What is Outcome Based Pathways and Outcome Based Reimbursement?
100
Included conditions in this pathway are pre-tibial injuries, skin tears and burns.
What is the Traumatic Wound Pathway?
100
An abcess near or at the natal cleft of the buttocks caused by body hairs entering the natal cleft, a previous incision site causing a foreign body reaction or a keratin plug in the hair follicle.
What is the definition of a pilonidal sinus wound?
100
Varicosities, hemosiderin staining, venous dermatitis, atrophy blanche, woody fibrosis and an ulcer on lower third of the calf are observed.
What are exclusions to the Arterial Leg Ulcer Pathway?
200
The first page of each OBP package where you document the date & time of each visit and the visit number. Key reporting intervals are also listed on this page.
What is the log of completed visists or calendar page?
200
Formerly known as first and second degree burns.
What are superficial and superficial partial thickness burns?
200
The nurse should have the client in this position for assessment and treatment of a pilonidal sinus wound.
What is the prone position , with two pilows under the hips (modified jack-knife)?
200
A request is made by the admitting nurse for the Wound Resource nurse to do this for all clients with a lower leg lesion.
What is a lower leg assessment and ABPI (ankle brachial pressure index)?
200
The level of compression that is appropriate for an arterial ulcer.
What is none? Never apply compression for ABPI less than 0.5 mmHg.
300
The nurse is required to do this weekly for all clients with a wound.
What is wound measurement and calculation of percentage healing?
300
The nurse must ensure the every client with a traumatic wound is up to date for this immunization.
What is tetanus?
300
This is applied circumferentially for one minute to decontaminate the wound or five minutes if pseudomonas present in the wound.
What is chlorhexidine?
300
A client with a venous ulcer may experience pain, aching or heaviness when doing this.
What is standing or walking? Pain may be reduced when feet and legs are elevated
300
Hairless lower legs,
Skin appearing thin and translucent,
Pain with elevation or rest,
Blanching on elevation,
Dependant rubor,
Feet and toes cool and blue,
Caprefill greater than 3 seconds
What are signs and symtoms of arterial disease?
400
The admitting nurse uses this document to determine which pathway most closely represents the clients signs and symptoms and history.
What is the pink Assessment Pathway Screening Tool?
400
Acrylic dressings, mepitel or 6-8 layers of visocpaste are the treatment recommended for this type of wound.
What are the treatment options for skin tears?
400
Used to treat the red friable granulation tissue.
What are silver nitrate sticks?
400
APBI result between 0.8 to 1.2 mmHg indicates the need for this.
What is a venous ulcer requiring high compression?
400
Signs and symptoms of infection
Keeping dressing clean and dry & change as instructed
Eating a healthy balanced diet
Avoiding trauma, friction and pressure on affected area
Keep pain under control
Stop smoking
Keep blood pressure and cholesterol normal
What is the health teaching provided to clients with arterial ulcers?
500
This role serves as a champion for change and sustainability of the OBP program and in determining lhealability and eligibility for compression therapy.
What is the Wound Resource Nurse?
500
Aquacel, flamzine or silver products (no longer than 72 hrs-blisters)are the recommended treatment for this type of wound. Tulle dressings such as jelonet, sofratulle and bactigras no longer recommended
What are the dressing options for superficial and superfical partial thickness burns?
500
Shaving 5cm around wound, cleaning with chlorhexidine, splitting fragile epithelial brige of skin, using silver nitrate on granultion tissue, instructiong client in simple dressings and use of hand shower after bowel movements.
What are interventions appropriate for treatment of pilonidal sinus wounds?
500
Inital Volume - Current Volume, divided by Initial Volume and then multiplied by 100.
What is the formula for calculating percentage reduction of wound volume or wound healing?
500
Avoid heating pads and warm irrigation solutions,
Use analgesia prior to dressing changes
Advise client to raise head of bed 6 inches,
Use antimicrobal dressings if infection present
Do not use compression.
What are treatment interventions for a client with an arterial ulcer?