Nurse-Wound, Ostomy, and Continence 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. 149 authors and 6 editors have contributed to the development of the Nurse-Wound, Ostomy, and Continence content, which is continuously refined and updated to improve your learning experience.

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Nurse-Wound, Ostomy, and Continence 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
Abdominoperineal Resection Abdominoperineal resection is a procedure for low rectal cancers, resulting in a permanent colostomy after removing the distal colon, rectum, and anal ... 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 6 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 1.5 13 Activity Info
Adult Dehydration Dehydration is a common condition that affects patients of all ages. Dehydration may complicate other medical problems and may cause significant illne ... Read the Article 1.25 13 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 9 Activity Info
Ankle Brachial Index The ankle-brachial index (ABI) is a non-invasive tool for the assessment of vascular status. It consists of the ratio between the systolic blood press ... Read the Article 1 6 Activity Info
Appendicitis Appendicitis is the inflammation of the vermiform appendix. It typically presents acutely, within 24 hours of onset, but can also present as a more ch ... Read the Article 2 27 Activity Info
Atopic Dermatitis Atopic dermatitis (AD), which is a specific form of eczema, is the most common chronic inflammatory skin disease. Atopic dermatitis has a complex etio ... Read the Article 1.25 9 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
Below Knee Amputation A below the knee amputation (BKA) is a transtibial amputation that involves removing the foot, ankle joint, distal tibia, fibula, and corresponding so ... Read the Article 1 6 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
Bladder Catheterization Bladder catheterization is a commonly performed procedure in all hospitals. It can be performed by external, urethral, and suprapubic techniques. It i ... Read the Article 1 7 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 9 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 9 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
Child Abuse and Neglect The World Health Organization (WHO) defines child maltreatment as “all forms of physical and emotional ill-treatment, sexual abuse, neglect, and explo ... Read the Article 2 30 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 1.75 20 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 11 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
End of Life Care Unlike other conditions and life experiences, which only affect a certain percentage of the world’s population, the end-of-life is a stage in the proc ... Read the Article 2.5 36 Activity Info
Enuresis Enuresis is a common childhood disorder seen in outpatient settings. Enuresis can be promptly treated if cases are identified early. In this activity, ... Read the Article 1 6 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 7 Activity Info
Evaluation and Treatment of Snake Envenomations Snakebites are responsible for a significant degree of morbidity and mortality worldwide, especially in low resource countries. There are over 600 spe ... 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
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
Hemorrhage Hemorrhage can manifest in many different ways depending on the mechanism and anatomic location. It is a common and serious medical emergency that req ... Read the Article 1.25 12 Activity Info
Herpes Zoster Herpes zoster, also known as shingles, is a viral syndrome caused by reactivation of the varicella-zoster virus. After an episode of varicella (chicke ... Read the Article 1 6 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
Hypertrophic Scarring Hypertrophic scarring represents an undesirable variant in the wound healing process. In hypertrophic scars, excess connective tissue is deposited in ... Read the Article 1 5 Activity Info
Hypertrophic Scarring Keloids Hypertrophic scars are contained within the site of injury and may regress over time, while keloids spread beyond the borders of the initial injury an ... 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 5 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 8 Activity Info
Impetigo Impetigo is a common infection of the superficial layers of the epidermis that is highly contagious and most commonly caused by gram-positive bacteria ... Read the Article 1 6 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 9 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 6 Activity Info
Lactulose Lactulose is used in preventing and treating clinical portal-systemic encephalopathy. Its chief mechanism of action is by decreasing the intestinal pr ... Read the Article 1 6 Activity Info
Mixed Urinary Incontinence Urinary incontinence is the involuntary leakage of urine. It ranges in its severity and in its impact on patients' quality of life. Symptoms may force ... Read the Article 1 4 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 18 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
Perianal Streptococcal Dermatitis Perianal streptococcal dermatitis is a cellulitis of the perineum. The most common causative organism is group A beta-hemolytic streptococci. Therefor ... Read the Article 1 7 Activity Info
Peripheral Arterial Disease Peripheral arterial disease (PAD) is a circulatory problem causing a reduced blood flow through the arteries. This typically reduces blood flow to the ... Read the Article 1.75 23 Activity Info
Peripheral Edema Peripheral edema is a very common finding in daily medical practice both in outpatient and inpatient settings. It can vary from benign condition to se ... Read the Article 1 7 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
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 23 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
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 7 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 10 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
Stingray Sting Stingray envenomations are common injuries. Practitioners should recognize that these injuries vary in level of severity, and clinical concerns should ... Read the Article 1 6 Activity Info
Stress Incontinence Stress urinary incontinence is the sudden, involuntary loss of urine secondary to increased intraabdominal pressure that is affecting the patient’s qu ... Read the Article 1.5 15 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
Superficial Thrombophlebitis Superficial thrombophlebitis, increasingly known as superficial venous thrombosis, is no longer considered a benign entity. It is often associated wit ... Read the Article 1.25 8 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 10 Activity Info
Topical Oxygen Topical oxygen therapy can be considered as an adjunctive modality for the treatment and management of wound care. The device has broad applications f ... Read the Article 1 6 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
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
Urge Incontinence Urge incontinence is a type of urinary incontinence in adults, which involves sudden compelling urges to void and results in involuntary leakage of ur ... Read the Article 1 5 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
Urinary Incontinence Urinary incontinence is the involuntary leakage of urine. This condition is prevalent in elderly adults, impacting both health and quality of life, bu ... Read the Article 1.25 11 Activity Info
Urinary Tract Infection Forty percent of women in the United States will develop a urinary tract infection (UTI) at some point in her lifetime, making this one of the most co ... Read the Article 1.5 17 Activity Info
Venous Insufficiency Chronic venous insufficiency (CVI) is a common condition that typically involves lower extremity edema, trophic skin changes, and discomfort secondary ... Read the Article 1 5 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 1.25 9 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 damage or disruption of the skin, and, before treatment, the exact cause, location, and type of wound must be assessed to provide appropria ... Read the Article 2 28 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 13 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 12 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 5 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 11 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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