Archive for the ‘Wound Care Education Institute’ Category

Test Your Wound IQ

Tuesday, December 1st, 2015

 

ProProfs – Wound IQ Test » Online assessment software

Five Wound Care Myths That Need to Go Away

Wednesday, November 11th, 2015

Myths Header

 

The field of wound care has come a long way. And with over 25,000 WCEI alumni across the country sharing their skills and knowledge, we’re thrilled to see many outdated notions and practices go by the wayside. Unfortunately, there are still some wound care myths out there that just refuse to die. Here are five of the most frequent incorrect statements we still hear about out in the field.

Myth #1: Wet-to-dry dressings are cheaper to use.

Not only is wet-to-dry substandard care (as we discuss in Wet-to-Dry Dressings: Why Not?), it’s not even cost-effective.

Here’s the math: The daily cost of care for a foam dressing is only $3.55. The daily cost of wet-to-dry is $12.26. Why the big difference? Wet-to-dry dressings require frequent changes, and each dressing change causes a drop in wound temperature.  In order for a wound to heal, it should be close to normal body temperature. So if there is a 2⁰ C drop in temperature, this will slow or stop healing, and it can take up to four hours for that wound to warm up and get back to get back to normal healing temperature.  As we always say, “When the temperature drops, the healing stops.”

Out of all the different dressings out there, foam keeps the wound bed the warmest. And foam dressings can remain in place from 3 to 7 days, decreasing costs, labor and drops in temperature.  As always, with any dressing application, follow the manufacturer’s instructions on proper usage.

Myth #2: Bleeding in a chronic wound is a sign of healing.

“Oh, it’s bleeding! That’s good!”

No, that’s not normal or acceptable.  Sanguineous (bloody) exudate serves as a clue to bedside clinicians that you need to go in and investigate what is causing the bleeding. Start by looking for:

  • malignancy or trauma on the site
  • high bioburden?
  • a dressing that sticks to the wound and causes bleeding upon removal

By putting on our detective hats and looking at the clues the wound is giving us, we can identify issues sooner rather than later.

Myth #3: Erythema is a sure sign of wound infection.

Erythema

Erythema in the periwound is one of the classic signs of local infection, but it’s not enough to label it as infected.  You need to see at least three signs and symptoms.  Here are some additional signs and symptoms to consider:

  • Foul odor
  • Increasing pain in the wound
  • Heat in the periwound
  • Purulent drainage
  • Edema

If you see at least three of these signs, it means you have local infection and need to immediately treat the wound topically, before it moves into a systemic infection.

Myth #4: Oral or IV antibiotics are indicated for all infected wounds.

Administer oral or IV antibiotics only if infection extends beyond the wound margin, indicating a systemic infection. In other words, you need to see signs and symptoms such as fever, an elevated white blood cell count, or red streaks emanating from the wound.

Oral antibiotics are simply not the most effective treatment for local infections. Many chronic wounds have impaired blood flow, which can compromise the delivery of oral antibiotics to that wound.  Meanwhile, the unnecessary use of antibiotics leads to the development of antibiotic-resistant strains of bacteria.

So make sure you have first identified if this is a local or systematic infection.  If systematic, then you should treat with oral/IV antibiotics.

Myth #5: Clinicians are not responsible if a physician orders inappropriate treatment. 

Physician“I did it because the doctor ordered it.”

We hear this excuse all the time! Would you administer improper heart medication to a patient if you knew it was wrong?  You have to think of wound care the same way. It’s our responsibility to uphold the standards of care. If physicians are unaware of the guidelines and policies, we need to educate them.

Saying that the doctor wrote it and you merely followed orders is not going to protect you legally, and it’s certainly not in the best interest of your patient.  Always practice the current standard of care – no excuses!

What myths do you battle?

While these are some of the most common myths in wound care, we know there are more. What are some of the common misconceptions within your practice, and how to you deal with them? Have you been in a situation where you had to help educate physicians or colleagues? Please tell us about your stories below.

