Wound Care Plan

Diabetic foot – infected requiring surgical debridement

Last Updated

15 April 2026

Back

Quick Overview

Reference ID Number: WL-WCP-92

Scope of Practice (ScOP) Designation

Medical Officer,Registered Nurse (RN),Enrolled Nurse (EN)

Treatment Goals

To remove cellular debris or purulent exudate from the cavity, particularly in the presence of a skin bridge or sinus.

Aim of Dressing

Irrigate sinus cavities with iodine-based solution to reduce bacterial load and assist in infection control.

Frequency of Dressing Change

Everyday

Consult(s) / Diagnostic Test Required

Orthotist review

References

Shopping List

Dressing Pack (Large),Iodine (100ml) (AKA Betadine),Ribbon Gauze (1.25cm x 1m),Zetuvit Plus (10cm x 10cm),10ml luer lock syringe,18g Cannula,Cotton Bandage and Crepe,Normal Saline

Associated Tutorials

Vac – Forefoot with Bridge Dressing

Page Table of Contents

Product Selection Disclaimer:

The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

Photo Gallery

Care Plans

Post-operatively after washout

n the days following surgical washout, where residual cellular debris or purulent material may remain within the tract, ward-based iodine flushing may be performed prior to implementation of a long-term management plan.

Swipe

Step 1

Prepare your sterile field

Prepare a sterile field and arrange all sterile products using aseptic technique.

Products Used

Dressing Pack (Small),10ml luer lock syringe,18g Cannula,Normal Saline,Iodine (100ml) (AKA Betadine),Zetuvit Plus (10cm x 10cm),Ribbon Gauze (1.25cm x 1m)

Step 2

Clean the wound

Cleanse the wound bed using normal saline and gauze.

Products Used

Gauze squares,Normal Saline

Step 3

Flush the sinus with iodine (part a)

Use appropriate PPE in case of inadvertent splashing during irrigation. Draw up the iodine into the 10ml syringe

Products Used

10ml luer lock syringe,Iodine (100ml) (AKA Betadine)

Step 4

Flush the sinus with iodine (part b)

ttach a 10 mL syringe to the 18G cannula catheter, ensuring the introducer is removed and safely discarded.

Products Used

18g Cannula

Step 5

Flush the sinus with iodine (part c)

Advance the catheter into the sinus and gently flush the cavity by depressing the syringe. If required, gently open or augment the wound to improve tract access. Monitor the distal end for return of iodine solution.

Products Used

Iodine (100ml) (AKA Betadine)