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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
• STAGING QUIZ!!!

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

Iodosorb

• 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

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.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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 professions standards.

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.

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.

Continuing Education Information
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). 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. 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 info@pesi.com 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 statement above. For speaker disclosures, please see the faculty biography.

CE Up to Amount
Earn up to 5.75 CE hours. Please see below, for more details, as credit amounts vary by state and profession.

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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.

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.

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.

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 cepesi@pesi.com 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.

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Other Professions
This self-study activity qualifies for 5.75 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Nurse Educators