OASIS-C Training: Boost Your Wound Assessment Accuracy


Plus know how protocols are useful and how you can limit errors in documenting wound assessment

Ask yourself these OASIS-C questions and ensure error-free wound assessment every time.

Question: How can you, as an agency increase our accuracy of wound assessment?

Answer : One thing that you should do is get in the habit of your case conferences or your team meetings or your staff meetings. Just bring in a picture of a wound. Even if you don't photograph your patient's wound, you can Google pressure ulcer images and get tons of photograph. So you can even build, you can invent sort of a case scenario around that.

And then, have your clinicians perform a wound assessment even from that image that you either have up on a screen or have printed in color and invite them to perform there or to give their assessment. And then go forward all the way if you want to talk about, “Okay, what support surface would this patient go on? What dressings might we use? How often, what's visit frequency would we need?” So, you're sort of not only do you tighten your assessment but you move on to treatment.

And then, there are anatomic markers. Keep in front of nurses correct and atomic locater.

Question: How are the protocols related to wound care useful?

Answer: Protocols can be useful. But they hinge on accurate assessment. Let's say, you've got a hydrogel, you might have a hydrocolloid, you've got an alginate, you've got foam.

What is recommended is that you develop usage healthcare guidelines for each of those four products so that you might have, you know, the brand that you carry because it might happen when you say hydrogel to a lot of clinicians, they don't know what you are talking about. But, what's the name brand that you carry? And then, what types of wounds do you use it on? You could use it on dry wounds. You could use it on wounds where maybe you need to soften up dead tissue.

What wounds you do not use it on? Of course, you don't want to use it on wounds that are draining. So, you want to identify some products you don't use on infected wounds. So, what wounds you don’t want to use it on? What dressings can you combine this product with? And then, how often does this product has to be changed?

So, have usage home health guidelines so that once your clinician identifies she accurately assists the wound and she realize says, “Okay, I've got a dry wound with eschar that I want to debride.” Then, she or he can look at the usage guidelines and it entails tells four or five pages. And they know exactly which dressing is going to work best.

Question: How do you limit errors in documenting wound assessments in the new OASIS-C?

Answer : The best way to eliminate errors is to have them double check before they're logged. Take a team approach. Maybe even have your start of care report called to a team. If there are areas where that clinician is on certain of in the OASIS-C she can call the team, give description, get feedback.

But what a lot agencies are doing right now is they are double checking each OASIS-C as it comes in, maybe doing a call with a clinician or bringing them up in case conferences. And actually using this kind of three-month window when the OASIS doesn't count to really educate their nurses.

So, you've got a window of opportunity. And also, as you go through your CMS OASIS, it allows you to identify which clinicians are struggling with which issues. Is it that they don't identify wound type? So, it really enables to you to determine what the educational needs are of the nurses in your agency.

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