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

Versatel silicone or Adaptic are used for 

What is dressing for a Skin Tear

100

A risk assessment completed on SOC, every 30 days, and with each change in condition

What is the Braden 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 every 5-7 days, handles small to scant drainage, appropriate (but not the best choice) for Stage I and II pressure ulcers on the coccyx/sacrum

What is a Hydrocolloid

200

An assessment for malnutrition

What is nutritional assessment

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 Pressure 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 "Nosocomial" and "Present On Admission"
300
This skin problem appears as superficial peeling of tissue as it resolves
What is Candidasis or Yeast
300
A wound located on the coccyx with < 50% yellow slough
What is a Stage III pressure ulcer
400

A wound to the right chin after a prolonged prone positioning, the area is red that extends to the dermis.

What is a pressure injury stage 2

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 skin prep or Barrier Film wipe/spray

400

A scale used to describe depth of tissue damage from diabetic ulcers

What is the Wagner Grade

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 over a bony prominence which has dehisced, is open through the subcutaneous tissue, and is draining

What is not a pressure injury and therefore not staged...a dehisced surgical wound

500

Can be changed every 5-7 days, gentle on the skin, handles moderate to large drainage, third-spaces drainage away from the skin and is the preferred dressing for Stage II pressure ulcers on the coccyx/sacrum

What is a foam dressing

500
Charted as a full-thickness wound and is not staged
What is any wound which is not a pressure ulcer
500
The rate of hospital-acquired pressure ulcers measured over a period of time
What is incidence
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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