Skin & Wound Care Foundations Learning Passport: Orientation Guide (2021, Island Health)
Wound Prevention & Management Cycle Tip Sheets (Island Health)
- Assess/Reassess
- Set Goals
- Assemble the Team
- Establish & Implement a Plan of Care
- Evaluate Outcomes
- Red Flags: When to Refer to Another Health Care Professional
Skin: Anatomy, Physiology, and Wound Healing (2017) - Foundations of Best Practice for Skin & Wound Management (Wounds Canada)
Inflammation in Chronic Wounds: Review. (2016). International Journal of Molecular Sciences.
Wound Management for Adults & Children: Guideline. (2018). BC Provincial Nursing Skin & Wound Committee.
Skin & Wound Community of Practice (CLWK: Connecting Learners with Knowledge). BC Provincial Nursing Skin & Wound Committee
LEARNING HUB MODULES:
Wound Management for Nurses – Provincial Curriculum
Includes chapters on:
- Pressure Injury Prevention
- How Wounds Heal
- Wound Assessment
- Wound Cleansing
- Wound Packing
- Wound Dressing Selection
- Application of Compression Therapy
- Ankle Brachial Index (ABI) Education
- Burn Wounds: Triaging Burns/Treatment Minor Burns
- NPWT Level One: Monitor & Manage
- Additional Education Requirements LPNs - Care of Wounds with a Non-Visible Wound Bed
ASSESSMENTS & SCREENINGS:
Inlow’s 60 Second Diabetic Foot Screen (2018) - Wounds Canada
Malnutrition Screening Tool (2013) - Abbott Nutrition
Wong-Baker FACES Pain Rating Scale (1983) - Wong-Baker FACES
OPQRSTUV Symptom Assessment (2020) - Island Health
Pain Scales: Visual & Numerical (2020) - Island Health
FLACC Behavioural Pain Assessment Scale (2020) - Island Health
Pain Assessment in Advanced Dementia (2020) - Island Health
DIAGNOSTIC & LAB RESOURCE:
Skin and Wound Diagnostics and Labs (2020) - Island Health
GUIDELINES:
Guideline: Assessment, Prevention & Treatment of Wound Infection (2020) - BC Provincial Nursing Skin & Wound Committee
Guideline Summary: Clinical Signs & Symptoms of a Wound Infection (2020) - CLWK
PROCEDURES:
Wound Assessment Procedure (2020) - Island Health
Procedure: Wound Cleansing (2018) - BC Provincial Nursing Skin & Wound Committee
Red Flags: When to Refer to Another Health Care Professional (2018) - Island Health
Procedure: Culture & Susceptibility (C&S) Swab in Suspected Wound Infection (2020) - BC Provincial Nursing Skin & Wound Committee
CARE PLANS / FLOWSHEETS:
Documentation Guideline: Wound Assessment &Treatment Flow Sheet (2018) - BC Provincial Nursing Skin & Wound Committee
Wound Assessment & Treatment Flowsheet (2019) - BC Provincial Nursing Skin & Wound Committee
NPWT/VAC Treatment Care Plan and Flowsheet (2015) - Island Health
VAC Therapy Care Plan - Island Health
LEARNING HUB MODULES:
Nutrition and Wound Healing
Assessing and Managing Wound Pain
Medications that Affect Wound Healing
Skin and Wound: Assessment and Management of Wound Infection
Skin and Wound: Caring for Patients with Wounds – Completing an Assessment
BC PROVINCIAL NURSING SKIN & WOUND COMMITTEE:
Guideline: Assessment, Prevention and Treatment of Moisture Associated Skin Damage (MASD) in Adults & Children (2019)
Guideline Summary: Prevention & Treatment Interventions for Moisture-Associated Skin Damage (MASD) (2019)
Wound Management Guideline Summary Flowsheet (2018)
Procedure: Wound Packing (2017)
ISLAND HEALTH:
Wound Debridement Techniques: Skin and Wound Tip Sheet (2019)
Wound Bed Structures: Skin and Wound Quick Reference Guide (2018)
Does the Wound Bed Need a Non-Adherent Contact Layer?