Will the Real Pressure Ulcer Please Stand Up?

Wednesday, October 28th, 2015

How to know the difference between Incontinence Associated Dermatitis (IAD) and pressure injury.

IAD vs Pressure Injuries

 

As wound care clinicians, we treat our patients to the best of our ability and heal wounds – that’s what we do. But unfortunately, even under the best of circumstances, facility-acquired pressure injuries happen. And we have to document them … because again, that’s what we do.

So then it would stand to reason that no one would ever purposely document this type of pressure injury without cause, right? So here is the big question of the day: why is it that Incontinence Associated Dermatitis (IAD) is often documented as a Stage 2 pressure injury? We’ve got your answer.

The truth about pressure injuries and staging

We know that any staged skin lesion, by definition, is an area of skin disturbance caused by pressure, and according to the National Pressure Ulcer Advisory Panel, only pressure injuries should be staged. We also know that once any skin lesion is staged, you might find yourself sitting on the “hot seat” – having to defend the development of this new wound. And since part of our job is to prevent pressure injuries, staging areas like this puts us on the defensive when we don’t have to be.  The truth: unnecessary staging could lead to charges of inadequate assessment.

Let’s take a closer look

So how do we keep from putting ourselves in such an uncomfortable situation? First, let’s review the difference between these two types of lesions.

Incontinence Associated Dermatitis (IAD)

  • IAD is a form of Moisture Associated Skin Damage (MASD), and is defined as inflammation of the skin from prolonged exposure to urine and stool.
  • This is usually seen in conjunction with friction and/or chemical and/or bacterial factors – they work together to cause IAD.
  • The skin injury that results is always partial thickness in nature.
  • You may see some loss of epidermis and superficial dermis leading to a partial thickness wound, but these are not pressure injury.
  • These are moisture related injuries, and should never be staged.

Pressure Injuries

  • Pressure injuries are caused by unrelieved pressure or shearing forces (which is not what happens in the case of IAD).

When IAD becomes a Pressure Injury

Even though we are talking about two distinct lesions, there are times when IAD converts to a pressure injury. Here’s what you need to know:

  • A previously identified IAD must be considered a pressure injury when you see new evidence of full thickness and damage below the dermis (slough, eschar, and granulation tissue are good examples).
  • This indicates that the deeper acting forces of pressure and shearing are present (read more about friction vs. shearing here).
  • You cannot damage the subcutaneous layer and below by moisture alone.
  • Remember – moisture damage to the skin can only be partial thickness.

Do you see evidence of full thickness injury? That means there was ischemic damage that took place and it’s no longer considered IAD, it’s considered a pressure injury. So it’s time to stage it and get to work healing it.

The importance of pressure injury risk assessment

Under such circumstances, this would be considered a facility acquired pressure injury.  Hopefully, your patient was previously identified as being at risk for pressure injury development, and prevention interventions are already in place.

Once staging happens, it’s time to go back and do another full assessment of your patient and the wound, and put in place both the proper treatment plan and more advanced prevention interventions. Moving forward, all incontinent patients should be considered at risk for skin breakdown. In other words, implement a care plan to prevent IAD and pressure injury from the get-go.

What do you think?

We’d appreciate hearing about your own experiences with staging IADs, versus true pressure injuries. Do all clinicians in your setting know how to tell the difference between these two types of wounds?  Do you feel you have adequate interventions in place for IAD patients?  And what are your biggest challenges in treating these patients and assuring proper identification? Please leave your comments below.

 

Wound Care Education Institute® provides online and onsite courses in Skin, WoundDiabetic and Ostomy Management. Eligible clinicians may sit for the prestigious WCC®, DWC® and OMS national board certification exams through the National Alliance of Wound Care and Ostomy®(NAWCO®). For details, see wcei.net.

