Nurse-Wound Care and Ostomy CE

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All of our activities are approved by ANCC (LVN, RN, and CNS) and all activity is reported to CE Broker and all states as required. StatPearls continuing education activities are linked to practice questions which are based on the Wound, Ostomy, and Continence Nursing Certification Board® content outlines. 136 authors and 7 editors have contributed to the development of the Nurse-Wound Care and Ostomy content, which is continuously refined and updated to improve your learning experience.

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Nurse-Wound Care and Ostomy Activities

Title Description Hours Questions
2-Octyl Cyanoacrylate 2-Octyl cyanoacrylate is one of the most commonly used commercially available wound adhesives. Current indications include any easily approximated sur ... Read the Article 1 5 Activity Info
Abrasion Abrasion is the superficial denudation of the epithelium due to scraping, impact or pressure. While the management of abrasions is relatively simple, ... Read the Article 1 7 Activity Info
Acute and Chronic Thermal Burn Evaluation and Management Thermal burns are a significant cause of worldwide morbidity and mortality. They can lead to debilitating, lifelong injuries and have serious psycholo ... Read the Article 1.25 12 Activity Info
Anaerobic Infections Anaerobic bacteria are part of the normal flora of human skin and mucosal membranes. The site of anaerobic infection is commonly the site of normal co ... Read the Article 1 5 Activity Info
Animal Bites Animal bites account for approximately one percent of all emergency visits in the U.S. yearly and can range from superficial injuries to disfiguring a ... Read the Article 1.25 8 Activity Info
Bacteroides Fragilis The human colon possesses the largest population of bacteria in the body, and the majority of these organisms are anaerobes; of these, about 25 percen ... Read the Article 1 7 Activity Info
Battle Sign Battle sign is bruising over the mastoid process that is typically the result of head trauma. Battle sign typically requires significant head trauma a ... Read the Article 1 5 Activity Info
Benzocaine Benzocaine is a local anesthetic used in the management of pain control. It is in the ester local anesthetic class of medications. This activity descr ... Read the Article 1 5 Activity Info
Benzoyl Peroxide Benzoyl peroxide is an over-the-counter topical medication and is also an FDA-approved prescription medication for the treatment of acne vulgaris. It ... Read the Article 1 4 Activity Info
Botulism Antitoxin Botulinum antitoxin, also known as botulism antitoxin, is comprised of antibodies or antibody antigen-binding fragments that block the neurotoxin prod ... Read the Article 1 6 Activity Info
Bowel Perforation Bowel perforation results from insult or injury to the mucosa of the bowel wall caused due to a violation of the closed system. Bowel perforation can ... Read the Article 1 6 Activity Info
Burn Evaluation And Management Burns are injuries of the skin involving the two layers: the thin, outer epidermis and the thicker, deeper dermis. 86% of burns are caused by thermal ... Read the Article 1 7 Activity Info
Candidiasis Candidiasis is an opportunistic infection due to Candida, which can affect the oral cavity, vagina, penis, or other parts of the body. Untreated Candi ... Read the Article 1.25 8 Activity Info
Care Of A Central Line Central venous catheters (CVC) are frequently used in critical care units, hemodialysis units, and oncology units for the administration of intravenou ... Read the Article 1 2 Activity Info
Cellulitis Cellulitis is a common bacterial skin infection, with over 14 million cases occurring in the United States annually. This activity educates the learne ... Read the Article 1.25 13 Activity Info
Charcot Neuropathic Osteoarthropathy Charcot neuropathic osteoarthropathy is a destructive joint disorder initiated by trauma to a neuropathic extremity. It can lead to dislocations and f ... Read the Article 1.25 8 Activity Info
Chemical Decontamination Contending with a mass casualty incident involving a chemical exposure seems daunting; fortunately, these are rare events. Acute care clinicians may ... Read the Article 1 6 Activity Info
