Archive for the ‘Education’ Category

The RATS of Malpractice: Don’t Let Them Invade Your Wound Care Practice!

Friday, December 16th, 2016

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

The new year is quickly approaching, and most of us are reflecting and setting goals for 2017. Here’s a simple plan that outlines what you must do to minimize the risks of practice.

The RATS of Malpractice in Wound Care

 

As wound care practitioners, our main goal is to heal wounds as quickly and painlessly as possible. Over the years, this simple mission has gotten tied up in countless legal matters as disappointed patients and their families turn to attorneys when things don’t work out. Follow this outline of what to do to minimize the risks of practice in the new year.

(more…)

Malnutrition and Wound Care: A Dreadful Duo

Wednesday, August 24th, 2016

Check out these top tips to recognize, treat and prevent malnutrition – and get those patient wounds healing.

 

Malnutrition and Wound Care: A Dreadful Duo

 

(Adapted from Tips to Recognize, Treat and Prevent Malnutrition by Amy Carrera, MD, RD, CNSC)

Malnutrition in the hospital setting can be more common than you think. In fact, up to half of hospitalized patients are either malnourished or at-risk of malnutrition. And when it comes to wound care, malnutrition can cause a number of complications, including delayed wound healing, infection, and other problems that may lead to hospital readmissions.

Let’s take a closer look at what malnutrition actually is, what happens when patients are malnourished, and some tips to recognize, prevent and treat it.

(more…)

What Stage Is It? Test Your Pressure Injury Staging Skills

Thursday, March 24th, 2016

(updated to reflect the 2016 NPUAP Staging Definitions)

How well do you know your guidelines for staging pressure injuries?  View the slideshow and test yourself!

Note: if you have any difficulties opening the slideshow, CLICK HERE to view it in SlideShare.

Test Your Pressure Injury Staging Skills from Wound Care Education Institute

 

 

Wound Care Education Institute® provides online and onsite courses in the fields of Skin, Wound, Diabetic and Ostomy Management. Health care professionals who meet the eligibility requirements may sit for the prestigious WCC®, DWC® and OMS national board certification examinations through the National Alliance of Wound Care and Ostomy® (NAWCO®). For more information see wcei.net.

News Flash: Document Education or Risk Facing Pressure Ulcer Citations

Thursday, December 17th, 2015

Failing to provide and document wound care educational efforts can lead to citations! Most recently, a facility was cited for not providing written documentation to a patient and his family about his Stage II pressure ulcer.

Document Education or Risk Citation

Wound care clinicians love to talk about wounds – preventing, treating and healing them. We love to compare notes, study photographs and learn about new techniques and strategies. But another vital piece of our job involves educating others, whether it be patients, family members or colleagues. Keeping everyone in the loop is essential to achieve the best outcomes, and avoid citations.

What it might look like now

Pressure Ulcer Staging Guide

Click for our FREE Pressure Ulcer Staging Guide

When we say that education must be a part of our pressure ulcer treatment and prevention program, we’re talking about routinely:

  • Providing printed information on the etiology of risk factors
  • Discussing the importance of risk and skin assessments
  • Explaining the role of support surfaces and the importance of positioning
  • Ensuring that each patient has a skin-care program individualized to meet their needs

These components of care are often accomplished during a staff in-service, or at care team meetings that focus on individual patients. But how are our patients and family members being educated on this issue?

Most clinicians would say that it is done by the individual licensed caregiver (often a nurse), as part of their normal daily activities on the unit.  The problem with this approach is that it’s not always documented, and often not very structured.  And this can lead to trouble.

What it must look like now

So what exactly are the expectations when it comes to pressure ulcer education according to today’s standards? Let’s consider what the 2014 International Guidelines for the Prevention and Treatment of Pressure Ulcers has to say about it.

In the section on implementing the guidelines, it speaks directly to patient consumers and their caregivers, and advises us to work with our healthcare teams and learn about pressure ulcer risk factors (and how this relates to their individual situation).  In order to meet this important objective, health care professionals must provide language appropriate printed materials, e-learning packages, and internet resources for the patient.

