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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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