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Digital Seminar

Mitigating Legal Risk in Wound Care

Tisha Barzyk, DNP, AGACNP-BC, CWS®, PLNC
2 Hours 02 Minutes
Audio and Video
May 26, 2023
Product Code:
Media Type:
Digital Seminar


This wound care focused legal presentation explains what the standard of care is and how it applies to patients receiving wound care in the acute and post-acute care settings. The presentation includes a detailed review of the applicable standard of care as it relates to skin and wounds from admission to discharge. You will learn what constitutes the standard of care and what interventions can be implemented to prevent breaching that standard of care. You will learn common legal terminology used in medical malpractice claims and review the most common wound related plaintiff complaints included on claims. The presentation includes discussion of facility wound care policy and protocols and helps you identify the necessary education for facility staff and the required education, training, and scope of practice considerations when reviewing or developing wound care team roles. There is information about best practice and use of the evidence base, with guidelines for wound assessment, diagnosis, documentation, and acceptable treatments. You will gain valuable knowledge of the essential skin and wound care supplies and the skills necessary to ensure you are able to provide patient treatment within the applicable standard of care. There is a comprehensive analysis of the four most common wound types which appear in malpractice claims and focus items to help you mitigate malpractice risk. Finally, there is a thorough review of facility acquired pressure injuries which are the number one reason for medical malpractice claims with interventions to help you successfully defend a malpractice claim including use of an unavoidable defense.


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

* Credit Note - ---

Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 2.0 contact hours. Expires: 05/26/2026.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 2.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 2.0 self-study contact hours.

CE Broker

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 2.0 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.


Tisha Barzyk, DNP, AGACNP-BC, CWS®, PLNC's Profile

Tisha Barzyk, DNP, AGACNP-BC, CWS®, PLNC Related seminars and products

Tisha Barzyk, DNP, AGACNP-BC, CWS®, PLNC, is an adult gerontology acute care nurse practitioner, advanced wound care expert, and professional legal nurse consultant. She has a Doctor of Nursing Practice degree from Vanderbilt University School of Nursing in Nashville, Tennessee. She has over twenty-five years of clinical experience in acute trauma, orthopaedic trauma, vascular surgery, and advanced wound care. Dr. Barzyk is certified as a Wound Care Nurse – Advanced Practice through The Wound, Ostomy, and Continence Nurses Society. She works as an advanced wound care provider and is the Chief Executive Officer and Chief Clinical Officer for Integumetrix, which she founded in 2016 as a nurse practitioner and physician assistant advanced wound care consultation group practice. Integumetrix provides over 40,000 visits a year to patients with acute and chronic wounds in the acute and post-acute care settings across three states.

Dr. Barzyk also performs expert witness services for wound care malpractice cases. She has reviewed and provided opinions and expert testimony for almost one hundred fifty wound care malpractice cases since 2013. This experience has given her extensive insight and a unique understanding of the standard of care and common breaches in care settings across the United States. She is active in the local and national wound care community and performs work in other aspects of wound care including product research and evaluation, development of wound care policy and protocol, inpatient and outpatient wound care program development and integration, and has participated in and led numerous standard of care initiatives.  


Speaker Disclosures:
Financial: Tisha Barzyk is the owner of Integumetrix, Nexus Practitioners, LLC., and Nexus Legal and is co-owner of Chateau Industries. She receives compensation as a consultant and speaking honorariums from Stravix and Grafix. Tisha Barzyk receives a speaking honorarium from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Tisha Barzyk is a member of the American Academy of Orthopaedic Surgeons, the American Nurses Association, the American Professional Wound Care Association, others. For a complete list, please contact


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Discover interventions to mitigate legal risk when providing care to patients with acute and chronic wounds in the acute and post-acute care settings.
  2. Learn what the “standard of care” is and how it can impact you and your facility if a patient files a claim for medical malpractice.
  3. Recognize common breaches in wound standard of care and practices to help avoid them.
  4. Learn the most common wound types identified in malpractice claims and discover interventions to maintain standard of care compliance.
  5. Be able to identify wound tissue types and learn common terminology to prevent inaccurate wound classification and documentation.
  6. Identify staff education needs and the wound care team roles required to meet the standard of care and scope of practice laws. 
  7. Learn what supplies and skills are essential for best practice and evidence based wound care treatments.


What is Standard of Care? 
Skin & Wound Standard of Care Overview 
  • Admission Assessment & Risk Evaluation 
  • Comprehensive Plan of Care 
    • Prevention Measures 
    • Nursing Care Plans 
    • Nutrition 
    • Monitoring 
  • Discharge Responsibilities 
Breaches in Skin & Wound Standard of Care 
  • Legal Terminology 
  • Most Common Plaintiff Complaints 
Wound Care Policies & Protocols 
Staff Education & Training 
The Wound Care Team 
Standard of Care for Wounds 
  • Best Practice Wound Care & The Evidence Base 
  • Wound Assessment 
  • Wound Etiology | Diagnosis 
  • Wound Documentation 
  • Wound Treatments 
    • Essential Skin & Wound Care Supplies 
Most Common Wound Types and the Current Standard of Care 
  • Pressure Injuries 
    • Pressure Injury or Moisture Associated Skin Damage 
    • Pressure Injury or Acute Skin Failure/Kennedy Ulcer 
    • Standard of Care - Avoidable v. Unavoidable 
    • Focus Items to Mitigate Risk 
    • Facility Acquired Injuries 
  • Diabetic | Neuropathic Ulcerations 
    • Standard of Care 
    • Focus Items to Mitigate Risk 
  • Venous Ulcerations 
    • Standard of Care 
    • Focus Items to Mitigate Risk 
  • Arterial Ulcerations 
    • Standard of Care 
    • Focus Items to Mitigate Risk 

Target Audience

  • Nurses
  • Nurse Practitioners 


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