And where can you get such materials? Patient and consumer recommendation documents are currently being developed by the Guideline authors (we will let you know when they are available), but until then, one resource is MedlinePlus, where you can find the following patient handouts:

  • How to Care for Pressure Sores
  • Pressure Ulcer
  • Preventing Pressure Ulcers

No education? Hello, citation!

So besides the fact that a comprehensive pressure ulcer education program is crucial for better outcomes, failing to do so can lead to citations. All patient education, topics, methods, and responses must be documented.

Lesson learned?

The standards of care are always changing, and as wound care professionals, it’s critical to keep up with these changes. Do you and your facility currently meet these expectations when it comes to pressure ulcer education? How do you make sure patients and family members are not only being educated properly, but that these efforts are being documented as complete in the medical record? Please leave your thoughts or comments below.

Test Your Wound IQ

Tuesday, December 1st, 2015

 

ProProfs – Wound IQ Test » Online assessment software

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

You Be The Judge…and Jury!

Monday, April 6th, 2015

The Verdict Is In_HeaderJ_Melendez_175x236

You Be The Judge…and The Jury!

Julia Melendez RN, BSN, JD, CWOCN
Ever wondered what it’s like to be in the courtroom defending the wound care you provided?  So what happens and how does it all work?
This session will feature a mock trial demonstration portraying pitfalls encountered in the courtroom. Brush up on your acting skills. We will be selecting participants from the audience to be the players in this lawsuit.

SESSION #403: You Be The Judge…and Jury (Interactive)  

Come join us at the Wild On Wounds National Conference September 2-5, 2015 in Las Vegas, where you will learn the current standards of care in skin and wound management. Choose from a variety of essential to advanced educational sessions which include hands-on workshops, “learn it today and do it tomorrow” training, and interactive sessions.

Spend 3+ days with onside industry experts who will provide answers to your challenging wound healing questions, one-on-one product demonstrations, and hands-on training.

register nowsend a brochure

Save $100

if you register by May 1, 2015

 

course_header2

wcc_tile

 

Wound Care Certification

This course offers an evidence-based approach to wound management and current standards of practice to keep clinicians legally defensible at bedside.

 

DWC_tile

 

Diabetic Wound Certification

This 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.

 

OMS_tile

 

Ostomy Management Specialist Certification

This 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.

 

To register for a course visit  www.wcei.net

 

Wild On Wounds National Conference Registration is Open!

Wednesday, March 18th, 2015

banner_Register_Today

We as clinicians are responsible for the care of our patients’ skin …   SKIN IS IN!

Come join us at the Wild On Wounds National Conference September 2 – 5, 2015 in Las Vegas where you will learn the current standards of care in skin and wound management.  Choose from a variety of essential to advanced educational sessions which include hands-on workshops, “learn it today and do it tomorrow” training, and interactive sessions.

Spend 3+ days with onsite industry experts who will provide answers to your challenging wound healing questions, one-on-one product demonstrations and hands-on training.

Take advantage of the early discount rate and receive a $100 discount off the standard $550 rate when you register by May 1, 2015.

FULL CONFERENCE REGISTRATION INCLUDES:

  • Access to educational sessions over 3 ½ days
  • Access to product experts during the exhibitor showcase
  • Lunch on each registered day
  • Poolside get-together with a robust buffet
  • Free cyber café with internet access to check emails and more
  • Complimentary collectible event T-shirt
  • And MORE!

register now  send a brochure

 

 

 

 

 

Questions? call 1-888-318-8536 or email diana@wcei.net

 

 

Really, How Important is that Monofilament Test?

Monday, January 26th, 2015

Neuropathy is one of the most common risk factors for lower extremity complications in our diabetic patients. With sensory neuropathy the patient has a loss of protective sensation that leads to a decrease in the ability for our diabetic patient to sense pain and temperature changes. This loss of protective sensation puts the patient at an increased risk for plantar foot injury. Unfortunately the patient may not feel the injury until significant complications have occurred.

