Title: Perform procedures related to the integumentary system.
Course: Practical Nursing III (14052-III) > Section: Mastering Nursing Competencies and Skills in the Clinical Setting

Performance should include

- use of appropriate equipment and supplies
- focused assessment of client's integumentary system
- assistance with diagnostic procedures
- care of ulcers
  - prophylactic techniques
  - staging
  - choice of therapeutic measures
  - implementation and evaluation of therapeutic measures
  - initiating assistance of a wound specialist
- wound vacuums
- Braden scale
- application of complex wound-care dressings.

Process/Skill Questions:

- What steps would one follow to assess the client's integumentary system through inspection, palpation, and observation of skin color, swelling, integrity, lesions, and pruritus?
- What methods would one select to assess the wound, including location, size, color, drainage, odor, and presence or absence of necrosis, infection, and/or granulation tissue?
- How would one assist with cultures and biopsies, while assuring appropriate use of equipment and supplies?
- What procedures would one follow for prevention of ulcers?
- How would one apply complex wound-care dressings?
- How would one apply wound dressings with the clean technique?
- How would one apply wound dressings with the sterile technique?
- How would one measure and record wound measurements?