Description

Type 3 skin tears have a _____________ loss of the flap.
Skin tears NEED a WOC consult according to the UVA Pressure Ulcer/Injury Treatment Protocol at the TCH GUIDELINES TABLE. True or False
According to the UVA Pressure Ulcer/Injury Treatment Protocol at the TCH GUIDELINES TABLE, skin tear treatment is : Cleansing with NS, patting dry, if possible re-approximating the skin flap, applying ______________gauze and wrapping gently with a kerlix. The dressing is to be changed DAILY and PRN. A wound needs to be entered into the LDA AVATAR and a Be Safe completed for documentation.
STAGE 1 pressure injuries remain ______ after 30 minutes.
STAGE 4 pressure injuries extend to ____________ and bone.
According to the Standard Work for Two Person Skin Assessment at the TCH GUIDELINES TABLE, after how many hours do you have to reassess a patient after being off the unit?
The Braden Scale is used as a ____________ ulcer/injury PREVENTION tool.
If a pouching system will not adhere, the first thing to do is to gently cleanse the peristomal skin with warm _______________ only. (no bath, barrier, CHG, or Hibacleanse wipes). The next step if the skin is denuded is to apply a light amount of stoma powder and seal it with liquid skin no sting barrier. You can also use a ring barrier or stoma paste to create a good seal.
SWEEN is used for ______ and/or cracked skin or heels. This is found in the Clean Utilty Supply Room and does not need an order.
INTERDRY AG is used for patients that have ___________ associated skin damage.
Envision beds MUST have a fitted sheet, draw sheet, taps, and MULTIPLE blue pad to keep the patient padded to prevent pressure and moisture. True/False?
Sting Free Skin ________________ wipes/spray create a protective clear and flexible periwound/peristomal barrier when applying all dressings, tapes, or in some cases ostomy wafers.
Apply Triad ____________ thick into a wound. Triad can be applied lightly on periwound skin to prevent moisture associated skin damage (MASD).
Aquacel Foams have a ________________________ for absorption and a gentle silicone border.
Be sure to use the spray/wipe medical _________ remover for patients with fragile, dry, and bruised skin when removing dressings or foams. Don't forget the Sting Free Barrier after cleaning the wound!
When troubleshooting Negative Pressure Wound Therapy with a bottle of Vashe for the Veri Flo instill, check to see if the vent port is __________, remove the bottle from the instill tubing, remove the cap to release the vacuum in the bottle, then reattach the bottle to the instill tubing.
Negative Pressure Wound Therapy is primarily used for wounds that: 1) Are MALIGNANT (cancerous) 2) Are surface level and are healing well with red GRANULATION tissue 3) Need CONTRACTION of the wound edges and management of drainage. 4) Are UNSTAGABLE because there is black eschar over the wound. Fill in blank _______ with the CAPITALIZED word from above.
Duoderm thin or vac drape is used to protect the periwound skin from: 1) the WOUND 2) the DRAINAGE from the wound 3) ZINC paste/zguard 4) periwound MACERATION/injury Fill in blank _______ with the CAPITALIZED word from above.
From the Ms. Pressure Case Scenerio at the BRADEN SCORE DISPLAY: What is Ms. Pressure's total Braden Score?
From the Ms. Pressure Case Scenerio at the BRADEN SCORE DISPLAY: This total score shows ___________. Fill in your multiple choice answer as a written number. (ex. one, two, three, four)

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WOUND CARE

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