The American Diabetes Association set up guidelines for us as healthcare professionals, these guidelines recommend screening in diabetic patients for neuropathy to check for loss of protective sensation on an annual basis, one way this can be done by doing the Semmes Weinstein Monofilament test. If the patient is found to have decreased sensation and is found to be at high risk the monofilament test should then be done quarterly.

The Semmes Weinstein 10g Monofilament is a test that checks for protective sensation in the diabetic foot.  It uses a 5.07 monofilament that exerts 10 grams of force when bowed into a C-shape against the skin for one second.  We don’t apply the filament directly to the ulcer site, callous, scar or necrotic tissue. Ask the patient to close their eyes during the exam and tell them to reply “yes” when the monofilament is felt, repeat without touching skin occasionally to be sure of patients response. Be sure to use random order on successive tests.

Areas to be tested include the dorsal midfoot, plantar aspect of the foot including pulp (fleshy mass on the distal plantar aspect) of the first, third, and fifth digits, the first, third and fifth metatarsal heads, the medial and lateral midfoot and at the calcaneus.  Record the results on the screening form, noting a “+” for sensation felt and a “-” for no sensation felt. The patient is said to have an “insensate foot” if they fail on retesting at just one or more sites on either foot.

Those patients who cannot feel the application of the monofilament to designated sites on the plantar surface of their feet have lost their “protective sensation”. Without this protective sensation the diabetic is now at increased for injury or ulceration. Neuropathy is usually noted in the first and third toes and then progresses to the first and third metatarsal heads.

Injury is much more likely to occur in the diabetic insensate foot at these areas and interventions must be implemented to protect the diabetic foot that is at risk for ulceration. Patient education and good “shoe fit assessment” will be part of our plan of care to protect the diabetic neuropathic patients foot.

 

What’s Up Down There? Identifying and Treating IAD

Monday, November 24th, 2014

Identifying Incontinence Associated Dermatitis or IAD can be a challenge for wound care clinicians as often it is confused and mislabeled as a pressure ulcer. We need A Questionto get good at identifying the true root cause of what has caused the skin breakdown. This IAD skin damage is damage that occurs from the top layers of the skin down where the pressure ulcer damage starts down deep when vessels are occluded from pressure. IAD is an inflammation of the perineal skin that has come into contact with urine or stool for an extended period of time and this has lead to skin damage.

IAD may present as an area of erythema, blistered, edematous and or a denuded area, but it will be free of necrosis. There may be epidermal loss and the skin damage will always remain partial thickness in nature. The patient may experience pain and complain of itching or burning as well.

Contributing factors for developing IAD include the patients generalized tissue tolerance of the skin, the tissue perfusion and oxygenation. The patient’s perineal environment is another risk factor, how much is moisture present on the skin. The toileting ability of the patient can also increase the risk for developing IAD and any mechanical trauma the skin must endure must also be considered a risk factor as well.

When our patient is at risk for IAD or develops IAD we must put appropriate interventions in place. These include a good skin care regimen with a gentle cleansing of the skin using a mild soap or no rinse soap. We need to use products that will maintain the PH of the skin.  Institute interventions such as patting the skin dry, no rubbing. Moisturize the skin with a product that contains humectant like glycerin, lanolin or mineral oil and use emollients to restore the lipids that have
been lost and apply to the skin when damp. Protect the skin from urine and stool with a moisture barrier ointment that contains zinc oxide, dimethicone or petrolatum or a combination of them.

Institute patient specific interventions for those risk factors that have been identified.  Interventions such as toileting schedules, open systems at night to avoid use of briefs, fecal collection devices, urinary catheters, and low air loss support surfaces may be needed and appropriate. If the IAD is severe topical wound therapy with dressings may be necessary. If candidiasis were suspected further fungal treatment and medical evaluation would be warranted as well.  A good preventive plan of care for the incontinent patient is a must!  For further information Click Here.