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Advanced Pressure Injury Course: Strategies for Prevention, Assessment & Treatment

Heidi Huddleston Cross, MSN, RN, FNP-BC, CWON®
5 Hours 47 Minutes
Feb 28, 2018
Product Code:
Media Type:
DVD - Also available: Digital Seminar


Pressure injury prevention, assessment and treatment. This is such complex and specialized care to provide to patients. There are co-morbidities to consider, rising costs, ever changing regulations and increased scrutiny. Do you feel confident you are up-to-date on the latest evidence that should be guiding your pressure injury decision making?

As a frontline health care provider, you play a critical role in preventing pressure injuries from ever occurring - or not developing again. This course will provide you with the most need-to-know knowledge to effectively achieve your goals in a cost effective and evidence-based manner. Discussion will focus on the best in pressure injury prevention, including: risk factor reduction, standards of care, root cause analysis, support surface options, nutritional factors and repositioning frequency.

Once a pressure injury develops, it is critical that it is promptly identified and assessed so proper treatment can begin. Rest assured….you will get everything you need to know when it comes to pressure injury staging, recognition of wound infection, avoidable vs. unavoidable wounds and the ability to differentiate pressure injuries from moisture associated skin breakdown.

Once a pressure injury has been thoroughly assessed, the appropriate treatment plan needs to be implemented as quickly as possible to avoid deterioration and complications. You will take away the best knowledge and insights in pressure injury treatment, to include: wound bed preparation, debridement options, the newest product selection options hitting the market, cost-effective considerations, and when antimicrobial dressings should be used.

In addition to all the clinical insights to be gained, valuable documentation tips will be shared so that going forward you appropriately reflect your practice, protect your license, and avoid legal risks. You are guaranteed to increase your confidence, effectiveness, and career opportunities with this course recording on Pressure Ulcers. 


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: Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). CE certificate may be earned after passing the post-test (80% passing score) and completing the evaluation. Please contact our Customer Service at 1-800-844-8260 for more details. 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, as well as which credit types are acceptable for continuing education hours. 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 5.75 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 5.75 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 5.5 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.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 5.5 self-study contact hours.

CE Broker

Nurses - 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 5.75 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 5.75 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.



Heidi Huddleston Cross, MSN, RN, FNP-BC, CWON®'s Profile

Heidi Huddleston Cross, MSN, RN, FNP-BC, CWON® Related seminars and products

Heidi Huddleston Cross, MSN, RN, FNP-BC, CWON®, is a board-certified Wound and Ostomy Nurse and a board-certified Family Nurse Practitioner. She has extensive experience caring for wound and ostomy patients in acute care and long-term care. Currently, Heidi is employed by a surgical group providing consultation for nursing homes and has her own independent practice as an expert witness for plaintiff and defense attorneys. She has contributed in numerous ways to her specialty, including serving as chair of the Wound Ostomy and Continence Nursing Certification Board examination committee, co-chair of the Wound and Ostomy Nurses Society National Conference Planning Committee ostomy track, and peer review for the Journal of Wound Ostomy and Continence Nursing (JWOCN).


Speaker Disclosures:
Financial: Heidi Cross has an employment relationship with CNY Surgical Physicians. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Heidi Cross is a member of the Wound, Ostomy & Continence Nurses Society, the Association for the Advancement of Wound Care, the American Nurses Association, and the National Pressure Ulcer Advisory Panel.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Nurse Educators


  1. Explain the best pressure injury prevention practices, using the most up-to-date guidelines.
  2. Evaluate pressure injury risks based on extrinsic and intrinsic risk factors.
  3. Explore optimal measures for skin and nutrition maintenance.
  4. Recommend the current best practices related to repositioning and support surface selection.
  5. Examine proper wound assessment techniques and practices.
  6. Analyze the current controversies surrounding the staging of pressure injuries.
  7. Recognize wound infection and other complications.
  8. Differentiate between avoidable and unavoidable pressure injuries.
  9. Explain the importance of proper wound bed preparation.
  10. Explore evidence based wound care dressing selection.
  11. Appraise advanced wound dressing and therapy options.
  12. Criticize documentation examples to learn how to avoid legal pitfalls.


Pressure Injury Prevention
Evidence Based Guidelines
  • National Pressure Ulcer Advisory Panel
  • Wound, Ostomy, and Continence Nurses Society
The Etiology of Pressure Injuries
  • Mechanical load: Magnitude and time
  • Mechanisms that lead to tissue damage
Risk Factors and Risk Assessment
  • Assessing risk using the Braden Scale correctly
  • Intrinsic and extrinsic risk factors - you need to know
  • Skin and tissue assessment
Practice Tips for Prevention
  • Skin care: Moisturization is key
  • Repositioning frequency: Is it really every 2 hours?
  • Get those heels up!
  • The RIGHT surface at the RIGHT time
The Role of Nutrition in Pressure Injury Development
  • Lab values
  • Avoiding unintentional weight loss
Pressure Injury Assessment
Wound Assessment
  • Look at the whole patient, not just the hole in your patient
  • Necessary elements of wound assessments
  • Decisions, decisions: Is it incontinence associated dermatitis or a pressure ulcer?
Pressure Injury Staging
  • Deep tissue injury and medical device related injuries
  • Controversies
Wound Infection and Complications
  • The emerging role of biofilms
  • NERDS and STONEES - huh?
  • Sepsis
  • Osteomyelitis
  • Malignancy
  • Recurrence
Avoidable vs. Unavoidable Injuries
  • Skin failure
  • Kennedy Terminal Ulcers
Skin Changes at Life’s End (SCALE)
  • F-Tag 314
  • WOCN document
  • Antibiotic therapy
Pressure Injury Treatment
Wound Bed Preparation
  • The principle of TIME
  • Importance of cleansing
  • Debridement: What works, when and how
Basic Wound Dressings
  • The importance of moist wound healing
What needs to be on every formular
Vendor support and caveats
Advanced Wound Dressings and Therapies
  • When do we need to step it up and to what?
Antimicrobial dressings
  • There are so many……how to choose
  • Silver
  • Honey
  • Hydrofera Blue
  • PHMB
  • Dakin’s Solution and vinegar (yes, we still use it)
  • Hypochlorous Acid
  • Sorbact
Collagen dressings
  • Negative pressure wound therapy
  • Other modalities
Surgical Repair
  • Skin grafts vs. flaps
Documentation Tips
  • What you need to know and what MUST be in the record
  • Examples of good documentation
  • Tips to keep yourself out of court


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