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Heidi Huddleston Cross – PESI – Advanced Pressure Injury Course: Strategies for Prevention, Assessment & Treatment

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Description

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Heidi Huddleston Cross – PESI – Advanced Pressure Injury Course: Strategies for Prevention, Assessment & Treatment

Speaker: Heidi Huddleston Cross, MSN, RN, FNP-BC, CWON®

Duration: 5 Hours 47 Minutes

Format: Audio and Video

Copyright: Feb 28, 2018

Media Type: Digital Seminar

Description

Pressure injury prevention, assessment and treatment. This is such complex and specialized care to provide to patients. There are co-morbidities to consider, rising costs, ever changing regulations and increased scrutiny. Do you feel confident you are up-to-date on the latest evidence that should be guiding your pressure injury decision making?

Prevention
As a frontline health care provider, you play a critical role in preventing pressure injuries from ever occurring – or not developing again. This course will provide you with the most need-to-know knowledge to effectively achieve your goals in a cost effective and evidence-based manner. Discussion will focus on the best in pressure injury prevention, including: risk factor reduction, standards of care, root cause analysis, support surface options, nutritional factors and repositioning frequency.

Assessment
Once a pressure injury develops, it is critical that it is promptly identified and assessed so proper treatment can begin. Rest assured….you will get everything you need to know when it comes to pressure injury staging, recognition of wound infection, avoidable vs. unavoidable wounds and the ability to differentiate pressure injuries from moisture associated skin breakdown.

Treatment
Once a pressure injury has been thoroughly assessed, the appropriate treatment plan needs to be implemented as quickly as possible to avoid deterioration and complications. You will take away the best knowledge and insights in pressure injury treatment, to include: wound bed preparation, debridement options, the newest product selection options hitting the market, cost-effective considerations, and when antimicrobial dressings should be used.

In addition to all the clinical insights to be gained, valuable documentation tips will be shared so that going forward you appropriately reflect your practice, protect your license, and avoid legal risks. You are guaranteed to increase your confidence, effectiveness, and career opportunities with this course recording on Pressure Ulcers.

Speaker

Heidi Huddleston Cross, MSN, RN, FNP-BC, CWON®

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 and receives a speaking honorarium from WoundZoom and Abbott Nutrition. She receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations has been mitigated.
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; the National Pressure Ulcer Advisory Panel.

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Nurse Educators

Objectives

  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.

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

Frequently Asked Questions:

  1. Innovative Business Model:
    • Embrace the reality of a genuine business! Our approach involves forming a group buy, where we collectively share the costs among members. Using these funds, we purchase sought-after courses from sale pages and make them accessible to individuals facing financial constraints. Despite potential reservations from the authors, our customers appreciate the affordability and accessibility we provide.
  2. The Legal Landscape: Yes and No:
    • The legality of our operations falls into a gray area. While we lack explicit approval from the course authors for resale, there’s a technicality at play. When procuring the course, the author didn’t specify any restrictions on resale. This legal nuance presents both an opportunity for us and a boon for those seeking budget-friendly access.
  3. Quality Assurance: Unveiling the Real Deal:
    • Delving into the heart of the matter – quality. Acquiring the course directly from the sale page ensures that all documents and materials are identical to those obtained through conventional means. However, our differentiator lies in going beyond personal study; we take an extra step by reselling. It’s important to note that we are not the official course providers, meaning certain premium services aren’t included in our package:
      • No coaching calls or scheduled sessions with the author.
      • No access to the author’s private Facebook group or web portal.
      • No entry to the author’s exclusive membership forum.
      • No direct email support from the author or their team.

    We operate independently, aiming to bridge the affordability gap without the additional services offered by official course channels. Your understanding of our unique approach is greatly appreciated.

Refund is acceptable:

  • Firstly, item is not as explained
  • Secondly, Item do not work the way it should.
  • Thirdly, and most importantly, support extension can not be used.

Thank you for choosing us! We’re so happy that you feel comfortable enough with us to forward your business here.

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