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KCI New Hire Training > New Hire Test 2 > Flashcards

New Hire Test 2 Flashcards

1
Q

Regarding wound healthing, what phases is VAC appropriate for?

A

Phases 2 & 3 regarding wound healing.

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2
Q

6 Characteristics of Hemostasis

A
  1. Platelet Aggregation
  2. Vasoconstriction
  3. Chemostatic factors
  4. Growth promoting substances
  5. Fibrin clot
  6. Usually starts within 60min
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3
Q

5 Characteristics of Inflammation

A
  1. Release of prostaglandin
  2. vaso-active substances
  3. leukocytes
  4. proteolytic enzymes
  5. Usually starts withing 20min to 4 days
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4
Q

4 Characteristics of Proliferation

A
  1. Begins within 3 to 21 days
  2. Granulation
  3. Contraction
  4. Re-epithelization begins
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5
Q

3 Characteristics of Remodeling

A
  1. Usually begins within 21days to 2years
  2. 30%-50% Tensile strength within 2-3weeks
  3. 80% Tensile strength within 3mo - 1year
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6
Q

Dehydrated thick leathery tissue (black, grey)

A

Eschar

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7
Q

Hydrated, loose, stringy nectrotic tissue (usually yellow)

A

Slough

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8
Q

3 Characteristics of Chronic wounds

A
  1. Older than 30 days
  2. Stuck b/t inflammation and proliferation stages (moving between the two)
  3. May be considered Chronic b/c of etiology
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9
Q

What 3 things come in the Simplace kit?

A
  1. Spiral Dressings (2 thinner pieces)
  2. 3M Tegaderm Drape
  3. Sensa-Trac pad
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10
Q

_____ is a characteristic of the bridge dressing?

A

Z-Fold

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11
Q

_____ is on the bottom of bridge dressings and it protects skin from maceration.

A

Wicking Layer

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12
Q

What are the components of the VAC therapy system?

A
  1. Therapy Unit
  2. Foam
  3. Sensa-TRAC pad
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13
Q

Whats the pressure setting for the Acti-Vac/Info-Vac?

A

25mmHg - 200mmHg

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14
Q

3 Key features of Acti-Vac/Info-Vac?

A
  1. Seal Check
  2. Setting Guide
  3. Therapy History Report
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15
Q

2 Key features of SENSA-TRAC

A
  1. Allows accurate pressure setting at wound site

2. Provides smart alarm

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16
Q

4 Benefits of SENSA-TRAC

A
  1. Enhanced patient comfort
  2. Reduced tubing blocks and alarms
  3. Improved TRAC pad
  4. Maintain compatibility with current therapy units.
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17
Q

4 Categories of Bio-Burdens?

A
  1. Contamination
  2. Colonization
  3. Critical Colonization
  4. Infection
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18
Q

3 characteristics of contamination?

A
  1. Non-replication microbes
  2. Body’s natural Flora
  3. Healing not inhibited
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19
Q

3 characteristics of colonization?

A
  1. replicating microbes
  2. no host reaction
  3. generally body can defend
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20
Q

3 characteristics of critical colonziation?

A
  1. overgrowing microbes
  2. bacterial enzymes and toxins
  3. delayed healing
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21
Q

3 characteristics of infection?

A
  1. invasion
  2. systemic reaction
  3. healing impaired
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22
Q

Signs of Infections?

A 
(IFFE)
Induration (hardening of the skin)
Fever (greater than 100.5)
Edema (swelling due to fluid)
Erythema (redness of the skin)
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23
Q

3 most common causes of infections?

A
  1. Bacteria (most common of all 3)
  2. Fungi
  3. Virus
24
Q

2 Characteristics of Bacteria

A
  1. Aerobic vs Anaerobic

2. Gram strain (Gram + vs Gram - )

25
Q

2 Characteristics of Fungi

A
  1. Single cell (yeast)

2. Multi-cellular (molds or mushrooms)

26
Q

2 Characteristics of Viruses

A
  1. Exists to reproduce and take over host cell

2. Rarely associated with wound infections

27
Q

Silver (In-Vitro) has been shown to be effective against which of the 3 most common causes of infections?

A

All of them if In-Vitro

28
Q

___% of pathogens were elimated within the first 30minutes with Silver GranuFoam

A

99.9%

29
Q

Silver Ions with GranuFoam are released up to ___hours @ ___?

A

72hours

@ 3ppm (parts per million)

30
Q

Who are the top targets to present Silver GranuFoam to?

A

MDs that are already using Silver and Vac

31
Q

Silver GranuFoam has a _____ run-rate than adjunct topical.

A

faster

32
Q

Temporary Tissue Discoloration (grey) is harmful/not harmful?

A

not harmful

33
Q

Is the Granulation rate of Silver Foam the same as Black Foam?

A

Yes

34
Q

Bacteriostatic Agents _______?

A

Inhibit bacterial growth

35
Q

Bactericidal Agents _____?

A

Kills Bacteria

36
Q

What type of agent is Silver GranuFoam?

A

Bactericidal Agent

37
Q

5 MOA for Silver GranuFoam

A

(B.I.I.I.)

  1. Binds and disrupts sub-cellular components
  2. Impairs Bacterial cell wall integrity
  3. Impairs essential enzymes and metabolic events
  4. Inactivates bacterial DNA and RNA
38
Q

Silver Contraindications are?

A 
MUNNS
Malignancy in the Wound
Untreated Osteomylelitis
Non-enteric and unexplored fistulas
Necrotic tissue with Eschar present
Sensitivity to silver
39
Q

Presents as an enteric fistula that is greater than 30days and will have evidence of epithelization on the mouth of the wound.

A

Chronic Fistulas

40
Q

Type of Fistula that is un-epithelialized around the mouth

A

Acute Fistula

41
Q

Type of Fistula that is short, direct tract, no associated abscess, no other organ involvement, often looks like a tiny hole located within intact skin.

A

Simple Fistula

42
Q

Type of Fistula that’s located inside the wound?

A

Complex Fistula

43
Q

What type of Fistulas are contraindicated for VAC therapy?

A

Unexplored and Non-Enteric Fistulas

44
Q

2 Goals for treating a Complex Chronic Fistula?

A
  1. Segregate the fistula from the wound

2. Allow for healing and stabilization of patient

45
Q

Auto Grafts are_____

A

Taken from self Human

46
Q

Allo Grafts are _____

A

Taken from a human other than self (maybe a Cadaver)

47
Q

Xeno Grafts are ____

A

Taken from an animal of something foreign

48
Q

Superficial and some deep layers of skin (does not come with own vascular network)

A

Split Thickness Graft

49
Q

All the layers of the skin (comes with own intact vascular network)

A

Full Thickness Graft

50
Q

A biological technique that focuses on the creation of tissue and tissue scaffolding.

A

Bio-Engineered Tissue

51
Q

3 Goals and Objectives for Graft/Flap Placement (VAC)

A
  1. Provide bolster and stability for skin graft
  2. Helps protect wound environment, minimizes shearing forces
  3. Removes fluid and assist skin or bio-engineered graft take
52
Q

Whats the recommended length of time before removing VAC when placed on Graft? Pressure settings?

A

4 to 5 days

75-125mmHg (White Foam @ 125mmHg)

53
Q

Whats the recommended length of time before removing VAC when placed on FLAP? Pressure settings?

A

72 hours

125-150mmHg (White Foam @ 125-175mmHg)

54
Q

This fenestrated cellular human derived matrix thats designed for single application that supports regeneration of host tissue?

A

GraftJacket

55
Q

Value Deck

A 
ICES
Innovation
Clinical Evidence
Economic Benefit
Support
56
Q

3 Benefits of AHS Sales App

A
  1. Approved customers facing sales collateral is on AHS Sales APP
  2. Give you ability to email materials to customers on site
  3. Can check your ship pending in AHS Sales APP

KCI New Hire Training (4 decks)

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