Occurs when the normal red tones of skin are absent
What is blanching
100
Vaseline Gauze or Adaptic, dry gauze, Kerlix, daily
What is the typical dressing for a Skin Tear
100
A risk assessment completed on admission, every 24 hours, and with each change in condition
What is the Braden Scale
100
Number of times hands should be washed for 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. The area may appear as an abrasion, blister or shallow crater.
What is a Stage II pressure ulcer
200
Can be changed every 5-7 days, harsh on the skin, 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
A scale used to classify Skin Tears
What is the Payne-Martin Scale
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
Numeric value of 5 risk factors: physical and mental coniditons, activity, mobility, and continence
What is a Norton Scale
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 4 South's 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
Full thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone or support structures.
What is a Stage IV Pressure 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 scale used to describe depth of tissue damage from vascular, arterial, and 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
Accurate staging of a wound cannot be conducted until this is removed.
What is Eschar
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 Tegaderm Absorbent
500
Charted as a full-thickness wound in the LDA 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.