By
Cathy Thomas Hess, RN, BSN, CWOCN
Under Development
Cathy Thomas Hess, RN, BSN, CWOCN
| 1. | Explain the anatomy of the skin and point out the two layers and various strata. |
| 2. | Classify wounds, ulcers and burns by their characteristics. |
| 3. | List 6 functions of the skin. |
| 4. | Explain the three-phase wound healing process. |
| 5. | Describe 3 types of wound repair. |
| 6. | Identify local and systemic factors that impede wound healing. |
| 7. | List 5 most common wound-healing complications. |
| 8. | List 7 factors that you should include in assessing and documenting wounds. |
| 9. | Describe 3 types of wound classification systems. |
| 10. | Understand wound etiology based on cause, underlying medical conditions and treatment to date. |
| 11. | Classify wounds by stages, thickness and color. |
| 12. | Distinguish among arterial, diabetic and venous ulcers on the basis of predisposing factors, |
| 13. | Demonstrate wound depth measuring technique. |
| 14. | Explain wound and skin assessment technique. |
| 15. | Define the goal in wound care. |
| 16. | List 6 parameters that you would consider in selecting an ideal dressing. |
| 17. | Demonstrate swab-culturing technique. |
| 18. | List 4 common antiseptic solutions, their actions and special considerations in their application. |
| 19. | Demonstrate irrigating with a piston syringe and catheter. |
| 20. | Describe and distinguish between enzymatic and mechanical debridement. |
| 21. | Demonstrate wound-cleaning technique. |
| 22. | Demonstrate the technique for packing a wound and outline the procedure for wound pouching. |
| 23. | Outline 6 guidelines to apply a new dressing. |
| 24. | Identify 15 categories of patients who are at risk for pressure ulcers. |
| 25. | Point out common pressure ulcer sites in various anatomic locations that are susceptible to pressure ulcer formation. |
| 26. | Describe at least 3 commonly-used scales for pressure ulcer formation risk assessment. |
| 27. | Guide through an algorithm to effectively assess, plan, intervene and evaluate wounds. |
| 28. | Prescribe a turning and repositioning schedule for the patient. |
| 29. | Provide 9 interventions to effectively manage a pressure ulcer. |
| 30. | Compare 6 classes of support surfaces in managing pressure ulcers. |
| 31. | Select appropriate support surfaces to match the patient's needs. |
| 32. | Explain advantages and disadvantages of support surfaces. |
| 33. | List at least 12 categories under which wound care products are grouped. |
| 34. | Select a wide assortment of wound care products in 12 categories, such as alginates, collagens, foams, hydrogels, etc. |
| 35. | For each wound care product identify the manufacturer, and describe how it is supplied, its action, indications, contraindications, application and removal. |
| Part I - Wound Care and Prevention | ||
| 1. | Skin care and wound prevention strategies | |
| 2. | Assessing and documenting chronic wounds | |
| 3. | Types of chronic wounds | |
| 4. | Laboratory values in chronic wound management | |
| 5. | Developing a skin and wound care formulary | |
| 6. | Tissue load management | |
| 7. | Wound care and the regulatory process | |
| Part II - Skin and Wound Care Products | ||
| Skin care products | ||
| Overview | ||
| Antifungals and antimicrobials | ||
| Liquid skin protectants | ||
| Moisture barriers | ||
| Skin cleansers | ||
| Therapeutic moisturizers | ||
| Wound care products | ||
| DRESSING AND DEVICES | ||
| Overview | ||
| Alginates | ||
| Antimicrobials | ||
| Collagens | ||
| Composites | ||
| Contact layers | ||
| Foams | ||
| Hydrocolloids | ||
| Hydrogels | ||
| Specialty absorptives | ||
| Surgical supplies, miscellaneous | ||
| Transparent films | ||
| Wound fillers | ||
| Other products | ||
| DRUGS | ||
| Overview | ||
| Products | ||
| Part III - Additional Dressings and Products | ||
| Overview | ||
| Abdominal dressing holders and binders | ||
| Compression bandage systems | ||
| Conforming bandages | ||
| Elastic bandage rolls | ||
| Gauze, impregnated with water or normal saline, without adhesive | ||
| Gauze, nonimpregnated, with adhesive border | ||
| Gauze, nonimpregnated, without adhesive border | ||
| Tapes | ||
| Wound cleansers | ||
| Appendices | ||
| A. | Body mass index | |
| B. | Wagner ulcer grade classification | |
| C. | Braden scale | |
| D. | Treatment algorithm for pressure ulcers | |
| E. | Treatment algorithm for arterial ulcers | |
| F. | Treatment algorithm for venous ulcers | |
| G. | Treatment algorithm for diabetic ulcers | |
| H. | Treatment algorithm for diabetic ulcer wound care | |
| I. | Laboratory tests to rule out atypical causes of leg ulcers | |
| J. | Ankle-brachial index use in patients with diabetes | |
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