We are pleased to welcome back Dr. Sherman, leading expert in maggot therapy and currently Chairman of the Board of Directors of the non-profit BioTherapeutics, Education and Research (BTER) Foundation, which supports patient care, education and research in maggot therapy and the symbiotic medicine.
Taught in two sessions, this course will give you the didactic and the practical hands on education on maggot therapy. Learn about the history, current status, mechanisms of action, as well as indications and contraindications for maggot therapy. Then put all that to use when you actually learn the technical aspects of maggot debridement therapy by applying live maggot dressings to mock wounds.
This session has limited seating and fills up fast so don’t wait.
Due to popular demand, this dynamic duo is back to lead the hands on lab during the WOW Wild On Wounds National Conference in Las Vegas, NV on September 17-20, 2014.
HOW TO: Hands-On: Compression Made Easy
Venous disease affects over 15% of the population so its important to learn how to properly apply compression therapy. This session is a one-hour hands-on lab practicum in which you will practice your wrapping skills on each other. You’ll learn the spiral and figure eight techniques and then use those skills to apply a multi-layered system.
This session is predominantly hands on with minimal didactic, therefore, attending session 200 will be helpful. This is just one of many hands-on labs being offered. To download the event brochure CLICK HERE. For details and to register online CLICK HERE.
We hope to see you in Las Vegas!
There has to be a way to get everyone on the same page. You would think that over the last 6-7 years since the National Pressure Ulcer Advisory Panel (NPUAP) had released the updated staging guidelines we would have gotten better at this. Not necessarily the case.
Lets try to make pressure ulcer staging as simple as possible. We will take out the all the extra verbiage; you can read that later on. We will break staging down to some user-friendly terms. Now remember, we are talking about pressure ulcers, so all of these skin injuries pressure had to be present, sure – friction and shearing can contribute, but pressure must be present. They are usually located over a bony prominence but we know they don’t have to be; they will be located anywhere the skin has had unrelieved pressure. If they are related to a device they will take on the shape of the device that has caused the injury to the skin.
Stage I. This is an area of non-blanchable area of erythema (redness) of intact skin. That’s what it is. Period. Intact red skin. Non-blanchable is when we push on the skin it stays red; it doesn’t turn white or blanch. So, intact, non-blanchable area of erythema, a stage I pressure ulcer.
Stage II. This is a superficial or shallow open area. We say it is pink, partial and painful. The damage is into the dermis here so the tissue we see will always be smooth pink/dark pink, not granulation tissue. Never will we see any necrotic tissue here; your wound won’t have yellow, black brown colors in it. It also may be an intact serum (clear fluid) blister. So there you have it; a stage II is a superficial open area with NO necrotic tissue or it can be an intact or ruptured serum filled blister.
Stage III. This stage is easy. Damage is now into the subcutaneous tissue, but not through the subcutaneous layer. So this is the start of full thickness tissue injury. Now here is where we can start see slough, eschar, and granulation tissue in the wound bed. Tunneling and undermining may also be present in the full thickness pressure ulcer. In the stage III pressure ulcer we may see healthy subcutaneous tissue, necrotic tissue or granulation tissue. What we WON’T see in the stage III is muscle, tendon, ligament or bone, ever.
Stage IV. This is full thickness tissue damage where we now see muscle, tendon, ligament, or bone in the wound bed. The definition also states “palpable” so if we can feel tendon or bone here, we would stage it as a stage IV. Cartilage in the wound bed would be included in the stage IV pressure ulcer. We can have granulation tissue or necrotic tissue present in the wound bed as well. Undermining and tunneling may be present in a stage IV, but what I MUST see or feel are those underlying structures – muscle, tendon, ligament and / or bone present to say it’s a “stage IV”.
Unstageable pressure ulcer is a stage we use to classify the pressure ulcer that has enough necrotic tissue present to make the clinician uncertain whether the pressure ulcer is a stage III or stage IV. So until enough necrotic tissue can be removed we place it in the “unstageable” category. Once that necrotic tissue is removed and we can evaluate the actual level of tissue destruction in the wound bed, that is when we will stage it and it will either be a stage III or a stage IV.
Suspected Deep Tissue Injury (SDTI). To be a SDTI the skin must be intact, it must be purple or maroon in color or an INTACT BLOOD filled blister. Once this intact SDTI pressure ulcer opens up, we would then reclassify it based on our assessment or tissue type in the wound bed.
We need to use the staging definitions set out by the National Pressure Ulcer Advisory Panel (NPUAP) correctly, and all clinicians who assess skin need to have a good understanding of these definitions in order to properly stage pressure ulcers. What was discussed about above is just a summary, there is more reading we need to do, but this will give us a good place to start with the staging. We need to start staging consistently across the healthcare continuum; it really just comes down to good wound assessment skills, knowing the tissue type that lies before your eyes and identifying the level of tissue destruction and applying them to the NPUAP staging definitions. Lets get this right!