DISCLAIMER: All clinical recommendations are intended to assist with determining the appropriate wound therapy for the patient. Responsibility for final decisions and actions related to care of specific patients shall remain the obligation of the institution, its staff, and the patients’ attending physicians. Nothing in this information shall be deemed to constitute the providing of medical care or the diagnosis of any medical condition. Individuals should contact their healthcare providers for medical-related information.

WOW in Las Vegas: 2015 Highlights

Thursday, October 1st, 2015

What happened at the Wild On Wounds Conference? We’ve got your event highlights right here.

WOW_recapIf you traveled to Las Vegas for the Wild On Wounds (WOW) conference Sept. 2-5, then you know the truth: Skin is In. That was the theme for this record-attendance event. Wound care clinical professionals came together in one place for an exciting, information-packed four days that left us all invigorated and ready to treat more wounds.

Nurses, therapists, physicians, students and industry professionals traveled from all over the country to attend this premier wound care convention. We laughed, we learned … we united over our mutual love of skin!

A popular session was Everything You Always Wanted to Know About Nutrition But Didn’t Ask, led by Dr. Nancy Collins. We learned about the important role of nutrition in wound care – and chronic non-healing wounds that can be a result of malnourishment. We were so pleased to hear such positive feedback about this session. Here are some comments from attendees:

“Two things that stood out: Arginine & Glutamine. Not even our dietician has mentioned these in their orders. Good to know that they are essential in healing a chronic wound.”

“Now I understand why increased caloric intake for overweight patients is important in the wound healing process, and I can now share this information to my co-workers, specifically to our CNAs and nurses alike.”

“Dr. Collins was on-point and presented the information in a very creative way. She also illustrated the importance, economical impact, and quality-of-life that medical nutrition has on the patient. Case study presentations were excellent! Very interactive session. It was a wakeup call for all facilities.”

And while it’s impossible to mention all the other educational sessions, demonstrations and presentations that took place, here are more of this year’s highlights:

  • Record attendance – 1100 nurses, therapists, physicians, students and industry professionals
  • Attendees who influence wound care decisions throughout the care continuum
  • 200+ exhibiting partners
  • Interactive, hands-on sessions for Sharp Debridement, Maggot Debridement
  • Fascinating clinical posters and more!

We should also mention the exciting and successful hands-on Topical Wound Management session led by Nancy Morgan RN, BSN, MBA, WOC, WCC, DWC, OMS, C0-Founder of WCEI.  This session focused on topical wound dressing categories and reviewed specific treatment recommendations, giving attendees the opportunity for one-on-one product demos.  This session will be part of the 2016 WCEI one-day seminar tour. Stay tuned for dates and locations.

“This was a great session divided in two parts: lecture and hands-on. Pacing was great, not rushed, and speaker made sure the audience grasped the important points of the topic, giving real-life examples from her bedside clinical experience which solidified information she wanted to impart.”

 “I have enjoyed every session at WOW, but the round-robin table set-up was superb!! Loved it.”

 

What Did You Think?

How was Wild On Wounds for you? We’d love to know what you liked the most about your experience at WOW. What were your favorite moments of the conference? And what types of sessions would you like to see on the agenda for next year? Please leave your ideas and reflections below.

 

WOW Conference & Your Money

Friday, August 14th, 2015

Wound Care Conference Las VegasThe Lowdown on Tax Deductions and Travel Expenses

One of the most frequently asked questions we get regarding the annual Wild on Wounds (WOW) Conference is, “Can I deduct travel and lodging expenses on my taxes?” The answer is an enthusiastic yes!

As you pack your bags and prepare to head to Las Vegas, Aug 31 – Sept 3, for WOW 2016 – one of the most exciting wound care conferences ever – you can rest assured that as long as your travel is purely related to your practice, you can write off your expenses. Here are the basic guidelines for doing so:

It Must Be Mostly Business

You can write off your travel expenses if attending the WOW Conference benefits your business or contributes to your continuing education. But if you are attending this or any other conference for reasons other than business (like political, financial or social), deductions don’t count. According to Internal Revenue Service (IRS) guidelines, you can’t be gone for more than a week, and at least 75% of your trip needs to be devoted to continued education or business matters.

