Weekly wound care visits
Bedside Debridement
Minor Debridements
Bone Biopsy, Culture and Debridement
Debridement of Overlapping Tissue
Removal of Groshong catheters
PEG removal and replacements
Skilled in the application of Advanced wound care Products
Education of Nursing Home Personnel
Assesment
Measure
Describe wound characteristics
Texture and color of Granulation tissue,
Color of Necrotic tissue
Quantity of fibrin covering wound
Type, amount and odor of drainage
Periwound for Edema, Erythema and Margin characteristics
Evaluate nutritional status
Evaluate vascular status
Diagnose wound etiology
(pressure, arterial, venous, trauma, burn, neoplasm, vasculitis, skin disorder, other)
History and Physical exam
Order and asses vascular studies
Order and asses nutritional labs
Take Bone biopsies and cultures
Treatment
Debridement (Scalpel, Curette, Rongeur, Cautery)
Order and/or apply appropriate dressings
Offloading orders
Order dietary evaluation as needed
Educate nursing staff