Product Detail

At the completion of this program, you should be able to:

1. Utilize 3 methods of breaking biofilm in order to decrease wound bed bacterial count.
2. Compare five antiseptic options approved for use in wounds because they do not slow healing.
3. Discriminate between the inflammation of healing and that of infection.
4. Defend choice of dressings recommended based on wound characteristics/needs.
5. Compare characteristics of several living skin equivalents.
6. Discuss the evidence behind electrical stimulation for wound healing.
7. Articulate the levels of severity of arterial insufficiency.
8. Analyze methods of compression for edema control.
9. Critique different tools used to screen for impending neuropathic ulceration.
10. Incorporate new strategies to improve the seal for negative pressure film dressings.

1. Infection Control Implications
1. How biofilm changes the game
2. Safe use of antiseptics
3. Culturing an infected wound: The Levine technique
2. Debridement Techniques
1. Autolytic - Mechanical - Enzyme - Biological - Sharp
3. Choose the Dressing to Heal the Wound
1. Wound Characteristics
1. Is this wound likely to heal? (blood supply, whole person factors)
2. Infected or high risk for infection
3. Necrotic debris present?
4. Amount of exudate?
5. Superficial or full-thickness?
2. Dressing Formulary Development
1. Gauze, oil-infused gauze, rolled gauze, ABDs, Telfa and other paper dressings
2. Non-adherent porous contact layers
3. Foam
4. Superabsorbents
5. Fillers: alginates, hydrofibers, powders, gels, pouches
6. Hydrocolloid
7. Hydrogels: amorphous (in a tube) or sheet types; glycerin or water-based
8. Antiseptic dressings: silver, iodine, methylene blue/gentian violet, PHMB and more
3. Treating Stalled or Complex Wounds
1. Living skin equivalents
2. Acellular matrix dressings
3. Topical platelet-derived growth factors
4. Stem cell wound therapy
4. Modalities with Wound Applications
1. Electrical stimulation
2. Ultrasound therapy: Break biofilm and speed healing
1. Traditional & non-contact ultrasound
3. Pulsed shortwave diathermy
4. Low level laser
5. Hydrotherapy
6. Oxygen therapy
1. Hyperbarics
2. Topical oxygen therapy
3. Continuous diffusion of oxygen
7. Lymphedema therapy
5. Managing Arterial Insufficiency
1. Diagnostics and procedures to revascularize
2. Matching severity to interventions
3. Treating restricted ischemic ulcers
6. Venous Hypertension/Other Causes of Edema
1. Minimally-invasive procedures
2. Arterial flow assessment prior to applying compression
3. A stepwise approach to compression
7. Neuropathic Ulcers
1. Screening tools for impending ulcers
2. Medicare payment requirements
3. Grades used for categorizing neuropathic ulcers
4. Challenges: Infection control - maceration prevention, callus debridement
8. Surgical Wound Healing by Secondary Intention
1. Infection control: Antibiotics & bioburden
2. Negative pressure wound therapy
3. Protect exposed organ, tendon, bone Pressure Ulcers
4. Stages/Categories set by National
9. Pressure Ulcer Advisory Panel
1. Tools for protection from pressure & shear
2. Device-Associated Pressure Ulcers (mucous membrane ulcers not included)
3. Interventions for full-thickness pressure ulcers
4. Documentation strategies

Frank Boutiette is program director for OakLeaf Advanced Wound Care & Hyperbaric Medicine Center, Eau Claire, Wisconsin. A physical therapist with 25 years of experience, Frank has specialized in wound care for over 15 years. Frank is a Certified Wound Specialist® (CWC) by the American Board of Wound Management. He has provided direct and consultative wound care management in various settings including home health, skilled nursing facilities, acute and outpatient care. Frank has coordinated the development and implementation of wound management programs in both hospital acute care and outpatient settings.

Throughout his career he has presented numerous wound care educational programs. He is involved with the University of Wisconsin Eau Claire Center in presenting wound management education to nursing and nurse practitioner students along with health care providers. Frank received his undergraduate degree from the University of North Dakota, School of Medicine and Health Sciences and his Doctorate of Physical Therapy from Des Moines University-Osteopathic Medical Center.

Speaker Disclosures:

Financial: : Frank Boutiette is Program Director for Oakleaf Advanced Wound Care and Hyperbaric Medicine Center. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: Frank Boutiette has no relevant nonfinancial relationship to disclose.

For U.S. and Canadian customers, CE is available for $20.00 USD per participant. International CE rates may vary; 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 will be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**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.

---

Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 3/4/2017
No CE available for this board.

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 7.2 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.

---

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.

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.

---

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.

Registered Nurses, Licensed Practical Nurses, Physical Therapists, Clinical Nurse Specialists, Nurse Practitioners