About the Course

In the publication “Advances in Wound Care,” Chanden K. Sen states that “A continued rise in the economic, clinical, and social impact of wounds warrants a more structured approach and proportionate investment in wound care, education, and related research.” This statement is echoed throughout the healthcare communities, as more and more people are aging and experiencing varying degrees of wounds.

Treating wounds requires an experienced and educated clinician, and the Wound Prevention and Management Course is intended to provide licensed clinicians with advanced wound care knowledge. This course will enable clinicians to provide their patients with the best care, based on the most current* evidence-based research and data available. All wound treatments have the same end goal of wound healing, and this course provides resources and education to optimize the clinician’s efforts to reach that ultimate healing goal.

This course, in order to help address the need for advanced wound education in the healthcare community, has been submitted and reviewed, and is deemed to meet the criteria established for certification with the National Alliance of Wound Care and Ostomy® (NAWCO) for the Wound Care Certified (WCC®) Certification Examination. Eligibility requirements for certification are established by NAWCO, and it is the clinician’s responsibility to verify that they personally meet all of the established eligibility requirements.

*Excell College is the only wound care education program with models and simulators for hands-on wound management and assessment skills. Clinical skills and expertise in the field of wound care depends on the ability of the clinician to recognize real-world situations and devise the appropriate plan of care so that the most beneficial outcomes are produced.

Those taking the course onsite will experience the hands-on simulation lab with simulation mannequins.

