WOUND CARE SKILLS CHECKLIST

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Job Description: Staff Nurse - RN Wound Care Provides professional nursing care specialized in caring for, as well as helping prevent wounds. Wound care nurses can be found in many different settings and working environments. They are needed in hospitals, doctor's offices and wound care centers. The demand for wound care nurses is currently growing and is expected to continue to grow. There are many duties a wound care nurse takes on. Caring for wounds is a very vague job description. The job duties of a wound care nurse include, but are not limited to: Skin evaluation (for pressure sore prevention), medication application (to existing wounds), and educating patients (to care for their own wounds). A wound care nurse will be the one who cares for patient's surgical incisions, any pressure sores, or any wounds caused from disease or injury. They treat and care for skin infections and skin conditions too.

KEY: For each criteria Score 1: Two plus years Expert Experience Score 2: One-Two Years Current Experience Score 3: Less than one year or Intermittent Experience Score 4: Theory, no experience

Procedure / Skill WORK SETTINGS Acute Care - Adult Clinic - Adult SNF/LTAC/Subacute Hospice/Palliative Care Acute/Long Term Care - Pediatrics Clinic - Pediatrics PRESSURE ULCERS Assessment Staging Prevention/Risk Assessment Tools Adult Prevention/Risk Assessment Tools Pediatrics Support Surface Selection NEUROPATHIC ULCERS Assessment Management VENOUS STASIS ULCERS Assessment Management PERIPHERAL ARTERIAL ULCERS Assessment Ankle Brachial Index Management OTHER WOUNDS Fistulae- Pouching/Skin Care Skin Care/Management of Drains WOUND DEBRIDEMENT

SCORE 1 2 3 4

Autolytic Enzymatic Mechanical Sharp DRESSINGS/TREATMENTS Hydrogels Hydrocolloids Silver Products Foams Alginates Vacuum Assisted Closure Growth Factors Skin Substitutes Hyperbaric Oxygen Therapy Wound Cultures Electrical Stimulation Enzymatic Debriding Agents Mist Therapy COLOSTOMY/ILEOSTOMY Ostomy Equipment Selection Continence Skin Care Management Loop with Rod Stoma End Stoma Mucous Fistula Double Barrel Stoma Irrigation Ileal Lavage CONTINENT ILEOSTOMY Kock Pouch Pelvic Pouch UROSTOMY/CONTINENT Catheterization for C&S Kock Pouch Neobladder CONTINENCE THERAPEUTIC DEVICES Vaginal Cones Penile Clamps Male External Catheters Internal Urethral Inserts Catheters - Mgmt& Self Care Teaching Magnetic Therapy Urinary Incontinence Program Fecal Incontinence Program BURNS Burn Management PROFESSIONAL KNOWLEDGE AND SKILLS National Patient Safety Goals/Core Measures Patient Family Teaching Age Specific/Population-Based Care Isolation Precautions Infection Prevention Pain Assessment & Management

Interpretation & Communication of Lab Values EMR Epic Cerner Eclipsys McKesson Meditech Other Computerized System Computerized Physician Order Entry Bar Coding for Medication Culture Other/Misc. Pain Management Assessment of Pain Levels without intervention Pain Management Response Assessment with intervention Experience: Charge Duty Experience: Preceptor Experience with Computerized Charting Name Software Used: ______________________________________________________________________________ AGE SPECIFIC CARE Please indicate the frequency with which you provide care for each age group in this specialty area. Infant (Birth to 1 year) Toddler (1-3 years) Pre-school (3-6 years) School Age (6-12 years) Adolescent ( 12-18 years) Young Adult ( 18-30 years) Mature Adult (30-60 years) Elderly (>60 years)

JCAHO: I acknowledge and understand JCAHO's list of "Do Not Use Abbreviations" : JCAHO: I acknowledge and understand JCAHOs National Patient Safety Goals : The information I have given is true and accurate to the best of my knowledge. I have read and fully understand the job description. By signing below or submitting electronically, I attest that the information provided within this skills checklist represents a full and complete disclosure of information, and is true and correct to the best of my knowledge and belief. I hereby authorize Sagent Healthstaff to release this skills checklist to client facilities for employment purposes. I agree with the above statements. : Signature: (please type your full name) : Date: