Personal Information

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Proﬁciency Scale:

1 – Limited or no experience

2 – Experienced, but may need review or supervision

3 – Able to function independently

PRESSURE ULCER STAGING

Reactive Hyperemia

Stage One

Stage Two

Stage Three

Stage Four

Deep Tissue Injury

NEUROPATHIC (DIABETIC FOOT) ULCER TREATMENT

Offloading

Serial Debridement

Prevention/Diabetic Teaching

Ulcer Assessment Characteristics

VENOUS STASIS ULCER TREATMENT:

Compression Therapy

Ulcer Assessment Characteristics

Skin Signs of Venous Stasis

PERIPHERAL ARTERIAL ULCER (PAD):

Ankle Brachial Index

Ulcer Assessment Characteristics

Skin Signs of Diminished Circulation

OTHER WOUNDS:

Fistulae - Pouching, Skin Care

Drains - Management of

G/J Tubes - Anchoring, Skin Care

WOUND CARE TREATMENT:

Debridement

Autolytic

Enzymatic

Mechanical

Sharp

Surgical

Dressings/Treatments

Hydrogels

Hydrocolloids

Silver Products

Foams

Alginates

VAC (Vacuum Assisted Closure)

Growth Factors

Skin Substitutes

Hyperbaric Oxygen Therapy

Culturing of Wounds

Electrical Stimulation

Enzymatic Debriding Agents

Debriding Ointments

Mist Therapy

ILEOSTOMY

Loop w/Rod Stoma

End Stoma

Ileal Lavage

Related Conditions

Crohn’s Disease

Ulcerative Colitis

Familial Polyposis

Short Bowel Syndrome

CONTINENT UROSTOMY:

Kock Pouch

Indiana Pouch

Neobladder

OSTOMY EQUIPMENT

One-Piece/Two-Piece Appliance

Open End, Closed End, Clip or Velcro Closure for Pouches

Convex/Flexible Pouching Systems

Skin Barriers/Sealants

Barrier Pastes/Strips/Rings/Discs/Washers

Wound Pouches

Molding Kit for Custom Appliances

Irrigation Procedure

Single/Double Lumen Catheters for Culture

Reusable Ostomy Equipment

Measure for Ostomy Belts/Peristomal Hernia Support Belt

CONTINENCE SKIN CARE/CONTAINMENT:

Skin Sealants

Moisture Barriers

Absorbent Garments

Skin Care

PEDIATRIC RELATED CONDITIONS:

Necrotizing Enterocolitis

Inflammatory Bowel Disease

Irritable Bowel Syndrome

Meckel Diverticulum

Familial Adenomatous Polyposis

Distal Ureter or Bladder Defects

Hirschsprung’s Disease

Megacolon

Malabsorption Syndromes

Obstructive Disorders

Spinal Cord Injury

Neurogenic Bladder

Diaper Dermatitis

Stoma Care - Loop Stoma

Dehydration Risks in Pediatric Patients

High Output Stoma - Skin Barrier Issues

OTHER

IV Infiltration Wounds

Incision Care

Burns

Bariatric Patients

Self-Catheterization/Teaching

Indwelling Catheter Care

Medications

Bowel and Bladder Training Programs

OSTOMY EQUIPMENT:

One-Piece Appliance

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Personal Information

Proﬁciency Scale:

WORK SETTING EXPERIENCE

PRESSURE ULCER STAGING

PRESSURE ULCER SUPPORT SURFACES

NEUROPATHIC (DIABETIC FOOT) ULCER TREATMENT

VENOUS STASIS ULCER TREATMENT:

PERIPHERAL ARTERIAL ULCER (PAD):

OTHER WOUNDS:

WOUND CARE TREATMENT:

COLOSTOMY

ILEOSTOMY

CONTINENT ILEOSTOMY:

CONTINENT UROSTOMY:

STOMAL, PERISTOMAL SKIN CONDITIONS

OSTOMY EQUIPMENT

CONTINENCE EVALUATION/ASSESSMENT:

CONTINENCE SKIN CARE/CONTAINMENT:

CONTINENCE THERAPEUTIC DEVICES:

PEDIATRIC RELATED CONDITIONS:

G/J TUBES

OTHER

INTERPRETATION OF LAB RESULTS:

OSTOMY EQUIPMENT:

AGE-SPECIFIC EXPERIENCE: