BUSINESS PLAN: Wound Clinic

Wound Clinics has been in need these days. An Emergency Room is sufficient to attend
to your needs but if ever you have a Surgical Problem that is not life threatening the triage team
can put you off and be attended later. The wound clinic however specializes on surgical
ambulatory cases that is in no need of hospitalizations and provides immediate treatment and
wound care. This wound clinic would be the first here in Bacolod City.
Our unit is made up of a group of professionals who work together to give you comprehensive
treatments for wound healing. Doctors and nurses who have undergone special training in wound
care are joined by other well-trained staff to provide services specific to wound care. Throughout
treatment, your primary doctor will participate in your care and be kept informed of your
progress. We have 2 minor rooms for minor operations and we can accommodate up to 6
ambulatory patients.
Mission: To provide quality and efficient wound care to everyone.
Vision: Be the premiere center of excellent wound care in Negros province
Objectives:

To provide immediate quality wound treatment and care.

To give proper information and health teachings on wound treatment and care
To give proper referrals on cases that needs to be hospitalize
To initially stabilize surgical cases before transport for hospitalization

Specific services for wound treatment include:

Diagnostic Procedures
Debridement (removal of dead or damaged tissue)
Cleansing
Dressing Changes
Infection Control
Manuka Honey
Maggot Therapy
Coordination of Services including: Transportation, Home Health, and Extended Care
Ostomy Care
The types of Wounds Treated include:

Pressure Ulcers

Venous Stasis Ulcers

Diabetic Ulcers

Arterial Ulcers

Trauma wounds/Crush injuries

Burns
Complex soft tissue wounds
Compromised skin grafts and flaps
Radiation tissue damage
Gangrene
Soft Tissue Infections
Problem Surgical Wounds

Budget:
Monthly rent - P20,000 x 12 = P240,000
Electricity P6,000 x 12 = P72,000
Water 2000 x 12 = P24,000
Total:336,000
Personnel Cost:
Rate per employee:
Nurse 300/day
Doctor 700/day
Nurse Aid 250/day
Receptionist/cashier 250/day
Number of employees:
Nurses: 6 x 300 x 5 days/week x 12 months = 108,000
Doctors: 2 x 700 x 5 days/week x 12 months =84,000
Nurse Aid: 2 x 250 x 5 days/week x 12 months = 30,000
Receptionist/cashier: 2 x 250 x 5days x 12 months = 30,000
Total: 252,000
Holiday pay: 15 holidays in 2015
Nurses : 3 nurses x 300 x 15 days = 13,500
Doctors: 1 Doctor x 700 x 15 days = 10,500
Nurse Aid:1 Aid x 250 x 15 days = 3,750
Receptionist/cashier:1 Receptionist x 250 x 15 days = 3,750
Total: 31,500
Clinic Materials
Personal Computer (1) :
Printer (1):
Aircon (1):
Aspirators (1):
Examination light(1):
Examibnation Table (1)
Surgical Light(1)
:
Stretcher(8):

5,000
1,000
2,000
1,000
1,000
1,000
950
20,000

Plastic Chairs (15):

750
Cautery set (1):
5,000
Sphygmomanometer(3)
1500
Stethoscope (3)
600
Thermometer (3)
300
Weighing Scale (1)
500
Cast cutters (1)
600
ER Materials
30,000
(Syringes, needles, gauze, betadine, hydrogen peroxide, cottons, plasters, bandages, sutures,
instruments etc.)
ER Medicines
30,000
(Lidocaine, Tetanus Toxoid, Tetanus Immunoglobulin, Rabies Vaccine, Rabies immunoglobulin,
etc.)
Total
96,700
Wound Care Seminars; 20,000
A Total of: `736,200

NCP
A 17 year old male patient came in due to an avulse wound at the left arm because he had a
motorcycle accident. The wound is 2 inches long and 3cm wide and actively bleeding.
Wound Clinic Management:
First get the complete Data of the patient by letting the patient or folks fill up the wound
clinic form
Refer to the resident on duty
Cleanse the wound with PNNS irrigation, hydrogen peroxide and betadine and cover it
with a gauze and bandage temporarily to hold the bleeding
Give TT and HTIG
If suturing is ordered, prepare the minor set and assist the patient to the minor room then
assist the resident in suturing the wound.
Have patient settle the bill prior to giving him the discharge orders
Give patient the home instructions once bill is settled and instruct to come back after 2
weeks for suture removal. Prescribe the proper antibiotics as ordered.