Wound Jeopardy

Stage That Wound

100

This is an area which is localized, non-blanchable redness on the skin indicating a pressure related injury

stage 1

200

This is a shallow open area involving the epidermis and dermis

stage 2

300

This is an unopened dry, boggy, purple, nonblanchable area 

deep tissue injury

400

This is a pressure injury with an open area in which muscle or bone is visible 

stage 4

"if you didn't document it, you didn't do it"

100

This skin breakdown risk assessment is completed on hospital/unit admissions and qshift

Braden scale 

200

if the Braden score is 18 or less, what is one main intervention nursing can do to help prevent sacral pressure injuries?

turning and repositioning 

300

You can use this to help prevent heel pressure injuries; they're obtained from hospital stores

Prevalon boot

400

What item is it best practice to use to get a full 30 degree turn on your patients?

A wedge 

Wound Healing Roadblocks

100

Atherosclerosis and atrophy of capillaries in the skin are examples of these; they can impair blood flow to wounds

Age-related vascular changes 

200

This is a force acting parallel to the skin surface

Friction or shear

300

Name 2 chronic disease processes that increase the risk of delayed healing 

diabetes and cardiovascular disease 

400

This is a modifiable risk factor for delayed healing; can reduce the amount of functional hemoglobin in the blood, thus limiting oxygen-carrying capacity.

Smoking 

The Complication Station

100

This is a localized collection of blood underneath the skin that may appear as reddish/blue swelling

Hematoma

200

This is the contamination of a wound with microorganisms 

infection

300

This is a partial or total rupturing of a sutured wound

Dehiscence 

400

This complication is detected by peri-wound swelling or distension, possibly by sanguineous drainage from a surgical site or drain, and possible VS changes

hemorrhage 

All Wrapped up

100

This is an adhesive plastic, semipermeable, nonabsorbent dressing 

Transparent film (or Tegaderm)

200

This foam dressing is designed to absorb wound exudate and protect the wound from bacteria 

Mepilex 

300

This type of dressing is woven or unwoven cotton or synthetic material impregnated with bismuth; it is non-adherent 

Xeroform

400

These are nonadherent dressings of powder, beads, granules, ropes, sheets, or paste. They conform to the wound surface and absorb up to 20 times their weight in exudate. They require a second dressing 

Alginates or silver dressings