Wound Care Skills Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
Pressure Ulcer
*
Rows
1
2
3
4
Assessment - Ulcer Characteristics
Prevention - Risk Assessment Tool (Braden, Norton)
Pressure Ulcer Staging
*
Rows
1
2
3
4
Reactive Hyperemia
Stage One
Stage Two
Stage Three
Stage Four
Deep Tissue Injury
Pressure Ulcer Support Surfaces
*
Rows
1
2
3
4
Static Air
Alternating Air
Foam
Gel
Water
Combination
Low Airloss
Dynamic (Kinetic) Air
Air Fluidized
Continuous Lateral Rotation
Neuropathic (Diabetic Foot) Ulcer Treatment
*
Rows
1
2
3
4
Offloading
Serial Debridement
Prevention/Diabetic Teaching
Ulcer Assessment Characteristics
Venous Stasis Ulcer Treatment
*
Rows
1
2
3
4
Compression Therapy
Ulcer Assessment Characteristics
Skin Signs of Venous Stasis
Wound Care Treatment
*
Rows
1
2
3
4
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
Colostomy
*
Rows
1
2
3
4
Loop w/Rod Stoma
End Stoma
Mucous Fistula
Double Barrel Stoma
Irrigation Procedure
Stoma Within Incision
Related Conditions/Surgeries
Abdominoperineal Resection
Rectal Cancer/Colon Cancer
Diverticulitis
Colitis/Crohn’s Disease
Pelvic Exenteration Anterior
Pelvic Exenteration Posterior
Ileostomy
*
Rows
1
2
3
4
Loop w/Rod Stoma
End Stoma
Ileal Lavage
Related Conditions
Crohn’s Disease
Ulcerative Colitis
Familial Polyposis
Short Bowel Syndrome
Ostomy Equipment
*
Rows
1
2
3
4
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
G/J Tubes
*
Rows
1
2
3
4
Anchoring Devices
Skin Protection for Leakage of Gastric Contents
Long Term Tubes/Skin Level Devices for Feeding
Procedures for Flushing/Treatment for Clogging
Other
*
Rows
1
2
3
4
IV Infiltration Wounds
Incision Care
Burns
Bariatric Patients
Self-Catheterization/Teaching
Indwelling Catheter Care
Medications
Bowel and Bladder Training Programs
Interpretation of Lab Results
*
Rows
1
2
3
4
Albumin/Total Protein
Obtaining Wound Cultures
Urine Cultures
Tumor Staging
Pathology Reports
Age Specific
*
Rows
1
2
3
4
Newborn/Neonatal (up to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (40 to 64 years)
Older Adults (65 & up)
Undertaking
*
The Information I Provided is True & Accurate
Name Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
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