Clostridium Tetani Clostridia are variable genera of anaerobic organisms made up of at least 209 species and five subspecies. Clostridium tetani is one of the four most ... Read the Article 1 6 Activity Info
Colostomy Care Colostomy care, as the name suggests, is an all-encompassing term referring to colostomy management, from its creation to peristomal skin management, ... Read the Article 1.25 8 Activity Info
Coronary Artery Bypass Graft Coronary artery bypass grafting (CABG) is a major surgical operation where atheromatous blockages in a patient’s coronary arteries are bypassed with h ... Read the Article 1.25 10 Activity Info
Decubitus Ulcer Decubitus ulcers are skin or soft tissue injuries that form due to prolonged pressure exerted over specific areas of the body. They should receive pro ... Read the Article 1.5 18 Activity Info
Diabetic Foot Infections There are approximately 29 million people with diabetes in the United States, and approximately 25% of people older than age of 65 have diabetes. The ... Read the Article 1 7 Activity Info
Diabetic Foot Ulcer Diabetic foot ulcers are among the most common complications of patients who have diabetes mellitus which is not well controlled. It is usually the re ... Read the Article 1.25 10 Activity Info
Diabetic Ulcer Diabetes mellitus is a metabolic endocrine disorder due to an overall deficiency of insulin (Type 1) or defective insulin function (Type 2) which caus ... Read the Article 1.25 10 Activity Info
Digit Amputation Digital amputation is often associated with traumatic injuries but is also seen within the elective surgery setting, such as in the case of cancer res ... Read the Article 1 5 Activity Info
Endoscopic Vein Harvesting Endoscopic vein harvesting (EVH) is a procedure to harvest the greater saphenous vein (GSV), the most widely used conduit in coronary artery bypass gr ... Read the Article 1 5 Activity Info
Epinephrine Epinephrine is one of the most commonly used agents in various settings as it functions as medication and hormone. It is currently FDA-approved for va ... Read the Article 1.5 17 Activity Info
Erysipelas Erysipelas is a skin infection involving the dermis layer of the skin, but it may also extend to the superficial cutaneous lymphatics. It is character ... Read the Article 1 7 Activity Info
Escharotomy Burns commonly present acutely. They can be due to many modalities, including thermal, chemical, electrical, or radiation. Often, burns result in supe ... Read the Article 1 6 Activity Info
Fascial Dehiscence Fascial dehiscence is a significant complication of abdominal surgery, particularly cases done in an emergent setting. Associated bowel obstructions a ... Read the Article 1 6 Activity Info
Feeding Jejunostomy Tube The feeding jejunostomy tube is a method of delivering feeds through jejunal access in the small bowel. It is used when there is a contraindication to ... Read the Article 1 7 Activity Info
Femoral Shaft Fractures Femoral shaft fractures are a common orthopedic injury occurring in high energy trauma or low energy trauma in the elderly. Femoral shaft fractures ar ... Read the Article 1.5 13 Activity Info
First Degree Burn First-degree burns are superficial burns involving the epidermal layer of skin. The skin is the largest organ of the human body, with its weight compr ... Read the Article 1 3 Activity Info
Foot Ulcer Foot ulceration is among the most common health issues, and its prevalence has increased recently. It is one of the major causes of amputations, parti ... Read the Article 1.25 8 Activity Info
Fournier Gangrene Fournier gangrene is a rapidly progressive, life-threatening infectious process that involves the genital and perineal areas. The disease is one of th ... Read the Article 1 6 Activity Info
Frostbite Frostbite, also known as freezing cold injury is tissue damage that occurs due to cold exposure, occurring at temperatures below zero degrees celsius. ... Read the Article 1.5 17 Activity Info
Gas Gangrene Gas gangrene is a highly lethal infection of soft tissue, caused by Clostridium species, with Clostridium perfringens being the most common. This is s ... Read the Article 1.5 14 Activity Info