Wound Care Education Institute (WCEI®) is busy wrapping up another national tour of the one-day wound seminar. Instructors Nancy Morgan and Jennifer Oakley spent the year touring the US and instructing thousands of clinicians with an interest in wound care. “We have met so many passionate clinicians that wanted to enhance their knowledge in wound care to make a difference in their patients’ lives! These seminars give folks a good foundation for beginning their knowledge along with providing a good review for clinicians already certified in wound care” said Nancy Morgan, co-founder of WCEI.
The seminars focus on wound assessment and on the advanced wound dressing categories and review the who, what, where, when, why and how including:
• The elements of a wound assessment
• Identifying pressure ulcers utilizing 2007 NPUAP Staging Guidelines
• Identifying tissue types commonly found in wounds
• Documenting comprehensive wound assessment
• and more!
November and December offer a few additional opportunities to attend at locations listed below. For complete details go to: www.wcei.net/one-day
- November 12 – Fort Lauderdale, FL
- November 14 – Glenview, IL
- December 4 – Ft Wayne, IN
- December 5 – Ft Wayne, IN
- 2014 Schedule Coming Soon!
Bring a seminar to your facility!
WCEI also offers the opportunity for a facility to bring the seminar to their location, allowing customization to the individual needs. For more information on hosting a seminar at your facility, go to: www.wcei.net/Host_A_One_Day_Seminar
[One Day Seminar Instructors: Nancy Morgan RN, BSN, MBA, WOC, WCC, DWC, OMS and co-founder of WCEI. Jennifer Oakley RN, BSN, CWCA, WCC, DWC, OMS]
A Memorable Experience at the UOAA National Conference!
What an awesome time we had!
This was a very different type of National Meeting when compared to others we’ve attended in the past. We met hundreds of Ostomates in all ages, from across the US and internationally. This was the first time we attended the United Ostomy Association of America (UOAA) National Conference and we were greeted with a warm welcome from attendees, clinicians and exhibitors.
Many people stopped by the booth to welcome the National Alliance of Wound Care and Ostomy℠ on their latest certification, the Ostomy Management Specialist (OMS℠) into their community with open arms. In fact, over and over attendees were telling us how “there’s nobody trained that can help me”… “there isn’t enough stoma nurses”… “we are so glad you are doing this”. They were thrilled to learn that the OMS certification would not only include Nurses but also other disciplines such as Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Physicians and Physician Assistant.
Jennifer Oakley (WCEI Instructor) and I spent our time at the booth talking to each attendee and listening to their stories. This really gave us an intimate up-front personal look into their lives. I have to say not many of the stories we heard were positive. In fact many were straight up nightmares of experiences they each had to endure. Many times Jennifer and I found ourselves holding back the emotion as their stories were so moving.
This just reinforced to me that we need to get out there and spread the knowledge and time is of the essence! My wheels were spinning on ideas of what we can do to make an impact nationwide.
It was an honor to attend this year’s UOAA national meeting. We want to thank each and every one of you that welcomed us and shared your story. We at WCEI will continue to pay it forward by educating multidisciplinary clinicians in Ostomy Management!Nancy Morgan RN, BSN, MBA,WCC, DWC, OMS WCEI Co-Founder
Why Do Clinicians Choose WCEI® for their Wound Care Certification Training?
- Wound Care Education Institute’s Skin and Wound Care Management training course provides continuing education hours for RNs, LPN/LVNs, PTs, PTAs, OTs, NPs, PAs, and MD/DOs.
- Because it is offered both onsite and online, this comprehensive course meets the lifestyle needs of a wide range of multi-disciplinary clinicians. Its online availability eliminates the expense of travel, hotel and employee time off.
- The National Wound Care Certified (WCC®) exam is administered onsite with an exam proctor or at a convenient testing center.
- WCEI course meets current standards of care and teaches clinicians to be legally defensible at bedside.
- The pass rate for students that take WCEI® course and then sit for the WCC® exam is 89%-91%. Significantly higher than other courses.
- WCC is the largest network of Wound Care Certified clinicians nationwide.
- WCEI works directly with VA, Military, and hospitals that have achieved Magnet recognition along with Long-term, Home Health and Hospice care organizations. WCEI has also partnered with various universities and colleges providing continuing education to health care providers.
- WCEI has developed state funded educational programs with several organizations in WI, MD, MA, NJ, and RI. Combined greater than 600 healthcare professionals received state funding to sit for WCEI comprehensive skin and wound management course and WCC exam.
- WCEI is committed to the success of their alumni and support them throughout their wound care career. Clinical support is available following certification to assist them in the field.
- The WCC® certification is a prestigious, highly recognized credential offered only through the National Alliance of Wound Care and Ostomy™. The WCC certification program is accredited by the National Commission of Certifying Agencies (NCCA®), the accreditation body of the Institute for Credentialing Excellence (ICE®). Certification programs that receive NCCA accreditation demonstrate compliance with the NCCA’s Standards for the Accreditation of Certification Programs, which were the first standards for professional certification programs developed by the industry.
Learn more about becoming Wound Care Certified at www.wcei.net
Save $100 on registration for on-site WCC course only. Coupon code: BLOG. Coupon code must be used at time of purchase/registration. Existing registrations are not eligible. Coupon expires12/31/2013.
Find out about our One Day Wound Care Seminars at www.wcei.net/one-day
Curious about maggots and leeches? The maggots are back at the Wild on Wounds conference in Las Vegas.
