In search of efficacy and efficiency.  An alternative to conventional wound cleansing modalities. 
Based upon the above results, Dey-Wash was found to be an effective wound cleansing agent.  In over 80% of the patients, it cleansed the wound of exudate and debris in less than half the time and without the effort or abundance of materials required by the bulb syringe method.  While splashback was reported by some nurses, this risk exists for all methods.  Inservicing and protocols based on universal precautions will decrease the occurrence of this problem.  As nurses became familiar with the proper angle and distance for applying the Dey-Wash, the problem of splashback became more manageable.  Effective wound cleansing is a very necessary step in the wound healing process.  The literature clearly describes the importance and variances of this practice in terms of different methodologies.  Knowledge of the current literature concerning wound irrigation can guide nursing actions.  Emphasis continues to be placed on appropriate utilization of nursing time and materials.  Therefore, it is in the best interest of healthcare providers to evaluate new materials and methods in order to maximize care and facilitate optimum wound healing.