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    11 Courses

Carrie Adkins

RN, BSN, CWOCN

Carrie is currently working as a care manager II wound care nurse for myNEXUS. At myNEXUS, she helps home health agencies with their authorizations for wound and ostomy skilled nursing visits, ensuring that patients are receiving proper and appropriate wound and ostomy care. Prior to working at myNEXUS, she had been an RN in the home care field for 13 years and had specialized in wound, ostomy, and continence nursing for 8 years. Besides being a resource for her fellow coworkers and caring for hundreds of patients per year, she was responsible for training all incoming RNs and LPNs in wound, ostomy, and continence care. She regularly kept her staff up to date on the most recent products and best practices in her field. Carrie has published a peer-reviewed article regarding topical wound dressing choices in home care. Being empathetic with coworkers regarding their fears and lack of confidence in wound and ostomy skills and knowledge is something she has a real aptitude for.

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Wound Care: Multilayer Compression Therapy

Presented by Carrie Adkins, RN, BSN, CWOCN

Wound Care: Multilayer Compression Therapy

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Video Runtime: 11 Minutes

Multilayer compression therapy, also known as multicomponent compression bandaging, is an essential component for healing venous stasis ulcers. It improves venous function for ambulatory patients with venous ulcers to the lower legs.

In this training, we'll review the equipment and procedures for Multilayer Compression Therapy. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home

A light or modified compression system may be used for patients with "mixed," or venous and arterial, disease. Medicare guidelines may not consider compression wrapping a skilled need with home care patients when there is not a wound or active drainage from the lower legs. There are cases in which the entire leg is wrapped with compression wrapping, but this technique is not often utilized with home care patients.

This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

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Wound Care: Negative-Pressure Wound Therapy

Presented by Carrie Adkins, RN, BSN, CWOCN

Wound Care: Negative-Pressure Wound Therapy

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Video Runtime: 5 Minutes

Negative-pressure wound therapy (NPWT) is a type of topical wound care that promotes wound healing by reducing edema, assisting with granulation tissue formation, and increasing blood flow. It assists with fighting infection.

The goals of NPWT are to promote the growth of granulation tissue in the wound bed and to manage exudate in the wound to promote moist wound healing.

In this training, we'll review the equipment and procedures for negative-pressure wound therapy. This course includes

- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home

This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

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Wound Care: Staple and Suture Removal

Presented by Carrie Adkins, RN, BSN, CWOCN

Wound Care: Staple and Suture Removal

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Video Runtime: 8 Minutes

Staple and suture removal are essential to the recovery process for some patients in the home care setting. In this training, we'll review the equipment and procedures for removing surgical staples and sutures. This course includes

- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home

Prior to completing this skill, you need to have a physician's order, be aware of any bleeding precautions for the patient, and ensure the patient is premedicated for pain they are experiencing. This skill applies to both nurses and therapists.

This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

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Wound Care: Assessment and Measurement

Presented by Carrie Adkins, RN, BSN, CWOCN

Wound Care: Assessment and Measurement

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Video Runtime: 6 Minutes

Assessing and measuring wounds is vital for the care and treatment of patients with wounds in the home care setting. By assessing a wound and its characteristics, you can determine proper treatment and organize a plan of care for the patient. Having a proper wound assessment is important not only for the patient's care but also to enable fellow nurses to read the documentation of the previous home health visits for a clear picture of wound status. In addition, accurate wound assessment is important for the OASIS assessment that contributes to reimbursement for a home health agency.

In this training, we'll review the equipment and procedures for assessing and measuring a wound.
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

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Wound Care: Jackson-Pratt Drain (JP Drain) Care and Removal

Presented by Carrie Adkins, RN, BSN, CWOCN

Wound Care: Jackson-Pratt Drain (JP Drain) Care and Removal

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Video Runtime: 9 Minutes

Many patients in the home health setting will have a Jackson-Pratt drain or bulb drain. These provide low-pressure suction and pull fluid or air from a surgical site. In this training, we'll review the equipment and procedures for JP drain emptying, suction reactivation, insertion site dressing, and drain removal.This course includes

- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home

It is important for nurses to be competent and confident in this skill as the goal is to teach the patient how to care for the JP drain and know when to call the physician or home care nurse with concerns. Nurses are the primary clinicians who will need to know and teach this skill.