Gastrostomy Tube Replacement A gastrostomy tube (G-tube) is indicated in patients that need long-term pre-pyloric feeding. Endoscopic gastrostomy tube placement is now the preferr ... Read the Article 1 4 Activity Info
Generalized Pustular Psoriasis Generalized pustular psoriasis is a rare and extreme form of psoriasis characterized by the presence of sterile pustules. The incidence peaks between ... Read the Article 1 4 Activity Info
Hand Hygiene Handwashing practices in the patient care setting began in the early 19th century. The practice evolved over the years with evidential proof of its va ... Read the Article 1 4 Activity Info
Hemorrhoidectomy Hemorrhoidal disease is a common disorder requiring surgical intervention in approximately 10% of cases. The overall prevalence is unknown because asy ... Read the Article 1 5 Activity Info
Human Bites Human bites account for a relatively low percentage (3%) of the total bites encountered in the ED, but they have the potential for severe morbidity du ... Read the Article 1 7 Activity Info
Hyperbaric Complications Hyperbaric oxygen therapy (HBOT) is generally a relatively safe therapy for various conditions. However, there are some adverse side effects. When adv ... Read the Article 1 7 Activity Info
Hyperbaric Therapy For Skin Grafts And Flaps Hyperbaric oxygen therapy has shown promise in salvaging flaps in tissue that has been irradiated or in areas where there is decreased tissue perfusio ... Read the Article 1.25 10 Activity Info
Hyperbaric Therapy For Wound Healing The international body that sets the standards for hyperbaric medicine is The Undersea and Hyperbaric Medical Society. There are currently 14 approved ... Read the Article 1.25 10 Activity Info
Hyperbaric Treatment Of Clostridial Myositis And Myonecrosis Clostridial myonecrosis, also called gas gangrene, can rapidly cause death if not immediately detected and treated. It is caused by the anaerobic spor ... Read the Article 1.25 8 Activity Info
Hyperbaric Treatment Of Diabetic Foot Ulcer Complications associated with diabetes are the leading cause of nontraumatic lower-extremity amputations. Diabetic foot ulcers occur in approximately ... Read the Article 1 4 Activity Info
Hypothermia Accidental hypothermia occurs when the body dissipates more heat than it absorbs or creates, leaving the body unable to generate sufficient heat to ma ... Read the Article 1.5 15 Activity Info
Ileal Conduit Urinary diversion involves the re-routing of urinary drainage to the outside of the body - either as a temporary or permanent solution. This activity ... Read the Article 1 6 Activity Info
Ileostomy An ileostomy is a procedure in which the lumen of the ileum, part of the small bowel, is brought through the abdominal wall via a surgically-created o ... Read the Article 1 7 Activity Info
Impaired Wound Healing Wounds of all shapes and sizes have plagued patients and created a significant burden on their caretakers. It has long been noticed that some patient ... Read the Article 1.25 7 Activity Info
Incision and Drainage Incision and drainage (I and D) is a widely used procedure in various care settings including emergency departments and outpatient clinics. It is the ... Read the Article 1 5 Activity Info
Incisional Hernia Incisional hernias are a common complication of laparotomy incisions and a major healthcare burden. The management of incisional hernias are challengi ... Read the Article 1 5 Activity Info
Intestinal Stoma An intestinal stoma is one of the most common surgical procedures, in which exteriorization of either small bowel or large bowel through the anterior ... Read the Article 1 5 Activity Info
Keloid Keloids result from abnormal wound healing in response to skin trauma or inflammation. Keloid development rests on genetic and environmental factors. ... Read the Article 1.25 8 Activity Info
Laceration Lacerations are a common patient chief complaint, and the understanding of key history and physical exam information can speed patient care. This acti ... Read the Article 1 5 Activity Info
Morphine FDA-approved usage of morphine sulfate includes moderate to severe pain that may be acute or chronic. Most commonly used in pain management, morphine ... Read the Article 1.25 14 Activity Info
