Stage That Wound
Dressings
Documentation
Odds 'N Ends
Name That Wound
100
An open area over a bony prominence in which muscle is visible.
What is a Stage IV pressure ulcer
100

Mepitel 1 OR Mepilex border

What is the typical dressing for a Skin Tear

100

A risk assessment completed on hospital admission, every 24 hours, and with each change in condition

What is the PURS Scale

100
Number of times hands should be washed while performing a dressing change
What is 3 times (before, after removing the old dressing, and at completion of dressing change)
100
A partial or full thickness wound in which a flap may or may not be present
What is a skin tear
200
A shallow open area, over a bony prominence, involving the epidermis and dermis
What is a Stage II pressure ulcer
200

Can be changed up to 7 days, handles small to moderate drainage, appropriate  for Stage I and II pressure ulcers on the coccyx/sacrum

What is a Mepilex border flex

200

A scale used to classify Skin Tears

ISTAP

International skin tear advisory panel

Kim Leblanc created

200
White soft tissue surrounding a wound
What is Maceration Tissue
200
Erythema and inflammation of the buttocks which may or may not lead to open lesions
What is Incontinence Associated Dermatitis
300
An unopened, dry, boggy, purple, nonblanchable area on a bony prominence
What is a Deep Tissue Injury
300
This dressing should never be placed on a Skin Tear
What is a Tegaderm
300

One of these two options must be choosen when entering a wound in the LDA - they directly impact incidence rates

What are "Present On Admission"

300

STONES: size increase, temperature increase, bone exposed, new are of breakdown, erythema, edema, exudate, smell 

What is A DEEP INFECTION

300

A wound located on the coccyx with < 50% yellow slough

What is a Stage III pressure ulcer

400

A round, dry, black area on the foot or toe which is may or may not be painful

What is an arterial ulcer?

400
An alternative to a dressing which can be placed over Stage I pressure ulcers, intact skin at risk for breakdown, and Deep Tissue Injuries which have not progressed to eschar
What is 3M No Sting Barrier Film wipe/spray
400

A total flap loss exposing the entire wound bed 

What is type 3 skin tear 

400
The rate of hospital-acquired pressure ulcers measured at a specific point in time
What is prevalence
400
A dry wound typically located on the plantar foot or toes that is surrounded by hyperkeratotic tissue (callus)
What is a neuropathic (diabetic) foot ulcer
500

An area which has dehisced, is open through the subcutaneous tissue, and is draining

What is ...a dehisced surgical wound

500

Wound cleanser with ph of 5.5, hypochlorous acid based. 

What is Vashe?

500

Charted as a full-thickness wound and is not staged

What is any wound which is not a pressure injury

500

DIME- What does it stand for?

Debridement, inflammation/infection, moisture balance, edge effect 

500
A shallow wound, typically on the lower leg (gaiter area), which is irregular in shape and moist. These wounds are painful.
What is a venous insufficiency ulcer
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