But Have Some Fun

The IRS is perfectly aware that business travelers like to have fun. Conference attendees commonly extend their education and business trips in order to see the sights or tour local attractions. If you plan to do so, have fun! But you can’t claim your personal expenses as part of your education and business write-offs. So go ahead … enjoy all the extra sites of Vegas, but don’t include those costs in the education and business portion of your expenses.

What About the Extras?

Obviously you’ll be wanting to get some sleep at WOW (after experiencing exciting and jam-packed days filled with amazing sessions). The good news is that those nights in the hotel can be written off, along with your meals – as long as they’re not over-the-top or lavish. And as a side note, if you travel with an associate or employee and pay for their expenses, you can write-off travel costs for them, too. However, you are not allowed to write off expenses for family members.

Keep Good Records

In order to comply with the IRS, keep detailed records of expenditures and accurately calculate deductions. If you are an employee of a company, you can deduct your conference costs that are not reimbursed. Employee spending is considered a “Miscellaneous 2% Expense.”

The Bottom Line

When it comes to tax deductions and travel expenses, it can get a little confusing. We totally understand, which is why we’re not in the tax business! Which means that you’ll need to get help with your conference tax-deductions from a qualified accountant, or visit these IRS website links:

http://www.irs.gov/taxtopics/tc511.html

http://www.irs.gov/publications/p970/ch06.html

http://www.irs.gov/taxtopics/tc513.html

Another Bonus

Don’t forget that you can earn up to 21 Contact Hours (up to 18 contact hours from the main conference, and 3 contact hours pre-conference) by attending WOW.  Find more details here.

Still haven’t registered? There’s still time. Check out the details here.

DON’T MISS WOW – Here Are Our Top Five Reasons Why

Friday, July 31st, 2015

Not everything that happens in Vegas has to stay in Vegas. At least not when it comes to all the priceless experiences and new takeaways you’ll find at the Wild on Wound (WOW) 2015 National Conference on Sept. 2-5 (not to mention the awesome and graphic wound stories you can share with your friends). After all, if you’re in the wound care field, this is the kind of stuff you live for.

WOW Las VegasWOW in Las Vegas is the continuing education event for all clinicians interested in healing wounds. What’s not to love? Right in the heart of The Entertainment Capital of the World, you’ll get to hone those wound-care skills and learn about the latest and greatest with fellow skin enthusiasts from some of the best speakers, educators and professionals in the industry.

Ready to go? Here are our top five reasons why you won’t be sorry:

  1. The Buzz Report – A WOW conference main attraction, WCEI co-founders Nancy Morgan and Donna Sardina will share all the latest in wound care, including new products, guidelines, resources and tools.  It’s a jam-packed session that, just by itself, is worth the trip.
  2. Stellar Wound Care Skills – You’ll be amazed at how much you learn from our powerful lineup of interactive and advanced how-to sessions, along with plenty of hands-on workshops. You’ll elevate your knowledge of wound care technologies by participating in product training with industry experts. How does Topical Wound Management sound? Or what about Sharp Debridement? Whatever your interest, we’ve got you covered.
  3. Awesome Networking – There is nothing better than meeting other wound care fanatics face-to-face, live and in-person. WOW is the ultimate networking opportunity that allows you to truly engage with others in a meaningful way. You can learn from fellow professionals while basking in the knowledge that entire rooms full of colleagues completely understand what you’re all about.
  4. The Upper Hand – Of course, you’re already good at what you do. But everyone in healthcare today needs to maintain a competitive edge – for your organization, your patients … and yourself. At the WOW conference you’ll grow as a professional in exciting and provocative ways, like reviewing wound cases through dramatic, interactive mock court trials and case studies. Staying ahead of your competitors is a must, and you can do this by learning the latest and greatest in wound care treatments and techniques.
  5. Unforgettable Fun – No doubt about it, wound care is serious business. Whether it’s understanding healthcare reform updates or learning about new treatment guidelines, being the best at what you do is the goal. And giving yourself the gift of this conference is the perfect way to reboot and recharge. But let’s not forget about one of the most important elements of all: having fun. The WOW conference allows plenty of time to relax, laugh, and create new memories with friends. You simply can’t beat that.

