WoundCon Fall 2021 – An Online Virtual Wound Care Conference & Expo WoundCon Fall 2021 – An Online Virtual Wound Care Conference & Expo
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Wound Hygiene: From Protocol to Clinical Practice


Mosaic Life Care, Director of Wound Care

Dr. Kelly McFee is a board-certified Family Nurse Practitioner, Certified Wound Specialist, and Advanced Practice Certified Wound Care Nurse who has been practicing wound care and hyperbaric medicine in Northwest Missouri. She received a BSN from Missouri Western State University, MSN from the University of Missouri – Kansas City, and DNP from the University of South Alabama. Kelly serves as the Director of Wound Care for Mosaic Life Care and practices wound care both in the acute care and outpatient settings. She is an active member of the American Professional Wound Care Association and the Association of Advancement of Wound Care and is a board member of the American College of Clinical Wound Specialists, where she currently serves the college as secretary. Kelly has spent the past 20 years working primarily in wound care management in multiple care settings, including acute, post-acute, and outpatient settings.

Despite the number of wound care dressings and technologies available today, the burden of caring for chronic wounds continues to affect health care expenditures profoundly. In the United States alone, Medicare spending for all wound types is between $28.1 billion and $98.6 billion. 

The term “chronic” implies that these wounds cannot be healed and may indicate a long-term, unresolvable condition. An international expert advisory panel determined that a transition to the term “hard-to-heal” wounds would positively influence clinicians’ perspectives on the potential for successful healing outcomes with appropriate treatment regimens. 

The concept of wound hygiene was devised by this international panel, and it is based on the premise that just as basic hygiene is followed in our activities of daily living to manage the biofilms we encounter in our daily lives, so too should basic hygiene for biofilm management be applied to wounds. Incorporating a wound hygiene strategy across the continuum of care may result in improved healing in these complex, hard-to-heal wounds.


  • Explain the rationale for transitioning the terminology from “chronic” wounds to “hard-to-heal” wounds.
  • Identify the four steps of the wound hygiene protocol. 
  • Describe the appropriate treatment for hard-to-heal wounds, including dressings designed to manage biofilm within the dressing.

Located in the ConvaTec booth.

This activity is non-accredited.