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Wound, Skin, Ostomy and Continence Care

Wound, Skin, Ostomy and Continence Care - Clinical Hub, Nursing Hub

The Resource in Skin Care (RISC) is an educational and clinical intervention model that prepares staff nurses to be a clinical resource person about skin and wound issues for other nurses on their unit. 


RISC nurses are trained by Certified Wound Ostomy Continuence clinical nurse specialists to identify and address specific nursing outcomes such as:

The in-patient RISC nurse also participates in the monthly hospital-wide pressure ulcer study which defines the number and stages of community-acquired and hospital-acquired pressure ulcers for inpatients.


Could a CWOCN help my patient with lower extremity ulcers?

Yes. CWOCNs can suggest treatment for many kinds of wound and skin problems. Slow or non-healing wounds of the lower extremities may benefit from a CWOCN's knowledge about wound care products for circulatory problems including venous stasis ulcers, arterial insufficiency, and diabetic foot ulcers.

How can a (CWOCN) help pressure ulcers?

Prevention and treatment of pressure ulcers is a special focus of the CWOCN. Recommendations for pressure-relieving surfaces, dressings, positioning, and nutrition are all a part of the CWOCN role.

What is a Certified Wound, Ostomy, Continence Nurse (CWOCN)?

A CWOCN is a registered nurse who has received additional education and experiential training in the areas of wound healing, ostomy care and the improvement of urinary and fecal incontinence. CWOCNs use this knowledge to help patients, families and healthcare providers maintain, improve or achieve normal skin integument.

What is the role of the Ostomy Care Coordinator?

The Ostomy Care Coordinator is responsible for the planning, implementation, and evaluation of ostomy patient care programs for inpatient and outpatient settings at UWHC in consultation with the Wound and Skin clinical nurse specialists. The coordinator works directly with patients and families and also collaborates with nurses, physicians, and other health care providers. Consultation is provided to clinical nurses and educational programs offered to increase knowledge and skills of clinical nurses in the area of ostomy care.


AFCH Resources

Braden Q Protocol Algorithm

Modified Braden Q Pressure Ulcer Risk Assessment Scale

Modified Braden Q Pressure Ulcer Risk Assessment Tool

Ostomy Resources

Algorithm - Ostomy Care for Colostomy and Ileostomy Patients Three Years Old and Younger

Peristomal Skin Assessment Guide (WOCN)

Wound, Skin and Continence Care Resources

Geriatric Skin Conditions

Guidelines for Dressing Selection Based on Wound Characteristics and Goal of Treatment

Pressure Ulcer Training (NDNQI)