Come join us at the WOW Conference in Vegas. You won’t want to leave any new skill, experience or memory behind. Register now, and we’ll see you there!

Top Five Reasons to Attend WOW in Las Vegas

Tuesday, June 23rd, 2015

Let’s face it, not everyone gets excited about wound care. Not everyone can study graphic wound photos while eating lunch with friends. But for those of us who can – for those of us who want to learn and study the healing of wounds – well, we get each other in a way that’s hard to describe.

That’s why attending the Wild on Wound (WOW) 2015 National Conference in Las Vegas, Sept. 2-5, is so valuable. This annual event is dedicated to continuing education for all clinicians interested in healing wounds. You’ll get to hang out with like-minded skin enthusiasts, get your hands dirty, so to speak, and get better at doing that unique thing you do.

And if that’s not enough reason to get yourself to Vegas, then check out our Top Five Reasons why you should go:

Catch a BUZZ. The Buzz Report, a highlight of every WOW conference, features speakers and WCEI co-founders Nancy Morgan and Donna Sardina. You’ll find out what’s hot in wound care, including new products, guidelines, resources and tools.  It’s an information-packed session that, just by itself, is worth the trip.

Improve your skills. You’ll impress your friends and amaze even yourself with how elevated your clinical skills will be, thanks to a powerful lineup of interactive and advanced how-to sessions, along with plenty of hands-on workshops. You’ll get to participate in product training with industry experts that will advance your knowledge of wound care technologies. How does Sharp Debridement sound? Or what about Topical Wound Management? Whatever your interest, we’ve got you covered.

Meet your people. Sure, online interaction is great, but nothing – and we mean nothing – beats meeting new friends and talented colleagues face-to-face and in person. WOW provides the kind of networking opportunities that allow you to truly engage with others in a meaningful way. You can learn from fellow professionals and take comfort in knowing that other people get you and understand what you’re all about.

Be the best you can be. You’re good at what you do, no doubt about it. But all of us in health care need to maintain a competitive edge – for your organization, and for your patients. At the WOW conference you’ll be able to do amazing things, like review challenging wound cases through dramatic, interactive mock court trials and case studies. Staying ahead of your competitors is crucial, and learning the latest and greatest in would care treatments and techniques is imperative in our industry.

Have fun. Wound care is serious business. Whether it’s staying abreast of healthcare reform changes or learning about new treatment guidelines, being the best at what we do is paramount. And giving yourself the gift of this conference and everything it offers is a tangible way to revitalize, reenergize and find your wound care mojo. But we also know how important it is to enjoy the company of others and let your hair down, so to speak. The WOW conference affords attendees plenty of time to laugh, meet new people and enjoy each other in an unparalleled way.

Wound Care is ever an ever-changing industry, and it’s not easy to keep up with all the new information that’s out there on your own. Come join us at the WOW conference, revel in the company of other wound care clinicians, and enjoy the inspiration and passion of colleagues and industry leaders. We can’t wait to see you there.

Wild On Wounds Exhibitor Showcase Vendor Spotlight

Thursday, May 28th, 2015

Scott_Miller_MPM

MPM Medical Inc. brings to you industry experts for 2 days during the WOW conference in Las Vegas on September 2-5, 2015. They will answer your questions, perform product demonstrations and provide hands on product training.  All of their sales representatives have been trained and certified as Wound Care Market Specialists (CWCMS®) by the Wound Care Education Institute®.  They offer a comprehensive line of hydrogels with lidocaine, foam dressings, moisture barriers, antifungals, calcium alginates, waterproof composite dressings, woundgard bordered gauze pad dressings, multilayer composite dressings, cleansers, saturated gauze pads and collagen and super absorbent dressings.

