- Faculty:
- Heidi Huddleston Cross
- Duration:
- 5 Hours 47 Minutes
- Format:
- Audio and Video
- Copyright:
- Feb 28, 2018
Description
Outline
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
Faculty
Heidi Huddleston Cross, MSN, RN, FNP-BC, CWOCN Related seminars and products: 6
Heidi H. Cross, MSN, RN, FNP-BC, CWON, is a board-certified Wound and Ostomy Nurse and a board-certified Family Nurse Practitioner in Syracuse, NY. She has extensive experience caring for wound and ostomy patients in acute care, as well as in long term care facilities. Currently, she is employed by CNY Surgical Physicians consulting for nursing homes in the Syracuse area, and has her own independent practice as an expert witness for plaintiff and defense attorneys.
Ms. Cross is a member of the Wound, Ostomy and Continence Nurses Society, the Association for the Advancement of Wound Care, and the American Nurses Association. She has served on numerous committees related to wound and ostomy care, including as chair of the Wound Ostomy and Continence Nursing Certification Board examination committee, the credential and review committee, and the marketing committee. For the Wound and Ostomy Nurses Society, she is the co-chair of the National Conference Planning Committee ostomy track, has done peer review for the Journal of Wound Ostomy and Continence Nursing (JWOCN), and was the recipient of a grant from the Center for Clinical Investigation Research. She participated in developing the National Pressure Ulcer Advisory Panel’s Clinical Practice Guidelines for Prevention and Treatment of Pressure Ulcers in 2014.
Speaker Disclosures:
Financial: Heidi Huddleston Cross receives an honorarium and consulting fee from Molnlycke. She receives a speaking honorarium from PESI, Inc.
Nonfinancial: Heidi Huddleston Cross is a member of the Wound, Ostomy and Continence Nurses (WOCN) Society.
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