Necrotizing Fasciitis Necrotizing fasciitis is a subset of aggressive skin and soft tissue infections (SSTIs) that cause necrosis of the muscle fascia and subcutaneous tiss ... Read the Article 1.5 19 Activity Info
Neuropathic Ulcer Neuropathic ulcers occur when a patient with poor neurological function of the peripheral nervous system has pressure points that cause ulceration thr ... Read the Article 1 5 Activity Info
Palliative Care The World Health Organization characterizes the field of palliative care as a form of specialized medical care which aims to optimize the quality of l ... Read the Article 2.25 34 Activity Info
Perirectal Abscess The anorectal abscess can vary on the spectrum of complexity based on the location and involvement of surrounding tissue. A thorough knowledge of the ... Read the Article 1.25 8 Activity Info
Postoperative Fever Postoperative fever is defined as a temperature higher than 38 C (or greater than 100.4 F) on two consecutive postoperative days or higher than 39 C ( ... Read the Article 1 6 Activity Info
Postoperative Wound Infection Postoperative wound infection is a common problem. The process of wound infection is complex and involves an interplay between several biological path ... Read the Article 1 7 Activity Info
Postpartum Infection Postpartum infections account for a significant, and often preventable, portion of the global healthcare burden. Puerperal sepsis is one of the top fi ... Read the Article 1 4 Activity Info
Pressure Injury Pressure injuries are formed when pressure causes localized damage to underlying skin and soft tissue. These skin and soft tissue injuries remain a si ... Read the Article 1.75 21 Activity Info
Pseudomonas Aeruginosa Pseudomonas aeruginosa is a gram-negative, aerobic, non-spore forming rod that is capable of causing a variety of infections in both immunocompetent a ... Read the Article 1 7 Activity Info
Radiation Therapy Induced Skin Ulcer Management of acute or chronic skin injuries due to ionizing radiation is a complex challenge with injuries ranging from acute redness to chronic woun ... Read the Article 1 5 Activity Info
Scalp Laceration A laceration is a pattern of injury in which blunt forces result in a tear in the skin and underlying tissues. Lacerations in the scalp are different ... Read the Article 1 7 Activity Info
Scar Revision Patients may want a scar revision for a multitude of reasons. They can cause function limitations, be a reminder of a traumatic event, or cause other ... Read the Article 1 6 Activity Info
Silver Sulfadiazine Silver sulfadiazine is a medication used in the prevention, management, and treatment of burn wound infections. It is a heavy metal topical agent with ... Read the Article 1 5 Activity Info
Skin Biopsy Skin biopsy is an important and common diagnostic procedure in dermatology practice. Various methods of skin biopsy exist, and multiple factors are co ... Read the Article 1 5 Activity Info
Split-Thickness Skin Grafts Split-thickness skin grafts are versatile adjuncts to wound closure in burns, trauma, reconstruction, and other large wounds. This activity outlines a ... Read the Article 1.25 7 Activity Info
Squamous Cell Skin Cancer Squamous cell carcinoma, the second most common form of skin cancer, is caused by the cumulative exposure of skin to UV light. This condition has prec ... Read the Article 1.25 11 Activity Info
Sterile Technique The purpose of creating a sterile field is to reduce the number of microbes present to as few as possible. The sterile field is used in many situation ... Read the Article 1 4 Activity Info
Suction Drains Surgical drains are catheters placed near the surgical wound to remove blood, pus, or other fluid and prevent it from accumulating in the body. They a ... Read the Article 1 4 Activity Info
Temporary Abdominal Closure Techniques Several techniques have been described to manage the open abdomen after a damage control laparotomy. Primary fascial closure remains the gold standar ... Read the Article 1 7 Activity Info
Tetanus Tetanus is an infection characterized by muscle spasms and lockjaw, also called trismus. Toxins produced by Clostridium tetani are responsible for the ... Read the Article 1.5 17 Activity Info