This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

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Wound Care: Cleansing and Packing a Wound

Presented by Carrie Adkins, RN, BSN, CWOCN

Wound Care: Cleansing and Packing a Wound

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Video Runtime: 6 Minutes

A packed wound will need to be unpacked, irrigated/cleansed, and repacked. In this training, we'll review the equipment and procedures for cleansing and packing a wound. This course includes

- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home

Debris and excess exudate need to be removed while cleaning to support healthy healing. Properly packing and dressing a wound ensures a wound has the best environment in which to heal. If one packs the wound too tightly, there is no room for new tissue to grow. If a wound is packed with too little dressing, then the packing may get lost or not absorb enough exudate.
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

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Wound Management: Skin Assessment and Wound Identification

Presented by Carrie Adkins, RN, BSN, CWOCN

Wound Management: Skin Assessment and Wound Identification

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Video Runtime: 35 Minutes; Learning Assessment Time: 29 Minutes

Wound care costs are growing across the home health spectrum for patients, government-funded health care, private insurances, and home health agencies. Therefore, continuous education on wounds and skin assessment is an ongoing necessity. In being an active home health provider, it is important to start with the basics of skin assessment and wound identification in order to understand treatment, prevention, and further advanced wound care. This course will educate on skin assessment in the home and instruct on how to differentiate and properly identify different types of wounds in the home.

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Holistic Wound Healing Part 1: Understanding Causative Factors

Presented by Carrie Adkins, RN, BSN, CWOCN

Holistic Wound Healing Part 1: Understanding Causative Factors

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Video Runtime: 27 Minutes; Learning Assessment Time: 19 Minutes

Caring, treating, and healing wounds of the home health patient can be challenging and rewarding at the same time. Various factors contribute to the treatment plan when caring for a wound. The home health clinician needs to keep in mind not only the healing/caring for a wound, but the contributing factors such as insurance/financial support, patient/caregiver ability, and the outcome goal. This course will prepare you in identifying and educating home health patients with varying wounds you may encounter with a more holistic approach.

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Care of Wound Complications in Home Care

Presented by Carrie Adkins, RN, BSN, CWOCN

Care of Wound Complications in Home Care

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Video Runtime: 36 Minutes; Learning Assessment Time: 29 Minutes

Wound care can become complicated in the home care setting. Infection, stalled healing, and deterioration can be some of the common complications. We will discuss the characteristics of these complications and how to identify them. Proper documentation is vital in caring for a patient, while keeping an accurate medical record assists with collaboration within the health care team. How to properly document and describe a wound will be discussed. Facilitating the best wound-related patient care can be difficult when communicating with physicians but is imperative for best outcomes. Techniques on how to better communicate with physicians and their office staff will be described for more collaborative and patient-centered care.

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Ostomy Care: Management and Patient Education in Home Care

Presented by Carrie Adkins, RN, BSN, CWOCN

Ostomy Care: Management and Patient Education in Home Care

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Video Runtime: 42 Minutes; Learning Assessment Time: 29 Minutes

Caring for patients with fecal and urinary ostomies in the home setting can be intimidating and challenging for the home health clinician. Managing a new or problematic ostomy can be overwhelming for a patient and caregiver, so they depend on the home health clinician to be the expert. Problematic ostomies can be costly for a home health agency if there is not a skilled and knowledgeable clinician available. For many clinicians, ostomy knowledge and experience may be lacking. This course will provide the anatomy, terminology, and reasons for an ostomy. We will also discuss how to pouch a stoma and care for peristomal skin. A patient case scenario will be presented, with examples and demonstrations of a pouch change. A variety of pouches and available accessories will be discussed.

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Holistic Wound Healing Part 2: Treatment Techniques and Strategies

Presented by Carrie Adkins, RN, BSN, CWOCN

Holistic Wound Healing Part 2: Treatment Techniques and Strategies

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 40 Minutes; Learning Assessment Time: 24 Minutes

A home health nurse needs to be knowledgeable in all treatment options when caring for a wound. This course will describe the holistic approach, which includes topical treatments and negative pressure wound therapy. Detailed descriptions of many topical wound dressings will be given as well as what to teach your patient or caregiver regarding these dressings. Everyday useful tips will also be given to make wound care easier for the nurse in the home.

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