Wound Cart
First place you should look when you need wound care supplies
What is the wound cart
This should be completed on admission to identify pressure injury risk
What is a skin assessment
This increases pressure injury risk during long surgical procedures
What is prolonged immobility
Prophylactic foam dressings are used primarily for prevention, not treatment
What is True
Stage 1 descriptor
Non-blanchable erythema of intact skin
True or False: Supplies should be removed from unopened packages and stored loosely in the wound cart.
False
Name one wound measurement that should always be documented.
What is length, width, or depth
High risk pressure points should be protected using these
What are positioning devices or padding
A common location for prophylactic foam application is this bony prominence
What is the sacrum
Stage 2
Partial thickness skin loss and exposed dermiss
This action helps ensure the wound cart is ready for patient care at all times.
What is restocking it after use
This tool is commonly used to assess pressure injury risk
What is the Braden
Patients undergoing lengthy procedures should have attention paid to this before, during and after surgery
What is skin integrity
Foam dressings help reduce these two forces that contribute to skin injury
What are friction and shear
Stage 3
Full thickness skin loss with visible adipose tissue
When supplies in the cart are expired, staff should do this
When documenting a wound, what is the place to document
The LDA/Avatar
Name one area commonly at risk for pressure injury during surgery
Sacrum, heels, occiput, elbows, ears
True or False, foam dressings replace the need for patient repositioning
What is false
Stage 4
full-thickness tissue loss with exposed bone, muscle, fascia, or tendon
You cannot find a dressing. Before calling another unit, what resource should you check first?
What is the wound cart inventory or resource drive?
Besides measurements, name three assessment findings that should be documented
wound type, drainage, odor, peri skin, pain, undermining, tunneling
Pressure injury prevention in the OR should begin at this point
What is preoperative assessment
Name three patients who may benefit from prophylactic foam dressings
Surgical patients, critically ill patients, immobile, people with poor nutrition, elderly
Unstagable Pressure Injury
The wound base is obscured by slough or eschar