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NAWCO-AWCC Exam Format | NAWCO-AWCC Course Contents | NAWCO-AWCC Course Outline | NAWCO-AWCC Exam Syllabus | NAWCO-AWCC Exam Objectives

- Analyze procedural concepts to obtain patient history:
- Review, investigate, and document the patients history
- current complaint and condition
- past medical
- surgical history
- medications
- allergies
- family history
- social history
- past wound history

- Evaluate patients physical, mental, and psychosocial status
- cognition
- overall skin condition
- circulatory
- respiratory
- neurological
- musculoskeletal
- urological
- gastrointestinal

- Read and interpret healing exam tools and recommend clinical interventions as appropriate.
- Identify and reevaluate on an ongoing basis intrinsic factors and their potential impact on wound healing
- age
- bio-burden
- BMI
- co-morbidities
- allergies
- infection
- non-adherence
- nutrition/hydration
- mobility
- cultural beliefs
- blood flow
- tissue perfusion
- necrotic tissue
- cognitive impairment
- allergies and/or adverse reaction to treatment modalities

- Identify and reevaluate on an ongoing basis extrinsic factors and their potential impact on wound healing
- infection
- medications
- pressure
- mechanical insult
- exposure to moisture
- smoking
- stress
- radiation
- cytotoxic solutions
- bio-burden
- foreign body

- Identify circumstances indicating need for interdisciplinary consults.

- Identify and differentiate between wound types
- acute vs. chronic
- partial thickness vs. full thickness

- Identify and differentiate between wound classifications.
- Describe how wound etiology contributes to determining appropriate treatment.

- Describe and document wound exam to include:
- location and size including presence of tunneling
- under-mining
- sinus tract(s)
- appearance of the wound bed:
- type of tissue
- color
- presence of underlying structures
- wound margins
- wound drainage:
- Type
- Amount
- Color
- Odor
- appearance of the periwound area.

- Read and interpret lab studies
- blood sugar
- prealbumin
- albumin
- complete blood count
- zinc level
- coagulation studies
- hemoglobin A1C
- transferrin

- indicate situations in which these tests and other adjunctive modalities should be recommended and/or addressed.
- Evaluate the patients current nutritional status
- intake pattern
- BMI
- physical constraints limiting the patients ability to receive nutrition
- inability to use utensils
- impaired or unable to swallow
- inability to chew solid food

- Considering wound type
- overall patient status
- cost
- identify the most appropriate type of dressing
- topical
- Wound treatment
- alginates
- antimicrobial
- collagen
- composites
- contact layers
- foams
- growth factors
- hydrocolloids
- hydrogels
- special absorptives
- transparent films
- wound fillers
- impregnated gauze
- silicon
- bioengineered tissues
- cadaver
- porcine
- autologous grafts

- Considering wound type
- overall patient status
- cost
- identify the most appropriate type of pressure redistribution strategy:
- mattresses
- low air loss
- air fluidized
- alternating air
- foam, gel
- powered
- non-powered
- reactive vs non reactive
- cushions
- air
- foam
- gel
- alternating (air))
- mattress overlays
- low air loss
- alternating air
- foam
- gel
- specialty beds
- bariatric
- air fluidized
- lateral rotation

- Considering wound type, overall patient status, and cost
- identify the most appropriate type of wound bed preparation
- selective debridement types
- autolysis
- enzymatic
- biosurgical
- nonselective debridement types
- mechanical
- sharp/surgical
- chemical
- bacterial balancing (cleansing))

- Considering wound type, overall patient status, and cost
- identify the most appropriate type of adjunctive therapy
- ultrasounds
- diathermy
- electrical stimulation
- monochromatic therapy
- magnet therapy
- negative pressure therapy
- radiant therapy
- acupuncture

- laser
- total contact casting
- edema management
- compression therapy
- support stockings
- bandages
- pumps
- massage
- hyperbaric
- topical growth factors
- surgical

- Considering wound type
- identify adjunctive modalities
- determine use
- length of use
- indications and contraindication of the modalities
- how the products/treatments can be used in conjunction with other treatments and modalities.

- Identify and differentiate between signs and symptoms of wound infection and different levels of wound contamination.
- Identify signs and symptoms of complications and differentiate among complications that can occur in a wound
- infection
- hemorrhage
- dehiscence
- evisceration
- fistula

- Identify and address educational needs of the patient, healthcare team members, and/or family/support network
- Identify and address critical elements of a discharge/transitional plan for patient and family.
- Identify appropriate billing strategies and supporting documentation to mitigate denials.
- Demonstrate an understanding of the ethical aspects of wound care
- HIPAA
- informed consent
- advance directives

- IRB
- clinical trials
- research
- dissemination of findings
- patients preferences
- cultural
- religious
- personal beliefs

- Provide documentation throughout the process that complies with legal and institutional requirements and expectations for clear, concise, legible, and consistent documentation.

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