CWCA (ABWM) study plan
CWCA · Give each week a clear focus.
8 weeks · About 7 hours per week
Assessment, Diagnosis, and Documentation of Wounds
Label the skin layers, phases of wound healing, and primary versus secondary intention healing on a blank diagram from memory
Differentiate pressure, arterial, venous, neuropathic, surgical/traumatic, and atypical ulcers using at least four distinguishing criteria for each
Perform a complete wound assessment on written case vignettes covering location, stage/etiology, measurements, depth, tissue composition, exudate, periwound skin, odor, and pain
Calculate wound surface area and estimate percentage of granulation, slough, and eschar from supplied measurements
Document each assessment using objective, measurable, defensible language rather than subjective descriptors
Your checkpoint
A completed one-page wound assessment documentation template applied to 10 case vignettes, self-scored at 80% or higher against a written answer key
Assessment, Diagnosis, and Documentation of Wounds & Wound Bed Preparation and Local Wound Management
Apply current pressure injury staging criteria to 15 written vignettes and justify each assigned stage in one sentence
Compare the Braden, Norton, and PUSH-type tools and state the appropriate use and limitation of each
Explain the TIME framework and match every component to at least two evidence-based interventions
Select a debridement method (sharp, enzymatic, autolytic, mechanical, biologic) for 8 scenarios and state the rationale plus one contraindication for each
Distinguish when wound measurement changes represent true healing versus measurement error or artifact
Your checkpoint
A staging-and-debridement decision log for 20 vignettes, with each entry containing the chosen answer, a one-line rationale, and the guideline source category
Wound Bed Preparation and Local Wound Management
Classify at least 12 dressing categories by mechanism, indicated exudate level, tissue type, and contraindication
Build a dressing selection algorithm with at least four decision branches keyed to exudate volume and wound bed tissue
Justify dressing change frequency, layering, and securement for 6 patient scenarios
Describe indications, contraindications, and safety monitoring for negative pressure wound therapy
Identify when cleansing technique, irrigation pressure, or product choice risks damaging new tissue
Your checkpoint
A one-page dressing selection matrix covering 12 or more product categories with at least four decision branches, validated by scoring 85% or higher on a self-written 25-item quiz
Infection Risk, Identification, and Management
Distinguish contamination, colonization, critical colonization, and deep or spreading infection using at least five clinical criteria
Interpret wound culture and sensitivity results and explain when a tissue biopsy or quantitative culture is preferred over a surface swab
List the clinical and radiographic indicators of underlying osteomyelitis and state the referral trigger
Apply antimicrobial stewardship principles, including when antiseptics rather than systemic antibiotics are appropriate and when biofilm-directed therapy is indicated
Identify systemic signs that mandate urgent escalation of care
Your checkpoint
A 15-vignette infection assessment case set scored at 80% or higher, paired with a one-page referral-trigger checklist
Systemic Factors, Nutrition, and Comorbid Conditions
Identify laboratory and anthropometric markers of nutritional status that are relevant to wound healing and state the thresholds that prompt referral
Explain how diabetes, peripheral artery disease, venous insufficiency, immunosuppression, obesity, and advanced age alter the healing trajectory
State general protein, calorie, fluid, and micronutrient considerations in wound healing and describe when to refer to a dietitian
List medication classes and lifestyle factors that impair healing and describe the corresponding plan modification
Describe how glycemic control, perfusion, and edema management change local wound care decisions
Your checkpoint
A one-page crosswalk linking six comorbid conditions to at least three concrete plan modifications each, with the referral criteria noted for every row
Prevention and Management of Pressure Injuries and Lower Extremity Ulcers
Select a support surface, repositioning schedule, and skin care regimen based on assessed risk level and patient tolerance
Apply compression therapy selection criteria for venous leg ulcers and state the ankle-brachial index thresholds that govern safe use
Differentiate offloading strategies for plantar neuropathic ulcers, including total contact casting and removable devices, with adherence requirements
Assemble a pressure injury prevention bundle for a long-term care resident that addresses mobility, moisture, nutrition, and friction/shear
Recognize when lower extremity ulcer presentation warrants vascular referral before local treatment continues
Your checkpoint
A written prevention and offloading plan for three distinct patient profiles, scored against a self-built rubric at 80% or higher
Patient and Caregiver Education, Adherence, and Self-Care
Write patient education in plain language at approximately a sixth-grade reading level for three wound self-care topics
Script two teach-back encounters and two motivational interviewing exchanges that address a specific adherence barrier
Match at least two concrete strategies to each common barrier, including cost, dexterity, cognition, transportation, and health literacy
Adapt the same teaching content for a low-literacy learner, a non-English-speaking patient using an interpreter, and a cognitively impaired patient's caregiver
State the documentation required to demonstrate that education was delivered and understood
Your checkpoint
Two teach-back scripts plus a one-page plain-language patient handout, with a readability score computed and documented
Professional Practice, Team Communication, and Care Coordination & Assessment, Diagnosis, and Documentation of Wounds & Infection Risk, Identification, and Management
Draft an SBAR handoff and an interdisciplinary referral note for three complex wound cases
Map care coordination responsibilities across nursing, therapy, dietetics, podiatry, vascular, and case management for a single patient trajectory
Complete 150 timed mixed-domain practice questions under exam conditions and log every incorrect item by domain and error type
Re-study the two weakest domains until a repeat 30-question set in each reaches 80% or higher
Assemble a one-page rapid-review sheet of high-yield staging, dressing, and infection criteria
Your checkpoint
A full-length timed 150-question practice exam with a domain-level error analysis and a written remediation list; target 75% or higher overall
Milestones
Week 2: Score 80% or higher on a self-administered 30-question assessment and staging quiz, and produce a documentation sample that another clinician could read without asking clarifying questions
Week 4: Score 80% or higher on the combined wound bed preparation and infection vignette sets, and correctly identify the referral trigger in every case that required escalation
Week 6: Produce three complete prevention and offloading plans that pass your rubric, and correctly state compression safety thresholds and pressure-redistribution rationale on a 20-item self-quiz at 85% or higher
Week 8: Complete the timed 150-question mixed exam at 75% or higher overall with no single domain below 65%, and confirm the two previously weakest domains now exceed 80%