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• Distinguish at least 6 tissue types found in chronic wounds.
• Catalogue and differentiate at least 4 wound etiologies.
• Analyze 6 terms used to document peri-wound status.
• Demonstrate accurate measurement and documentation of wounds, tunneling and undermining, according to the clock method, using a wound teaching model.
• Analyze and categorize at least 7 dressing types, including the indications for use, precautions and contraindications.
• Develop an appropriate dressing/ treatment protocol for a wound, based upon exudate, wound status, and products discussed.

Wound Bed Tissue Types: Presentation & Treatment

Epithelial Tissue

Granulation Tissue

• Healthy Granulation
• Hypergranulation

Fibrin

• Scaffolding for granulation
• Characteristics of presentation

Necrotic-When to remove, when to leave alone

• Slough-Devitalized, must be debrided
• Eschar-Devitalized
• Dry Gangrene-Necrosis/Tissue Demise

Wound Margin Issues and Strategies

Epiboly-Rolled Edges

Hyperkeratotic-Dry, Calloused Edges

Jagged

Epithelialization

Peri-Wound Issues

• Macerated
• Desiccated
• Erythema
• Indurated
• Atrophic/Fibrotic
• Fluctuant

Characteristics of Common Wounds

Phases of Healing

Etiology, Appearance, Location, Exudates

• Arterial Insufficiency
• Venous Insufficiency
• Diabetic/Neuropathic
• Pressure Ulcers - Demystifying Staging
• Skin Tears

Hands-On Clinical Lab

Using the latest in wound care model technology, participate in skill-based exercises in:

• Wound staging
• Tissue type identification
• Proper measuring techniques
• Tunneling/Undermining
• Wound care product awareness and application

Wound Care Products

Characteristics of Each Dressing Category

• Hydrogel, Hydrocolloid, Collagen
• Calcium Alginate/Hydrofiber
• Silver products, Foam, Honey
• Multi-layer compression
• Gauze/Composite
• Exudate determines dressing

Strategies to Select Primary Dressings for:

Dry/Minimally Draining Wounds

• Hydrogel
• Oil emulsions
• Ringer's Lactate impregnated
• Combinations

Moderate/Heavy/Copious drainage

• Alginates/Hydrofibers
• Topical Medications

Critically Colonized/Infected Wounds

• Silver Dressings
• Silver Alginates/Hydrofibers, Hydrogels and Collagens
• Antimicrobial impregnated dressings
• Enzymatic debriders
• Cleansing agents and other topicals

Proper Application and Cost Considerations

Alternative Options and Substitutions

Kim Saunders has extensive experiences as a wound, ostomy, and continence nurse across a variety of settings, including acute care, hospice, home health and skilled nursing facilities. As a respected expert in her field, Kim evolved her practice to be able to more fully share her insights as co-owner of WOC Consulting, LLC. In this role, she consults with healthcare systems on a variety of challenges that develop related to wound, ostomy, and incontinence-associated dermatitis. Some of the special projects her knowledge has been sought for include: guiding standardization of wound care formularies and pressure-relieving device selections, as well as a myriad of other processes to standardize and improve upon existing skin and wound care delivery. Her wound care experience goes beyond trouble-shooting the most challenging of patient wounds. It also includes expertise regarding the increasingly important ability to incorporate cost-effective care and reimbursement considerations at the bedside.

Kim is an active member of the Wound, Ostomy and Continence Nurses Society™ and the Advanced Wound Care Society. She has traveled the country extensively to deliver practice-changing wound care trainings to experienced healthcare professionals. Kim is also the author of the Wound Care Pocket Guide: Clinical Reference, Second Edition (PESI, 2017).

Speaker Disclosures:

Financial: Kim Saunders is the owner of WOC Consulting. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Kim Saunders is a member of the Wound, Ostomy, Continence Nurse Society.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 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.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.0 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 6.0 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 6.0 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 6.0 self-study contact hours.

Copies of the evaluation may be sent to the IBON. 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.

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Occupational Therapists & Occupational Therapy Assistants - Credit Available Until: 6/30/2025
PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. This self-study course qualifies for 6.0 self-study contact hours or .6 CEUs in the Category of Domain of OT. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.

Arizona Occupational Therapists & Occupational Therapy Assistants: CE credit is available. This self-study course consists of 6.0 continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

Kentucky Physical Therapists & Physical Therapist Assistants: CE credit is available. This self-study course consists of 6.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.2 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.

Pennsylvania Physical Therapists and Assistants: The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.0 clock hours of instruction that is applicable for physical therapists.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional level: Intermediate. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Utah Physical Therapists and Physical Therapist Assistants: This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 6.0 clock hours of continuing education instruction.

Vermont Physical Therapists & Physical Therapist Assistants: CE credit is available. This course consists of 6.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

Virginia Physical Therapists & Physical Therapy Assistants: CE credit is available. This course consists of 6.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy.

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Other Professions
This self-study activity qualifies for 6.0 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, Nursing Home Administrators, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals