Main government website Ministry of Health website
   About Us  |  Contact Us  |  News   
Saskatchewan Surgical Initiative
|  Home  |  Patient  |  Provider  |  Specialist Directory  |  Saskatchewan Surgical Initiative  |  Multiple Sclerosis  |

Specialist Directory
Discharge Planning Contact List
Practice Improvement
Providing Patient- and Family-Centered Care
Clinical Practice Redesign
Pooling Referrals
Using Patient Pathways
Appropriateness and Clinical Variation
Increasing Surgical Capacity
Surgical Information System
The Value of EMRs
Safety Improvement
Surgical System Performance
Multiple Sclerosis (MS) Care Pathway
News and Publications

Tips - Find what you're looking for


Lower Extremity Wound Pathway

The Lower Extremity Wound Pathway addresses identification, assessment and management of patients with common chronic leg and foot wounds including venous stasis ulcers, arterial ulcers, and diabetic foot ulcers.

The purpose of the pathway is to support early, optimal wound management involving primary care providers, specialists and home care teams. Expected results are shorter healing times and reduced incidence of hospitalization and amputation.

Pathway Triage

The Lower Extremity Wound Pathway recommends three plans of care:

Red flags are present: Urgent referral to on-call specialist and/or send to nearest ER. Red flags include significant ischemia, systemic infection, or a deep, gangrenous wound.

Diabetic ulcer: Referral to vascular specialist for assessment. Referral to home care can be made at the same time for initiation of treatment.

Venous stasis ulcer: Referral to regional homecare for treatment as per protocol.

Referral Form

The Lower Extremity Wound (LEW) Pathway referral form can be sent to regional homecare or to a vascular specialist, or both (in the case of diabetic ulcers). Regional homecare will provide timely feedback to referring providers using the pathway communications form.

LEW Pathway Referral Form
Primary Care Communications Form

Treatment Protocols

The Lower Extremity Wound Pathway provides treatment protocols based on best practice guidelines. These protocols allow community nurses to initiate standardized care upon receipt of a phyisican/NP referral. Protocols also encourage consistent care across regions and providers, and facilitate tracking of wound progress.

Lower Leg Assessment Form (Revised August 2017)
Neuropathic and Diabetic Foot Ulcer Protocol (Revised August 2017)
Venous Stasis Ulcer Protocol (Revised August 2017)
Treatment Protocol for Arterial/Non-Healable Wounds (Revised August 2017)
Updated Wound Record (WR-145.0) Please order from NISS
Product Formulary (Revised September 2017)

Podiatry and Orthotics Services

Early foot changes can often be accommodated with ordinary good-quality athletic shoes or orthopedic shoes. Patients on social services can receive an additional allowance for appropriate footwear with a physician prescription. Some private insurance plans cover orthopedic shoes with a physician prescription.

Certification of Medical Necessity for Therapeutic Shoes (PDF)

Patients with more involved foot changes may be referred to podiatry or shoe specialists.

Podiatry consult fees are billed fully to patients unless they are covered by Supplementary Health Benefits (for patients receiving social assistance) or Non-Insured Health Benefits (for registered First Nations persons.)

Orthotic programs:

  • Saskatoon and Prince Albert - Saskatchewan Abilities Council.
    Phone: 306-374-4400
  • Regina - Wascana Rehabilitation Centre
    Phone: 306-766-5730 or 306-766-5731

Private professionals:

Continuing Education

Care of the Patient with Lower Extremity Wounds
A continuing nursing education course developed by SK Polytechnic for the Lower Extremity Wound Pathway. This course is 50-60 hours of web-based, self-directed learning with a hands-on lab at the end. Tuition fees will apply. Location of labs will vary depending on location of the majority of students. For more information visit Sask Polytech Care of Patients with lower extremity wounds

Introduction to Lower Extremity Wound Pathway Tools and Forms
This online module provides a brief overview to assist with orientation of members of wound care teams.

Digital Wound Photography
This online module provides information for community nurses on skills and best practices for wound photography.

Practical Management of Lower Extremity Wounds
This online self-learning program provides a useful update on venous leg ulcers and diabetic foot ulcers - chronic lower extremity wounds that can take many hours of provider time and have a deleterious effect on patient health and quality of life. The course focuses on the role of the primary care provider in early identification of wounds and high-risk legs and feet, as well as coordination of wound management using resources available in Saskatchewan communities. It provides an introduction to tools created by the Pathway based on evidence-informed guidelines. This online CME program was created by clinical leaders of the Saskatchewan Lower Extremity Wound Pathway.

This program is accredited up to 3 Mainpro+ credits (self-learning). Learners will advance at their own speed through presentation slides with optional video clips and interactive quizzes. Documents to support clinical care, appropriate referral, nursing orders, and patient education are available for download. Browse the course or register on-line at

Educational Resources from Wounds Canada
For more links to on-line educational resources for providers, visit the Wounds Canada Institute at

Information for Patients

 See left menu for more provider information.

|  Data Source  |  Copyright  |  Privacy  |  Leave Feedback  |