Session #302: “HOW TO: Hands On:
Principles and Practice of Biosurgery and Biosurgical Debridement”
Ron Sherman MD, MSc, DTM&H, Director BTER Foundation, Irvine, CA.
Taught in two sessions, you will get the didactic and the practical hands on.
Learn about the history, current status, mechanisms of action, as well as indications and contraindications for maggot and leech therapy. Then put all that to use when you actually learn the technical aspects of maggot debridement therapy by applying live maggot dressings to mock wounds.
- Lunch all 3 days with a lunch speaker on 3rd day
- Black and White Gala party (includes dinner / drinks / prizes / dancing and more)
- 2 days of vendor showcase exhibits
- Cyber café (complimentary internet access)
- 3 days filled with Wound and Ostomy education
The videos are up, the voting has begun and now we need your help!
Clinicians were asked to create a short video telling us why they should win a free trip to attend the annual Wild on Wounds “WOW” Conference at the Caesars Palace in Las Vegas. Now they need your help. Click on this link to cast your vote for your favorite video and help one of these deserving clinicians win a free trip.
Wild on Wounds “WOW” is a national conference held each year with the goal of spreading the knowledge needed to be a successful wound care practitioner. It is a multidisciplinary event providing continuing education, exciting learning opportunities and a whole lot of fun! Hundreds of clinicians from all over come to be inspired by the dedication of fellow attendees and faculty, and to learn the “moves, footwork and punches” needed to deliver positive results for their wound patients. All sessions are designed with clinicians and patients in mind and for the hands-on practitioner.
- 49 sessions covering the latest in evidence based wound care
- 21 “HOW-TO” sessions to choose from
- 7 “HANDS-ON” series of sessions offered
- 4 days of networking opportunities and more!
For more details, visit our website at www.woundseminar.com
The “Why I Want To Go To WOW” Video Contest is now open for submissions
Wound Care Education Institute wants to know why you should win a trip to attend the WOW Wild on Wounds National Conference in Las Vegas. Submit a 3 minute video telling us why it’s important for you to attend WOW and you could win a complete trip which includes air travel, hotel stay for 4 nights and access to the WOW 2013 Conference.
How to Enter:
Eligible clinicians must submit their video entries via email to firstname.lastname@example.org.
DEADLINE FOR SUBMISSIONS: 5:00pm CST on Friday June 21, 2013
Contest is open to current licensed clinicians only. Each entry must include the participant’s first name, last name, home address, email address, written confirmation that the participant is 21 years of age or older, phone number including area code, all required video release forms and either an attachment of, or link to, the video. Video must not exceed 3 minutes in length. Only one entry per person will be permitted and all requirements must be met in order to qualify. For complete details See Entry Requirements for complete details.
Check Out Our 2012 Winning Video – CLICK HERE
Diabetic Wound Care certified nurses had a dream to create a free diabetic foot screening clinic and open it up to the city of Philadelphia, PA. Their dream came true.
Wound Care Education Institute’s (WCEI®) clinical team presented a session last year called “Paying It Forward” at our annual “Wild on Wounds” convention. This session was all about developing and coordinating free community diabetic foot screening clinics. We walked attendees through every step necessary to conduct such a clinic, from choosing a location to marketing and funding, and including logistics such as station supplies and staffing.
As a result, Stanley A. Rynkiewicz III RN MSN WCC® DWC® CCS and Administrator at Deer Meadows Home Health was inspired to coordinate a one day clinic in his home town of Philadelphia. He asked if WCEI could help him coordinate the event making it available to the whole city. We were thrilled at the invitation!
The event took place on Saturday May 11th with staff that included volunteer nurses, Wound Care Certified (WCC®) and Diabetic Wound Certified (DWC®) clinicians and a local podiatrist and co-sponsor, Dr. John M. Fanelly DPM.
The clinic was a huge success! Close to 100 Philadelphians came from all over the community, ranging in age from 35-85 years. We were a welcome sight to them and you could see the appreciation in their faces. They came to us with conditions that ranged from calluses to fungus and included hammer toes, Onychogryphosis (also known as “ram’s horn nails”), diabetic ulcers and Charcot foot .
We will never forget Willie, an older man who walked with a slow shuffle and a big smile. Because he had not seen a doctor in many years, he was thrilled to have his feet checked. When he took off his slipper we saw the “ram’s horn toe nails” shown in this photo. They had not been cut in years and were excessively thick and curled under and over.
Our post clinic meeting discussions made it clear that our outreach work has just touched the surface of a great need. Much more needs to be done and our knowledge and expertise has the potential to have enormous impact. There are many more Willies out there that need our help.
We plan to share our experience in detail at this year’s Wild on Wounds annual convention in Las Vegas on September 11-14, 2013. Our hope is to inspire more clinicians to do this in their own communities across the country.
Thanks again to all the wonderful nurses who donated their time on a very long Saturday and to the wonderful sponsors: Deer Meadows Home Health / Select Data / Ferris Manufacturing (Polymem Dressings) / Dr. John M. Fanelly DPM and Wound Care Education Institute.