This activity is approved for 27 contact hours for Nursing

AppleTree CEU is approved as a provider of continuing nursing education by the Kansas State Board of Nursing. This course offering is approved for contact hours applicable for APRN, RN, or LPN relicensure. Kansas State Board of Nursing provider number LT0339-0924.

Course curriculum

  • 1

    Anatomy and Physiology of the Skin

    • Intro, Objectives, Statistics, Impact

    • Skin Anatomy - Epidermis

    • Important Cells

    • Basement Membrane, Dermis and Components

    • Hypodermis and Underlying Structures

    • Vascular and Lymphatic System

    • Functions of the Skin

    • Skin Color, Cell Cycle, Skin Integrity, Integrity Across Lifespan

    • Skin Repair - Minor and Major Injuries

  • 2

    Skin Assessment

    • Skin Assessment

    • Primary Skin Lesions

    • Primary Skin Lesions Continued

    • Secondary Skin Lesions

    • Secondary Skin Lesions Continued

  • 3

    Skin Conditions Leading to Wounds

    • Pemphigus Vulgaris, Pyoderma Gangrenosum, Candidiasis

    • Contact Dermatitis, Eczema, Impetigo

    • MASD, Incontinence Associated Dermatitis, Intertriginous Dermatitis

    • Skin Cancers

    • Topical Therapies

  • 4

    Wound Assessment

    • Etiology, TIME, Exudate

    • Moisture, Maceration, Dehiscence, Healing Ridge, Hyperkeratosis

    • Granulation Tissue, Hypertrophic Granulation, Hypotrophic Granulation, Epithelial Tissue

    • Slough, Fibrin, Eschar

    • Epibole, Tunneling, Undermining

    • Periwound, Induration, Anatomical Location

  • 5

    Dressings

    • Dressing Selection, Alginates, Bioactives

    • Composites and Contact Layer

    • Foam, Gauze, Tubular Net Dressing

    • Hydrocolloid, Hydrofiber, Hydrogel

    • Transparent Film and Wound Fillers

    • Medicated Dressings and Activated Charcoal

    • Moisture Management and Dressing Categories

    • Necrotic Wounds and Slough

    • Granulation, Epithelial Tissue, Allergies

  • 6

    Bioburden, Biofilm & Infections

    • Bioburden, Continuum, Signs of Infection, Wound Culture

    • Osteomyelitis, Infection Management, Biofilm

  • 7

    Wound Cleansers

    • Saline, Non-Cytotoxic, Antiseptic

    • Periwound Cleansers, Wound Cleaning, Irrigation

  • 8

    Wound Debridement

    • Wound Debridement Introduction

    • Autolytic, Enzymatic, Mechanical

    • Sharp/Surgical, Biological, Ultrasonic, Hydrosurgical

    • Wound Debridement Summary

  • 9

    Lower Extremity Vascular Wounds

    • Vascular Wounds Intro

    • Arterial Ulcers, Pulse Exam, Capillary Refill, ABI

    • Toe-Brachial Index, Transcutaneous Oxygen Measurement

    • Imaging

    • Peripheral Ischemic Pain, Critical Limb Ischemia

    • PAD Treatment, Managing Arterial Ulcers

    • Gangrene

    • Venous Leg Ulcers, Lipodermatosclerosis

    • Compression Therapy, Unna's Boot, Duke Boot

    • Compression Stockings, Velcro Wraps, Elevation

    • Wound Care Strategies for Venous Ulcers

    • Arterial vs Venous, Mixed Ulcers

  • 10

    Lymphedema

    • Lymphedema Stages and Diagnosis

    • CDT, MLD, Compression, Cellulitis

  • 11

    Pressure Ulcers

    • Pressure Injuries Intro

    • Braden, Braden Q, Braden QD

    • Norton Scale, PUSH Tool

    • Risk Action Plan

    • Unstageable, Suspected Deep Tissue Pressure Injury, Mucosal Pressure Ulcers, Medical Device Pressure Injury

    • Unavoidable Pressure Injury, Kennedy Terminal Ulcer, Dressing Considerations

    • Positioning Guidelines

  • 12

    Support Surfaces

    • Foam Mattress, Gel Overlay

    • Alternating Pressure, Low Air Loss, Air Fluidized Therapy Bed

    • Heel Suspension, Support for Sitting

  • 13

    Advanced Therapies

    • Negative Pressure Wound Therapy, Skin Substitutes

  • 14

    Diabetic Foot Ulcers

    • Diabetic Foot Ulcers, Peripheral Neuropathy

    • Monofilament Testing, Wagner Ulcer Classification, Texas Diabetic Foot Ulcer Scale

    • Hyperbaric Oxygen Therapy, E-stim

    • Treatment, Charcot Foot, Total Contact Cast

    • Wounds Not Healing, Infection Control, Topical Treatment

  • 15

    Acute and Surgical Wounds

    • Healing by Primary and Secondary Intention

    • Dehiscence, Evisceration, Fistula

    • Healing by Tertiary Intention

    • Surgical Wound Classification, Infection Management, Dressings

    • Skin Tears

  • 16

    Burns

    • Burn Depth Classification

    • Burn Degree

    • Rule of 9s, Lund Browder Chart

    • Dressing Selection

  • 17

    Neoplastic Wounds

    • Types and Neoplastic Wounds Testing

    • Wound and Odor Management

  • 18

    Stages of Healing

    • Hemostasis, Inflammatory, Proliferative, Maturation

    • Factors Affecting Healing

    • Partial Thickness and Full Thickness Wound Healing

  • 19

    Re-evaluation

    • Importance of Re-assessment

  • 20

    Interpreting Labs

    • Comprehensive Metabolic Panel

    • Albumin, ALP, ALT, AST

    • Bilirubin, BUN, Calcium

    • C02, Chloride, Creatinine

    • Glucose, Potassium, Sodium, Total Protein

    • Pre-Albumin, A1C, ESR

    • CBC, WBC, CFUs

  • 21

    Additional Assessments

    • BMI, Hydration Status, Socio-Economic Status

    • Swallow, Psychosocial, Cognitive, Functional, Nutritional Assessment

  • 22

    Macronutrients, Vitamins, Minerals

    • Protein, Vitamin A, Vitamin C

    • Vitamin E, Vitamin K, B-complex Vitamins

    • Zinc, Iron, Copper

    • Magnesium, Selenium, Summary

  • 23

    Pain Assessments

    • Numeric, Wong-Baker, FLACC, PAINAD

    • Pain Management

  • 24

    Administration

    • Wound Care Administration

  • 25

    Legal Issues and Documentation

    • Legal and Ethical Considerations, State Practice Act

    • Informed Consent, Patient Rights, Discharge, Documentation

    • Negligence, Unavoidable Wounds

    • HIPAA, Interdisciplinary Communication, End of Life Care

  • 26

    Insurance

    • Insurance, Medicare Part B, Documentation

    • Medicaid, Private Insurance, Uninsured

  • 27

    Patient Education

    • Education Principles, Scenarios 1-2

  • 28

    Referrals

    • Registered Dietitian, PT, OT, Speech, Podiatry, Vascular, Surgery

  • 29

    100 Question Practice Test

    • Test your Knowledge

    • Practice Test - 1

    • Practice Test - 2

  • 30

    Post Test and Survey

    • Summary

    • Post Test

    • Wound Care Re-certification Survey

    • References

FAQ

  • Can I re-take the post test if I do not pass?

    Yes, you can re-take the post test until you pass with a score of 80% or greater.

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