Wound and Ostomy Care Services

Our Wound and Ostomy Care Service team consists of specialized registered nurses who are committed to helping patients live well within their communities. We utilize a patient-centered, multidisciplinary approach to ensure you receive the best care possible for your individual needs. Patients must have a physician referral to receive wound care, ostomy care, and hyperbaric oxygen therapy.

Millions of people are affected by non-healing wounds, and each experience is unique. Our experienced physicians and caregivers will provide a comprehensive assessment to include your wound and concurrent illnesses or conditions that many impede the healing process. When creating an individualized care plan, we work closely with you, your family, and your provider to ensure proven wound healing methods and advanced therapies are utilized:

  • Hyperbaric Oxygen Therapy
  • Compression therapy
  • Wound debridement
  • Advanced wound dressings
  • Bio-engineered skin grafting
  • Edema management
  • Non-invasive vascular assessment
  • Transcutaneous oxygen monitoring
  • Nutritional assessment & counseling 
  • Patient & caregiver counseling

Our highly trained physicians and caregivers are committed to staying current with the latest wound and ostomy treatments. Of the seventeen dedicated registered nurses specialized in wound and/or ostomy care at Rapid City Regional Hospital, seven of them are certified specialists, including one certified hyperbaric nurse and more are perusing certification. Two of the certified nurses are certified in wound ostomy and continence. 

Of the five dedicated registered nurses specialized in wound and/or ostomy care, two of them are certified wound care specialists and one is a certified ostomy nurse at Spearfish Regional Hospital. 

What does this mean for you?  You can rest assured that your caregiver has the experience and skills to provide you with quality and personalized care. Our physicians and caregivers strive to build strong and reliable relationships throughout your journey towards healing, and we look forward to working alongside you. 

Living with wounds, whether acute, chronic, or surgical can complicate your life and interfere with relationships; but you don’t have to deal with it alone. We provide healing and supportive services for patients in and out of the hospital, as well as residents of long term care facilities, assisted living facilities, and home care agencies. The services we provide include:                               

Wound Care​  
  • Venous stasis ulcers 
  • Arterial ulcers 
  • Diabetic (neuropathic) ulcers 
  • Pressure injury 
  • Chronic non-healing wounds 
  • Surgical wounds
  • Draining wounds 
  • Fistulas 
  • Skin graft & surgical flap care
  • Post-radiation wounds/burns
  • Blisters
  • Burns
  • Autoimmune Wounds
Ostomy Care
  • Colostomy 
  • Ileostomy 
  • Urostomy 
  • Problem stomas 
  • Peristomal skin disorders 
  • Ostomy support group
  • Pre-operative ostomy education (inpatient)
  • Stoma marking (inpatient/outpatient)
  • Ostomy equipment fitting 
  • Post-operative ostomy education & follow-up

 

Foot Care Clinic at Spearfish Regional Hospital

A Foot Care Clinic is provided on a weekly basis at Spearfish Regional Hospital to the community at a minimal cost. The clinic assists individuals to properly manage their foot care needs. The care is provided by a certified foot care nurse and includes the following:

  • Assessment of feet for circulation, sensation, skin conditions, and shoe fit
  • Clipping and filing of toenails
  • Grinding of thick nails
  • Buffing of corns and calluses
  • Education regarding proper foot care, including inspection methods, daily care, footwear selection, precautions, and exercise

Hyperbaric Oxygen Therapy

Hyperbaric oxygen therapy is a medical treatment that is used to treat a limited but diverse series of illnesses. It may be the primary treatment for some disorders, but is often used as part of a combined program involving antibiotics and surgery. In order to provide patients with hyperbaric oxygen therapy, a pressurized, see-through chamber is necessary. The patient is placed in the chamber, which is then compressed to the level ordered by the consulting hyperbaric physician, using pure oxygen. 

By using pure oxygen in a pressurized chamber, we are able to give your body 2-3 times more oxygen than can be provided by breathing 100% oxygen with no increase in pressure. This "hyperbaric" (or high pressure) oxygen offers distinct therapeutic benefits.

Our hyperbaric medicine department is staffed by experienced, highly-trained nurses and respiratory therapists. Hyperbaric medicine also has fully-credentialed physicians who are available to answer questions 24 hours a day, 7 days a week. 

Rapid City Regional Hospital Hyperbaric Medicine has two operational monoplace chambers:

(Photo provided courtesy/permission of Perry Baromedical) 

 

Common questions

How Does Hyperbaric Oxygen Therapy Work?
Oxygen, when delivered to a patient in a hyperbaric chamber, greatly increases the amount of oxygen in the blood that can be delivered to all body tissues. The benefits of hyperbaric oxygen therapy are the result of this extra oxygen being carried within the bloodstream. There are no benefits of direct oxygen contact with wounds, so the dressings are usually left in place during the treatment.

Depending upon the reason for your referral to the hyperbaric medicine department, hyperbaric oxygen will be used to provide you with one or more of the following effects:

  • Increased oxygen delivery to the injured tissue
  • Promote new blood vessel formation
  • Improve wound healing
  • Improve infection control
  • Preserve damaged tissues
  • Eliminate toxic substances
  • Reduce effects from toxic substances
  • Reduce or eliminate tissue and blood obstruction caused by gas bubbles

These effects may occur within one or two treatments. However, it may be necessary to undergo as many as 20-60 treatments for maximum benefit. Your planned treatment course will be discussed in detail prior to starting therapy.

What Does Hyperbaric Oxygen Feel Like?
Hyperbaric oxygen treatments are normally painless. You lie comfortably and restfully in the see-through chamber. You can listen to music, watch TV, or nap if you wish, and feel no differently than if you were lying in your own bed.

You may experience a sensation of fullness in your ears during certain stages of the treatment. This is similar to the feeling when flying in an airplane or driving down a mountain as the eardrums respond to changes in pressure. You will be taught several easy methods to avoid ear discomfort.

Are There Side Effects?
Generally, patients experience no side effects from hyperbaric oxygen therapy. However, some patients report pain or a “crackling” in their ears or sinuses between treatments. If the crackling continues, please report this to the care team. Some patients also feel light-headed for a few minutes following a treatment. This is brief and patients are able to continue with their normal daily activities. Rarely patients having hyperbaric oxygen therapy develop temporary changes in eyesight.

Studies have shown in these rare cases that any altered vision is of short duration and will return to its pretreatment status within six to eight weeks after the cessation of treatment. Like all medical treatments and procedures, some risks are associated with hyperbaric oxygen therapy. These risks are quite rare and will be discussed with you before you sign your consent form for therapy.

How Many Treatments Will I Need?
The number of treatments varies for each patient. Some emergency treatments will only require one or two treatments. Wound healing problems may require 20-60 treatments. Treatments may be provided twice a day if you are hospitalized. Outpatients are normally given treatments once a day for five days each week.

(Photo provided courtesy/permission of Perry Baromedical)

Our Care Providers

Patrick M Tibbles, MD

Emergency Medicine