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Washington Physical Therapy Sharp Debridement

"Sharp debridement" means the removal of devitalized tissue from a wound with scissors, scalpel, and tweezers without anesthesia. "Sharp debridement" does not mean surgical debridement. A physical therapist may perform sharp debridement, to include the use of a scalpel, only upon showing evidence of adequate education and training as established by rule.

Licensed physical therapists may perform sharp debridement upon showing evidence of adequate education and training. Physical therapists may not delegate sharp debridement. The board will accept the following as adequate education and training:

    • Twenty (20) hours of mentored sharp debridement training - mentored training includes observation, cotreatment, and supervised treatment. Twenty (20) hours mentored training in a clinical setting must include a case mix similar to the physical therapists' expected practice; or
    • Certification as a wound care specialist by the American Academy of Wound Management; the National Alliance of Wound Care; or other organizations approved by the board, meets the requirements of this section; or
    • An affidavit submitted prior to July 1, 2006, by a physical therapist licensed in Washington demonstrating education and training in sharp debridement, including the use of a scalpel.


WAC 246-915-360

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