CME
Standards of Care in Pressure Ulcers 2009
Prevention and Treatment of Stage IV Pressure Ulcers: Practical Advanced Evidence Based CME Certificate course
Date: Friday, December 4, 2009
Location: New York University School of Medicine
New York City
Pressure Ulcers are an epidemic. Up to 69% of Stage IV ulcers result in mortality.
The Helen and Kimmel Wound Healing Center at New York University School of Medicine consists of a dedicated inpatient and outpatient unit. Our hypothesis states that every wound is expected to improve as measured by decreased area. The inpatient unit focuses on complicated surgical wounds. The focus of this course is on new data on treatment of pressure ulcers, specifically preventing and treating Stage III and Stage IV ulcers. An integrative team of 43 healthcare professionals including surgeons, physiatrists, wound nurses, and basic scientists collaborate to focus exclusively on preventing and healing pressure ulcers. The Division of Wound Healing and Regenerative Medicine is supported by the Kimmel Center and National Institute of Health for both its clinical outcomes program and research laboratory. The focus is on collecting data using the Wound Electronic Medical Record, and standardizing treatment (healing a wound from the base up). With over 40 patients per week with pressure ulcers the emphasis is on PRACTICAL evidence based EFFECTIVE treatment.
Program Goal: Practical Evidence Based Standard of Care for healing pressure ulcers.
Even today, the healing of pressure ulcers is characterized by a broad spectrum of specific treatments and therapies, many of which have proved effective, some of which have not. In spite of the proven effectiveness of a number of these individual therapies, until now there has been no evidence based national standard of care for the healing of these wounds. The primary goal of this course is to present an integrated set of procedures, techniques and therapies that together comprise a national standard of care for the prevention, repair and healing of wounds.
This national standard of care can easily be implemented in the hospital, home, clinic or nursing home setting to improve outcomes for the up to three million persons, who are admitted into the hospital each year for wound or soft tissue infections. We will concentrate on how to prevent sepsis, effectively care for wound inpatients and how to arrange for continuity of care once the patient is discharged.
Learning Objectives:
At the conclusion of this program, attendees will:
• Formulate a plan of care for any patient with a pressure ulcer
• Measure decreased area as a way of evaluating wound improvement
• Translate new CMS Guidelines into patient care practices
• Identify how your hospital can be established as best in your community for pressure ulcer care
• Recognize how they can lead their hospital or nursing home in pressure ulcer prevention
• Summarize how the F Tag 314 regulations applies to their practice
• List ten common ways to avoid litigation related to pressure ulcer prevention and management
• Distinguish when surgical debridement is needed
• Employ debridement practices for pressure ulcers both in and out of the operating room
• Recognize how and when to use or not use negative pressure wound therapy
• Explain the use of regenerative medicine: cells, collagenase, growth factors and collagen in wound care
• Define a protocol for osteomyelitis for persons with pressure ulcers
• Categorize when and how to use antibiotics
• Differentiate which antibiotic treatment to use when a patient presents with a pressure ulcer related infection
• Restate protocols of other services for integrated care approach
• List how to care for a patient admitted for a chronic wound or wound-related complications
• Explain wound treatments commonly seen in the home care environment including setting up an IV infusion, insertion and management of PICC lines and Mediports, NPWT, and pressure redistribution surfaces and beds
• Identify the importance of photographing every patient hospitalized with a wound
• Recognize the key elements of wound photography and the wound electronic medical record
• Name the benefits of sub-acute care in wound patients
• Explain the care practices for complex medical morbidities of patients with pressure ulcers
• Summarize the economics of pressure ulcer care from A to Z
• Employ the special contributions of plastic surgeons and acute care surgeons in pressure ulcer management
• Use standardized forms for in patient and out-patient consults
• Illustrate live videos of wound patient cases
Target Audience: Surgeons: General, Vascular, Plastic and Orthopaedic, Dermatologists, Nurse Practitioners, Nurses, Physician Assistants, Primary Care Physicians, Podiatrists, Physical Therapists, Occupational Therapists as well as other health care providers involved in treating wounds.
For more information and to register for the course, please go to www.nyuwoundcenter.com.
Additional questions can also be answered by calling Camille Cole at 212-263-8521 or email Camille.Cole@nyumc.org.