Applying Pain Management Techniques to Your Practice: Skin and Wound – Assessing and Managing Wound Pain (2018)
Strategies to Reduce Wound Pain - Skin and Wound Quick Reference Guide (2018)
CANADIAN ASSOCIATION OF WOUND CARE (WOUNDS CANADA):
Wound Prevention and Management Cycle
Best Practice Recommendations for the Prevention and Management of Wounds (2021)
Best Practice Recommendations for Preparing the Wound Bed (2006)
OTHER:
Wound Infection in Clinical Practice: Principles of Best Practice (2016, International Wound Infection Institute)
BURNS:
Burn Wounds – Triaging Burns/Treatment Minor Burns (LearningHub Module)
Best Practice Recommendations for the Prevention and Management of Burns (2018, Wounds Canada)
VENOUS LEG ULCERS:
Best Practice Recommendations for the Prevention and Management of Venous Leg Ulcers (2018, Wounds Canada)
Control of Venous Leg Edema (2018, Wounds Canada)
DIABETIC LEG ULCERS:
Diabetes and Foot Care: A Checklist (2018, Canadian Journal of Diabetes)
Guideline Summary: Diabetic Neuropathic Ulcers. (2011, Island Health)
Ulcer Formation in the Diabetic Foot (2019, Island Health)
Guideline: Assessment & Treatment of Diabetic and Neuropathic Ulcers in Adults (2012, BC Provincial Nursing Skin and Wound Care Committee).
Best Practice Recommendations for the Prevention and Management of Diabetic Foot Ulcers (2017, Wounds Canada)
Guidelines on the Prevention & Management of Diabetic Foot Disease (2019, International Working Group on the Diabetic Foot)
Offloading Plantar Pressures in Diabetes (2018, Wounds Canada)
Procedure: Monofilament Testing for Loss of Protective Sensation of Diabetic/Neuropathic Feet for Adults & Children (2012, BC Provincial Nursing Skin and Wound Committee)
MOISTURE ASSOCIATED SKIN DAMAGE:
Differences Between Moisture Associated Skin Damage & Stage 1 and 2 Pressure Injury (BC Provincial Nursing Skin and Wound Committee)
PRESSURE & SHEER INJURIES:
Pressure Injury Prevention (LearningHub Module)
BC Provincial Interprofessional Skin & Wound Committee:
How to Stage Pressure Injuries (2018)
Guideline: Prevention of Pressure Injury in Adults & Children (2018)
Guideline: Assessment and Treatment of Pressure Injuries in Adults & Children (2018)
Avoid Shearing when Raising the Head of the Bed (H0B) (2017)
BC Provincial Support Surface Selection Algorithm (2020)
Braden Scale Interventions Guide – Adult (2017)
Braden Risk Scale for Pressure Injury (2018)
Braden Q Intervention Guide (2016)
Island Health:
Positioning to Prevent Pressure Injuries (PI) – Skin and Wound Quick Reference Guide (2018, Island Health)
Support Surfaces in Prevention of Pressure Injuries – Skin and Wound Quick Reference Guide (2018, Island Health)
Other:
Pressure Injury and Stages (2016, National Pressure Injury Advisory Panel)
Best Practice Recommendations for the Prevention and Management of Pressure Injuries (2018, Wounds Canada)
Pressure Injury Prevention – PIP Tip for Prone Positioning (2020, National Pressure Injury Advisory Panel)
SKIN TEARS & MEDICAL ADHESIVE-RELATED SKIN INJURIES:
Management of Bleeding Skin Tears (2020, Island Health)
Basic Skin Care Plan (Island Health)
Guideline: Assessment, Prevention and Treatment of Skin Tears (2016, BC Provincial Interprofessional Skin & Wound Committee)
Guideline Summary Skin Tears (2016, BC Provincial Interprofessional Skin & Wound Committee)
Best Practice Recommendations for the Prevention and Management of Skin Tears (2017, Wounds Canada).
SURGICAL WOUNDS:
Guideline: Assessment and Treatment of Surgical Wounds Healing by Primary and Secondary Intention in Adults & Children (2011, BC Provincial Interprofessional Skin & Wound Committee)
Guideline Summary Surgical Wounds (2011, BC Provincial Interprofessional Skin & Wound Committee)
Best Practice Recommendations for the Prevention and Management of Surgical Wound Complications (2017, Wounds Canada)
MALIGNANT WOUNDS:
Symptom Management Guidelines: Care of Malignant Wounds (2015, BC Cancer)
Referral Form for a Wound, Ostomy, & Continence Consultation (Island Health LTC Services)
- Available for AF and O&O sites only
How & When to Refer to a Nurse Specialized in Wound/Ostomy & Continence (Island Health)
Dressing Formulary & Selection Guide (Wounds Canada)
Wound Dressing Formulary (2017)
Wound Dressing Selection Guide (2017)
Skin & Wound Clean-up (2018)
Webinar Series (Nurses Specialized in Wound, Ostomy, & Continence Canada (NSWOCC)
- Webinars to assist understanding of wound, ostomy, and continence practice.
Wounds in Long-Term Care (LTCI Learning Series - Virtual)
- Webinar to review wound care
- Presenter: Shelly Barnes