This Practice Standard aims to ensure that NDIS participants who require complex wound management receive appropriate support that is relevant and proportionate to their individual needs (NDIS 2020).
Under these standards, NDIS providers must meet the following quality indicators:
Participants are enabled to engage in the assessment and development of a complex wound management plan. This plan identifies possible risks, incidents and emergencies, and what actions need to be taken to manage these situations, including an escalation of care, if necessary. The participant’s health status is reviewed regularly (with their consent)
Workers who provide complex wound care are informed by appropriate policies, procedures and training plans. These relate to the supports being provided to each participant
Workers who provide complex wound care have received all necessary training that relates to each specific participant, either from a qualified health practitioner or another appropriately qualified individual.
Responsibilities of NDIS Workers
NDIS workers who are involved in complex wound management may be responsible for:
Recognising the risks and symptoms of pressure injuries
Knowing when to escalate care to a health practitioner
Following the participant’s wound management plan in order to inspect and replace dressings - this must be performed under the supervision of a health practitioner.
NDIS workers who provide complex wound care are required to have knowledge of:
Common risks to skin integrity
Common signs of infection and how to respond to them
The risks associated with prolonged or worsening infection
The purpose of, and methods for, positioning and turning the participant to manage pressure and choking risks
The implications of wound management in the delivery of other daily supports such as showering, toileting, mealtime assistance and mobility.