Wound care nursing belongs to a specific nursing sphere in which various wounds, including cuts, punctures, surgical incisions, pressure ulcers, ostomies, diabetic ulcers, and other skin disorders, are assessed and treated. These nurses frequently encounter patients with complex wounds that take a long time to heal. If you are considering wound care as your future specialty, this overview is intended to enlighten you about the career’s role, requirements, and benefits and challenges that it may pose.

What Are the Duties of a Wound Care Nurse?

Wound care nurses are crucial to the patient’s recovery, especially someone with chronic skin conditions. Duties vary by the setting; however, they most commonly include:

  • Assessment of the wound: Identifying the type, cause or genesis of the wound, chronicity, and associated medical factors that may hinder healing processes.
  • Wound care: Cleaning, dressing, and bandaging a wound based on the principle of the antiseptic technique to prevent infections.
  • Interdisciplinary approach: Collaborating with physicians, nurse practitioners, physician assistants, and other health professionals to formulate and implement the most suitable treatment regimen, which may involve antibiotics, surgery, or other forms of therapy.
  • Patient education: Teaching patients and caregivers how to care for wounds correctly in order to facilitate healing, promote positive outcomes, and limit the risk of infection.
  • Specialized profile: Wound care nursing deals with some specific types of wounds such as pressure injury (bedsores), burns, ostomies (surgically created openings in the abdomen), and diabetic ulcers.

Where Does the Wound Care Nurse Work?

Wound care nurses work in many types of healthcare settings, including:

  • Long-term care facilities
  • Hospitals (primarily intensive care and surgical wards)
  • Hospices
  • Home health agencies

Work Schedule and Personality Traits

The working hours are determined by the practice area. Some nurses may work 12-hour shifts, while others keep regular 9-to-5 hours. Typical personality traits in successful wound care nurses include:

  • Patience
  • Meticulousness
  • Comfortable with medical procedures
  • Focus
  • Fine motor skills
  • Empathy
  • Objectivity

Key Skills for Wound Care Nurses

Wound care nursing requires an advanced set of skills outside of nursing common training:

  • A thorough understanding of wound etiology, treatment methods, and current therapies.
  • Solid critical thinking and assessment skills.
  • Proficiency in performing technical procedures such as vacuum-assisted closures and debridement.
  • Ability to work independently and make timely decisions.
  • Perseverance in following up with slow-healing wounds.
  • Excellent communication skills to converse with the patients, their families, and other healthcare personnel.

Added Training & Experience:

Education:

Both Licensed Practical Nurses/Licensed Vocational Nurses (LPNs/LVNs) and Registered Nurses (RNs) can pursue specializations in wound care.  A high school diploma is essential for both LPN/LVN and RN programs.  LPN/LVN programs usually last 1 year and are available at community colleges and technical schools. RNs may choose to earn a 2-year Associate Degree in Nursing (ADN) or a 4-year Bachelor’s in Science in Nursing (BSN).

Licensure:

LPNs/LVNs must take the National Council Licensure Examination for Practical Nurses (NCLEX-PN), and RNs must take the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Once they pass their chosen exam, the application for licensure must be made within the state in which they would want to work. 

Certification:

Owning a certification in wound care is not always a work requirement, but it attests to skill and can prove invaluable. There are several such certifications which in most cases require a BSN, clinical experience, and continuing education. Some certifications are:

Employers usually prefer wound care applicants with experience. Working with a wound management team in a skilled nursing facility could be a good experience for future wound care nurses.

Continuing Education:

While the needs in different states might vary, continuing education is crucial in wound care.  Certifications often require further education for renewal.

Time and Cost

The total time that it takes to become a wound care nurse differs according to the route chosen. The LPN/LVN programs will always take lesser time in contrast to the RN programs. Added certification takes further time. Costs will depend on the program and certification chosen.

Career Development

LPNs/LVNs can move on to register as RNs. RNs can enter into advanced practice registered nurse (APRN) roles as well as seek other specialty certifications.

Pros:

  • Independence
  • Teamwork with multidisciplinary teams
  • Mostly regular working hours
  • Mental challenge
  • High demand

Cons:

  • Salaries may be lower for this specialty than others
  • Unpleasant sights and smells
  • Exposure to infectious microorganisms
  • Legal liability risks
  • Lack of support in some settings


Wound care nursing is a satisfying career choice for those willing to work with the healing of patients. It requires specialists, expertise, and personal qualities, but wound care may be the best option for some dedicated nurses.

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