often preventable and frequently arise when wound patients are immobile during recovery. Regular assessment of patient risk and discussion between providers can prevent pressure ulcer development. This improves patient outcomes and precludes wound care litigation or noncompliance with insurance coverage policies. 

How Does Interdisciplinary Teamwork Support QAPI?

Interdisciplinary teamwork in wound healing – and in healthcare as a whole – plays an essential role in facilitating care assessment and Quality Assurance Performance Improvement (QAPI). QAPI is the practice of making evidence-based improvements in order to improve patient care, optimize the use of resources, and reduce the incidence of pressure ulcers, which are a common and costly complication of wound healing. Interdisciplinary teamwork enables continuous feedback regarding care so that QAPI goals can be set and met.

Teamwork in Physician and Patient Communication

As patients come in with new or healing wounds, care providers must be attentive to patient care changes, healing progress, and potential disruptions to healing. This improves patient recovery and shortens healing time, which limits the risk of infection or further injury. Interdisciplinary teamwork and effective collaboration are crucial aspects of this process.

Vohra has several resources for both bedside and telemedicine post-acute wound care treatment that can help interdisciplinary healthcare teams optimize teamwork. Learn more about wound care management and how Vohra is setting the standard in wound care here. 

Author: Dr. Japa Volchok, DO

Dr. Volchok is the Vice President of Operations at Vohra Wound Physicians. Trained as a vascular and general surgeon he joined Vohra in 2009. Dr. Volchok is currently responsible for Vohra’s telemedicine program, legal and regulatory matters, and physician recruitment. He completed an executive management program at the Harvard Business School.