What does not belong in the Wound Assessment intervention?
Open surgical incision
Pressure ulcer
Closed surgical incision
Skin tear
When are wounds are measured?
Within 24 hours of admission
When a patient transfers to SICU from another unit
Every Sunday
Change in wound condition
Every Wednesday
The wound vac dressing does not need to be labeled with sponge count.
A “T” written on the outside of a mepilex stands for “treatment”.
Wound assessments only need to be completed daily, not each shift.
Stage 4 pressure ulcers are characterized by:
Full thickness tissue loss
Exposed bone
Blanchable erythema
Undermining and/or tunneling
A Braden Score less than ___ is considered at risk?
16
19
20
14
A healed stage 3 pressure ulcer can be documented as a stage 1 pressure ulcer.
There is a pressure ulcer present if the patient has moisture associated dermatitis.
A root cause analysis and reporting to the state will occur with which pressure ulcers?
Unstageable
Stage 2
Stage 4
Stage 3
It is correct to use 2 covidien “wings” blue pads (the new dry flows) per patient.