MPM has published a number of practical reference pieces including a definitive Wound Management Guide, Wound Care Wall Charts and clinical studies.  For information on these educational pieces visit their website at: www.mpmmedicalinc.com

Register for WOW today and stop by the MPM booth #224

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What Will You Gain by Attending WOW?  You Will…

  • Discover what is new in wound care which is essential to your practice
  • Elevate your clinical skills with interactive, advanced, how-to sessions and hands-on workshops
  • Participate in product training with industry experts to advance your knowledge of wound care technologies
  • AND MORE…

Full Conference Registration Includes:

  • Access to educational sessions over 3.5 days
  • Access to product experts during the exhibitor showcase
  • Lunch on each registered day
  • Poolside get-together with a robust buffet
  • FREE cyber cafe to check emails, complete onsite evaluations, etc.
  • Complimentary collectible event T-shirt
  • And more!

WOW2015_600x155_FREE-TICKET_BANNER

REGISTER BY MAY 1ST – PAY BY JUNE 1ST

Tuesday, April 28th, 2015

RegisterNowPay_LaterHeaderSave $100 when you register by May 1, 2015  
You’ll get first choice of conference sessions and…
You don’t pay until June 1st!

Industry and Clinical experts will provide training and product demonstrations and will help answer your “hard to heal” wound questions. Join us in Las Vegas, September 2 – 5, 2015 and network with hundreds of passionate wound care clinicians with the same goal in mind, to advance their wound care knowledge.

About WOW

Wild On Wounds is a national conference dedicated to clinicians who want to enhance their knowledge and learn current standards of care in skin and wound care. Attend lecture sessions, participate in hands-on workshops and learn all the new products and technologies from industry experts.

Full Conference Registration Includes:
  • Access to educational sessions over 3.5 days
  • Access to product experts during the exhibitor showcase
  • Lunch on each registered day
  • Poolside get-together with a robust buffet dinner
  • FREE cyber cafe to check emails, complete onsite evaluations, etc.
  • Complimentary collectible event T-shirt
  • And more!

register now    send a brochure

Wild On Wounds Conference Early Registration Savings

Friday, April 17th, 2015

Only_14_days

When you register early, you save $100 and you will have first choice in selecting all conference sessions. The early discount rate expires May 1, 2015.  Register today!

Industry and clinical experts will provide training, product demonstrations and will help answer your “hard to heal” wound questions.

Join us in Las Vegas, September 2-5, 2015 and network with hundreds of passionate wound care clinicians with the same goal in mind, to advance their wound care knowledge.

About WOW

Wild On Wounds is a national conference dedicated to clinicians who want to enhance their knowledge and learn current standards of care in skin and wound care. Attend lecture sessions, participate in hands-on workshops and learn all the new products and technologies from industry experts.

Full Conference Registration Includes:

  • Access to educational sessions over 3.5 days
  • Access to product experts during the exhibitor showcase
  • Lunch on each registered day
  • Poolside get-together with a robust buffet
  • FREE cyber cafe to check emails, complete onsite evaluations, etc
  • Complimentary collectible event T-shirt
  • And more!

course_header2WCEI2015_WCC_BUTTON_rev

WOUND CARE CERTIFICATION – This Wound Care Certified (WCC®) course offers an evidence-based approach to wound management and current standards of practice to keep clinicians legally defensible at bedside.

WCEI2015_DWC_BUTTON_rev

DIABETIC WOUND CERTIFICATION – This Diabetic Wound Certified (DWC®) course takes you through the science of the disease process, focuses on limb salvage and prevention, and covers the unique needs of a diabetic patient.

WCEI2015_OMS_BUTTON_revOSTOMY CERTIFICATION – This Ostomy Management Specialist (OMS) course will take you through the anatomy and physiology of the systems involved in fecal/urinary diversions. The course includes hands-on workshops and online pre-course modules.

 

CLICK HERE FOR COURSE DETAILS