Full Course Description

Clinical Skills Wound Care Workshop

You are on the front lines of providing care to patients with a variety of skin and wound conditions and play a critical role in patient outcomes. Because of that, we have developed a comprehensive one day wound care event!

The interactive presentation of proven wound care healing strategies will teach you how to address chronic wounds. Expand your understanding of the complexities facing the treatment of chronic wounds and improve your assessment skills. Dr. Farrer will cover the most common seen wound care conditions which includes staging a pressure injury, tissue types, undermining, tunneling, fissure, and surgical dehiscence. Learn how to best address bioburden, choose the best wound dressing, and when to consider tissue-based therapies.

Using wound care teaching models, interactive case studies, and skill labs, wound care expert, Dr. Dolores Farrer, will teach you proper wound assessment techniques. The hands-on clinical lab adds a component to learning that will enhance your retention of skills and techniques covered. Practice identification, measurement, and the applications of various products on real case scenarios.

Your practice will be elevated as you incorporate the current best practice standards into patient care. Watch this interactive learning experience!

Program Information

Objectives

  1. Distinguish between different tissue types found in chronic wounds.
  2. Determine the wound etiology to contribute to the treatment plan.
  3. Differentiate between acceptable terminology to document peri-wound status.
  4. Demonstrate accurate measurement and documentation of wounds, tunneling and undermining.
  5. Analyze the various dressing types to include indications for use, necessary precautions and possible contraindications.
  6. Develop an appropriate dressing/ treatment protocol for a wound based upon presentations.

Outline

Wound Bed Tissue Types: Presentation & Treatment

  • Epithelial Tissue
  • Granulation Tissue
    • Healthy Granulation
    • Hypergranulation
  • Fibrin
    • Scaffolding for granulation
    • Characteristics of presentation
  • Necrotic - When to remove, when to leave alone
    • Slough - Devitalized
    • Eschar - Devitalized
    • Dry Gangrene - Necrosis
Wound Margin Issues and Strategies
  • Epiboly - Rolled Edges
  • Hyperkeratotic - Dry, Calloused Edges
  • Epithelialization
  • Peri-Wound Issues
    • Macerated
    • Desiccated
    • Erythema
    • Indurated
    • Atrophic/Fibrotic
HANDS-ON CLINICAL SKILL: Using the latest in wound care model technology, participate in skill-based exercises in:
  • Wound staging
  • Tissue type identification
  • Proper measuring techniques
  • Tunneling/Undermining
  • Taking pictures
Characteristics of Common Wounds
  • Phases of Healing
  • Etiology, Appearance, Location, Exudates of:
    • Arterial Insufficiency
    • Venous Insufficiency
    • Diabetic/Neuropathic
    • Pressure Injury
    • Skin Tears

HANDS-ON CLINICAL SKILL: Application of football dressing and other off-loading techniques

Wound Care Products

  • Hydrogel, Hydrocolloid, Collagen
  • Calcium Alginate/Hydrofiber
  • Silver products, Foam, Honey
  • Multi-layer compression
  • Gauze/Composite
  • Exudate determines dressing

Strategies to Select Primary Dressings

  • Dry/Minimally Draining Wounds
    • Hydrogel
    • Oil emulsions
    • Combinations
  • Moderate/Heavy/Copious Drainage
    • Alginates/Hydrofibers
    • Topical Medications
  • Critically Colonized/Infected Wounds/Biofilm
    • Silver Dressings
    • Silver Alginates/Hydrofibers, Hydrogels and Collagens
    • Antimicrobial impregnated dressings
    • Enzymatic debriders
    • Cadexomer Iodine
    • High-Osmolarity Surfactant (HOS)
    • Cleansing agents and other topicals
  • Cellular Tissue Products
    • Autografts, Allografts, Xenografts
    • Proper Application and Cost Considerations

HANDS-ON CLINICAL SKILL: Select dressing protocol for various wounds and discuss real case studies

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physician Assistants
  • Physical Therapists
  • Occupational Therapists

Copyright : 11/02/2021

Wound Care Conference – with Clinical Demonstration Lab

Evidence-based practice… we talk about this all of the time, but it’s extremely difficult to make a change in a facility, even if we have the evidence. So, we wind up sticking to the same procedures because, “it’s the way our facility has always done it” and these strategies yield just okay results.