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Course Content

#	Title	Intent of the Module
1	Global Wound Management – An Overview – SELF-STUDY – .5 hours	Global Market Leading dressings Most common wounds Cost Projections
2	Interprofessional Practice and Education, Accountable Care Organizations, Healthcare Delivery Models – SELF-STUDY- .5 hours	Defined Patient-Centered Focus ACO Defined Value-Based Care Volume-Based-Care
3	Anatomy & Physiology of the Skin – 0.5 hours	Knowledge of anatomy and physiology of the skin and underlying structures The composition and functions of the skin
4	Cardiovascular System – .5 hours	Blood vessels
5	Wound Classification – 1 hour	Types and causes of wounds Partial-thickness wounds vs. full-thickness wounds Surgical wound classification External vs internal Ulcer vs wound
6	Wound Assessment – Includes Interactive Wound Assessment – *Simulation Lab – 2 hours	How to measure wounds How to perform a complete wound assessment Tissue identiﬁcation Exudate management Periwound protection Performing a wound assessment – Interactive Training
7	Physiological Basics of Wound Healing – 1 hour	The beneﬁts of moist wound healing How oxygen enhances wound healing The phases of wound healing Co-morbidities (diabetes, heart disease, cancer, etc.) and their cause and effect on wound development and treatment Cultural impact on wound healing
8	Wound Bed Preparation – 2 hours	T.I.M.E. Tissue Management Debridement – Selective and nonselective methods inflammation and infection control Moisture Balance; Epithelial edge advancement
9	Pain Assessment and Management in Wound Care – .75 hour	Assessing pain How to identify different types of pain Nociceptive vs neurological pain Pain management Different types of pain Impact of pain on wound healing Impact of pain on the quality of life Treating pain and pain control options
10	Role of Nutrition in Wound Healing – 1.5 hours	Assessing nutritional status Relationship of nutrition to wound healing How nutrition relates to disease processes Nutritional needs and necessary components necessary to promote wound healing
11	Pressure Injuries/Ulcers – 1 hour	Identiﬁcation Staging Treatment Options Management and Prevention
12	Support Surfaces – Offloading and Positioning – .5 hour	Support surface categories, features, uses Proper positioning and redistribution practices Appropriate of-loading techniques Cost-effective methods to provide pressure redistribution
13	Interactive Pressure Injury – .75 hours	Wound Assessment interactive exercise. Identify image – Stage, tissue, anatomical location, exudate, conditions, appropriate treatments
14	Dressings and Topical Treatments – 2 hours	Wound dressing categories Understanding how dressings interact with the would to enhance or impede wound healing How to determine the most effective, cost-efﬁcient choice for each patient
15	Venous Ulcers – 1 hour	Identiﬁcation Classiﬁcation Etiology Complications Treatment Options
16	Arterial Ulcers – .75 hours	Identiﬁcation Classiﬁcation Etiology Complications Treatment Options
17	Diabetes – 1 hour	Etiology, types, lab markers Complications – Optical, Renal, Cardiac, Neuropathy Nutritional intervention to support in-range glucose levels Patient education Diabetic Foot Ulcers Identiﬁcation Classiﬁcation Complications (Osteomyelitis, Amputations) Treatment Options Management
18	Other Lower Extremity Ulcers – 1 hour	Metabolic and genetic Vasculitis Inflammatory Malignant Treatment Options
19	Lymphedema & Lipedema – 1 hour	Lymphedema Identiﬁcation Classiﬁcation Complications Treatment Options Management Lipedema Identiﬁcation Classiﬁcation Complications Treatment Options Management
20	Skin Lesions – 1 hour	Identiﬁcation Classiﬁcation Etiology Complications Treatment Options
21	Acute and Traumatic Wounds – 1 hour	Identiﬁcation – Crushing, Gunshot, Incisions, Abrasions, Lacerations, Skin tears, etc Classiﬁcation Etiology Complications Treatment Options
22	Dermatological Skin Conditions – Blistering – 1 hour	Identiﬁcation – Herpes Simplex, Herpes complex, Pemphigoid, Pemphigus, EB, TEN, Stephens-Johnson, Necrotizing Fasciitis, ACD, Eczema, IAD, etc. Classiﬁcation Etiology Complications Treatment Options
23	Dermatological Skin Common, Malignant – Metabolic – 1 hour	Identiﬁcation – Psoriasis, Fungating wounds, Skin cancer, Calluses, Corns, Abscesses, etc. Classiﬁcation Etiology Complications Treatment Options
24	Adjunctive Treatment Modalities – .75 hours	Negative Pressure Wound Therapy, Growth factors, Flaps, Skin grafts, HBOT, etc Indications for use Expected Treatment Outcomes
25	Tools used in Wound Management – .5 hours	PI Risk Assessment – Braden, Norton, Waterlow Wagner Pain tools Semmes Weinstein Pain Scales
25	Incontinence – SELF-STUDY – .5 hours	Identiﬁcation Classiﬁcation Etiology Complications Treatment Options
26	Fistula Management – SELF-STUDY – .5 hours	Types of fistulas Effluent Containment devices Skin conditions
27	Ostomy Management – SELF-STUDY .5 hour	Urinary diversion management Effluent Containment devices Skin conditions
28	Psychological Impact on Wound Healing – SELF-STUDY – .5 hour	Isolation, Stress, Depression Community based treatment Assessment, treatment, ongoing care Affect on Quality of Life Aspects of MI – Bipolar etc
29	Wound Infections – 1 hour	Most common infection types in wounds Identification of infections Treatment of infections
30	Legal Concepts – Wound Documentation and Communication – 1 hour	Wound documentation Components of a thorough note Effective communication practices with prescribing clinicians Patient education Family education Legal Implications
31	Case Studies – Interactive – 1 hour	Wound patient scenarios Critical thinking through patient situations with wound deteriorations, development, infections, and stalled healing
32	Picture Review – Interactive – 1 hour	Wound pictures that will utilize the information from the program contents requiring assessment, identiﬁcation, nutritional interventions, preventative measures, observed complications, treatment plan development, patient education, communication, and documentation.
33	Comprehensive Course Review – 2 hours	Review of all course content to reinforce didactic teachings
34	Practice Exam – 2 hours	Practice exam will cover course content focusing on exam domains and objectives as established by the NAWCO.

Disclosures

Excell College has no disclosures.

Product Endorsement

Excell College does not recommend or endorse any specific tests, products, procedures, opinions or other information that may be provided in the presentation either written, visually, or verbally.

Attribution

Images used throughout the course, both in the handout and in the power point presentation were purchased or licensed for use from the original owner. Appropriate attribution accompanies all visual images. All written material resources utilized throughout the program have been cited at the end of each section. Use of the program does not permit copying, distributing, or publishing any written material or images contained within.

Course Content Disclaimer

*This information was current at the time of publishing, but medical information is ever evolving and constantly changing. Therefore, the information in the course, course workbook, and/or course presentations should not be considered to be complete or exhaustive. All delivered content is intended to be used strictly as an educational resource. Reliance on any information provided in the workbook or power point presentation is the sole responsibility of the student and is in no way meant to give medical advice, or supersede the recommendations or orders from the patient’s prescribing clinician. It is the responsibility of the clinician to remain abreast of changes to any material presented in the course and work collaboratively with the Interprofessional team members to establish an appropriate individualized treatment plan for their patients.

Excell College is providing education which should not be construed as clinical recommendations for patients. Excell College accepts no responsibility for actions taken by course participants or those who may review the content.