Tetanus Prophylaxis This activity reviews and outlines the role of tetanus prophylaxis. It will outline the basics of immunization and prophylaxis and will discuss types ... Read the Article 1 7 Activity Info
Tetanus Toxoid The tetanus toxoid is a vaccine used in the management and treatment of tetanus. It is in the vaccine class of medications. This activity reviews the ... Read the Article 1.25 13 Activity Info
Thermal Burns Thermal burns are skin injuries caused by excessive heat, typically from contact with hot surfaces, hot liquids, steam, or flame. Most burns are minor ... Read the Article 1.25 8 Activity Info
Topical, Local, and Regional Anesthesia and Anesthetics Nerve impulse transmission occurs when voltage-gated sodium channels on the neuronal membrane open, allowing a massive influx of sodium. This causes m ... Read the Article 1.25 11 Activity Info
Tracheostomy Tube Change Tracheostomy is a procedure where an artificial airway is established surgically or percutaneously in the cervical trachea. This activity describes th ... Read the Article 1 2 Activity Info
Types of Arteriovenous Fistulas Nearly half a million people require hemodialysis, and each year approximately 100,000 new cases of end-stage renal disease are diagnosed. Consequentl ... Read the Article 1 5 Activity Info
Ultrasound Guided Intravenous Access At least 150 to 200 million peripheral intravenous (PIV) catheters are placed each year in the United States, and up to 80 percent of patients receive ... Read the Article 1 6 Activity Info
Universal Precautions Universal precautions were introduced by the Centers for Disease Control (CDC) in 1985, mostly in response to the human immunodeficiency virus (HIV) e ... Read the Article 1 7 Activity Info
Urinary Diversions And Neobladders The urinary bladder is designed both to facilitate low-pressure filling and to efficiently expel urine using coordinated contractions. As the bladder ... Read the Article 1.25 8 Activity Info
Venous Leg Ulcer Venous leg ulcers are late manifestations of chronic venous insufficiency that can cause disability and serious complications. The elderly are more co ... Read the Article 1 6 Activity Info
Vitamin C (Ascorbic Acid) Vitamin C is a water-soluble vitamin, antioxidant, and essential co-factor for collagen biosynthesis, carnitine and catecholamine metabolism, and diet ... Read the Article 1 7 Activity Info
Wound Assessment A wound is damaged or disruption to the skin and, before treatment, the exact cause, location, and type of wound must be assessed to provide appropria ... Read the Article 1.25 11 Activity Info
Wound Closure Techniques Wound management is an essential part of emergency medicine practice. The clinicians care for wounds ranging from minor and simple lacerations or abra ... Read the Article 1 5 Activity Info
Wound Debridement Wound debridement is based on the premise that debridement will promote reepithelialization. Wound debridement has been utilized for more than a decad ... Read the Article 1.25 10 Activity Info
Wound Dressings Wounds can be present over different anatomical parts of the body. However, the basic principles of choosing a wound dressing remain the same. Choosin ... Read the Article 1.25 9 Activity Info
Wound Foreign Body Removal Soft tissue foreign bodies or wounds associated with foreign bodies result from blunt/abrasive trauma or penetrating trauma. Patients may present earl ... Read the Article 1 5 Activity Info
Wound Healing Phases Wound healing is a natural physiological reaction to tissue injury. However, wound healing is not a simple phenomenon and involves a complex interplay ... Read the Article 1 6 Activity Info
Wound Irrigation Wounds and lacerations are common complaints. Each year in the United States, roughly 12.2 million patients are seen in emergency departments for woun ... Read the Article 1 4 Activity Info
Wound Pressure Injury Management Pressure injuries have been given various names over the last several years, including pressure ulcers, decubitus ulcers, or bed sores. Pressure injur ... Read the Article 1.25 10 Activity Info
Zinc Deficiency Zinc deficiency is common worldwide but is seen with greater frequency in developing countries. Zinc deficiency can be inherited or acquired and typic ... Read the Article 1 7 Activity Info

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