But as the world of wound care continues to change — with new treatment options, changing protocols, an ever-growing list of product choices, antibiotic resistance, and a rise in lawsuits related to wounds — our practice has to evolve.

That’s why we developed this intense one-day wound care training…

You’ll watch nationally recognized wound care expert, Heidi Cross, MSN, RN, FNP-BC, CWON, as she walks you step-by-step through wound assessment techniques, best practice wound products and treatments — including infection prevention WITHOUT antibiotics and actual demonstrations of product application.

Advancing your clinical insights has never been easier! With your purchase….

  • Purchase includes one CE certificate and contact hours
  • Invite your co-workers to join you! Additional attendees can watch the video with you, for FREE!

Don’t wait. Purchase today to take your understanding of wound care to the next level with this clinical demonstration lab!

Program Information

Objectives

  1. Distinguish between at least 6 tissue types found in chronic wounds to inform clinical decisions.
  2. Differentiate between wound etiologies to develop the most comprehensive plan of care.
  3. Choose the best descriptors of periwound skin to establish legally defensible documentation.
  4. Demonstrate accurate measurement strategies for various wound types, tunneling and undermining.
  5. Propose which dressing type to use based upon the wound presentation to improve clinical outcomes.
  6. Develop a treatment response based upon evaluation of the wound exudate.

Outline

Wound Assessment Strategies

  • Tissue types/wound bed evaluation necrotic tissue, granulation, hypergranulation, agranular
  • Phases of wound healing, chronicity
  • Factors impacting wound healing
  • SKILL: Techniques for accurate wound measurements
Top Down Skin Injuries
  • Medical Adhesive Associated Skin Damage
  • Moisture Associated Skin
  • Incontinence Associated Damage
  • Dermatitis/Intertrigo
  • Skin Tears
  • SKILL: Overcoming Challenging Situations
Pressure Injuries
  • Demystify staging
  • Prevention: What have you overlooked?
  • Risk assessment
  • Treatment and dressing selection
  • SKILL: Executing the risk assessment
Lower Extremity Wounds
  • Arterial, venous, neuropathic
  • Differentiate etiologies
  • Appropriate therapies
  • SKILL: Compression wrapping
Ostomy Solutions
  • Types of diversion
  • Pouch Selection
  • SKILL: Pouch application
Strategies for Topical Dressing Selection
  • Dressing selection process — samples to compare
  • When is gauze appropriate?
  • The key role of exudate
  • Essential toolkit items:
    • Cleansers
    • Debridement options
    • Gels, collagen
    • Absorptive products, foam
    • Antimicrobial, silver
    • Heavy drainage versus minimal
    • Large area wounds
    • Dress difficult locations, tracts and undermining
    • SKILL: Select dressing protocol for various wounds

Target Audience

  • Nurses
  • Nurse Practitioners
  • Nurse Educators
  • Physician Assistants
  • Physical Therapists
  • Physical Therapist Assistants
  • Nursing Home Administrators

Copyright : 02/15/2021

Lawsuits & Wounds: The Latest Trends & Risk Reduction Strategies to Protect Your Patients and Your License

Nurse Sue was wondering why she was being called to the nursing administration office. She mentally went over the list of tasks she was already behind on, as she hurried to meet Terry, her boss. Terry had someone else in her office as Sue sat down. “Hi Sue, this is the lawyer from our corporate office. You remember Mr. F. who was in about a year ago? The family has filed a lawsuit related to the pressure injury care you provided to him. We will need a list of the wound care classes you have taken before you are expected to give a deposition next week.”

The panic set in very fast for this actual nurse. What went wrong with this all-too-real scenario? What is the facility’s responsibility? What should Sue do? Is Sue the only team member who should be pursued? You will be able to answer these questions, practice more confidently and formulate strategies to protect yourself after spending one enlightening day with Ann Taylor MS, RN, CWOCN®, National Wound Expert and Legal Consultant.

