Who is authorized to remove necrotic skin?

The removal of necrotic skin is a specialized procedure that requires a comprehensive understanding of wound management, potential complications, and the healing process. A Wound, Ostomy, and Continence Nurse (WOCN) certified registered nurse or a medical doctor (MD) possesses the necessary training and expertise to assess the wound properly and determine the most appropriate intervention, including the removal of necrotic tissue. This process is not only about the physical act of debridement; it also involves evaluating the patient's overall condition, understanding the implications of removing necrotic tissue, and applying evidence-based practices to promote healing.

The training and certification that a WOCN RN has undergone ensure that they are well-versed in the complexities of wound care, including how to safely and effectively manage necrotic tissue. Similarly, an MD has the medical training to understand the broader context of a patient's health status and the potential risks associated with debridement.

In contrast, other healthcare providers, such as a registered nurse without specialized wound care certification, a licensed practical nurse, or a nursing assistant, may not have the advanced knowledge and skills required for this critical task, making it essential that the removal of necrotic skin is conducted by someone qualified in wound care