Program Information

Objectives

  1. Analyze 5 common wound care failures.
  2. Summarize costly – and common – documentation mistakes.
  3. Select interventions to manage wounds with current care guidelines in place.
  4. Formulate appropriate plans of care for different wound presentations.
  5. Incorporate algorithms to improve your care.
  6. Differentiate care considerations for specific populations at risk for pressure injuries.

Outline

Lawsuits and Wounds

  • Legal terms that should cause concern
  • Commonly-cited failures in wound management
  • Where do you find standards of care?
  • Competencies you should have on file
  • Staffing impact for patients and you

Policy Updates: What May Sound Unimportant One Day, Can Become Critical

  • Photo documentation
  • Assessment & reassessment
  • Consultations you should request
  • Don’t fail to follow your own policies!

Pressure Injury Prevention

  • Avoidable versus unavoidable
  • Skin failure
  • Terminal ulcers
  • Avoid failure to prevent injury

Assessments: The Courtroom Downfall

  • Determine risk to put proper prevention measures in place
  • Nutritional needs and realistic goals
  • Mobility challenges solved!
  • Develop an individualized plan of care
  • Reassessment… again and again!
  • Pain management strategies
  • Do not fail to properly assess

Guideline Updates for Your Clinical Practice

  • Pressure injuries
  • Lower extremity ulcers
  • Other skin damage
  • Continuing education

Wound Care Challenges: It’s Not Always Pressure…

  • MARSI
  • MASD
  • IAD
  • MDRPI
  • ITD

Documentation Pitfalls

  • Electronic charting
  • Policies
  • Drop boxes
  • The ‘ideal‘ wound notes

Take-Home Algorithms to Put into Practice Tomorrow

  • Topical therapy
  • Lower extremity ulcers
  • Ostomy management
  • Support surfaces

Case Studies: Costly Mistakes Made in Wound Care

  • Risk assessment
  • Topical formularies
  • Wound assessment
  • Differential diagnosis
  • Care plans
  • Patient record

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physician Assistants
  • Nursing Home Administrators
  • Risk Management
  • Physical Therapists
  • Legal Nurse Consultants 

Copyright : 04/02/2019

Geriatric Skin and Wound Care: Prevention Strategies, Current Treatments & Less Litigation Risk

Owing to longer lifespans and aging baby boomers, the U.S. population of those 65 or older will double in the next 25 years. As if wound care has not been critical to well understand before, it is going to become even more essential that your delivery of this complex care is at its absolute best.

Skin and wound care becomes more challenging in the elderly due largely to functional changes and chronic diseases that accompany aging, contributing to senescence. Conditions such as photoaging, skin tears, chronic or hard to heal wounds, pressure injuries, incontinence associated dermatitis, malnutrition, and the frailties that accompany dementia and end of life issues require that healthcare practitioners have the knowledge to meet this challenge. This course will do just that! Learn how to identify emerging skin issues quickly and initiate the current best plan for healing. Move forward with improved confidence in your skin and wound assessments and treatments, meeting standards of care with less litigation risk.

Program Information

Objectives

  1. Analyze skin changes in the geriatric population and discuss maintenance of healthy skin.
  2. Determine etiology of delayed wound healing.
  3. Differentiate common skin and wound healing assessments and challenges in the elderly.
  4. Apply knowledge regarding malnutrition and end of life issues.

Outline

Age Related Changes in Skin and Wound Healing 

  • Cellular senescence 
  • Reduced sensory function 
  • Thinning of adipose layer 

Maintaining Skin Health 

  • Skin care products and practices 

Photoaging and Age-Related Skin Lesions 

  • Actinic keratosis 
  • Skin cancers 
  • Lentigo 

Skin Tears and Chronic Wounds 

  • Skin tear etiology and risk factors 
  • Skin tear prevention and management 
  • Arterial, venous and diabetic 

Pressure Injuries 

  • Risk assessment 
  • Tips for prevention 
  • Current management techniques 

Incontinence Associated Dermatitis (IAD) 

  • Urinary and bowel incontinence assessment and management 
  • IAD versus pressure injury: Differential assessment 

Malnutrition  

  • Role of nutrition in wound healing 
  • Loss of appetite/weight loss among the elderly 

End of Life 

  • Skin failure 

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants
  • Physicians
  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Nursing Home Administrators

Copyright : 08/25/2021