WCC study plan
WCC · Give each week a clear focus.
8 weeks · About 6 hours per week
Wound assessment, measurement, and documentation & Skin anatomy, physiology, and the phases of wound healing
Diagram the four phases of wound healing and label the key cells, cytokines, and matrix events of each phase from memory
Differentiate partial-thickness from full-thickness injury using depth and anatomic landmark criteria
Perform the standard wound measurement routine (length x width x depth, undermining, tunneling) on written case descriptions
Assemble the required elements of a complete wound assessment note using a standardized documentation checklist
Explain how moisture balance, bacterial balance, and wound edge status reflect the physiology of healing
Your checkpoint
Documentation packet with three fully written wound assessment notes (measurement, tissue-type percentages, exudate, periwound, edges, odor) scored against a 15-item self-checklist at 90% or higher.
Pressure injury staging, prevention, and offloading & Wound assessment, measurement, and documentation
Stage pressure injuries from written clinical descriptions, distinguishing Stage 1 through 4, unstageable, and deep tissue pressure injury
Identify anatomic landmarks and clinical cues that separate pressure injury from moisture-associated skin damage and incontinence-associated dermatitis
Calculate a Braden score and map each subscale to a specific preventive intervention
Build a written repositioning and offloading schedule for a case with both sacral and heel pressure injuries
Document staging and prevention rationale using correct terminology and avoid reverse-staging language
Your checkpoint
Staging worksheet of 20 case vignettes, each staged with a written rationale, plus a one-page offloading and repositioning plan for a combined sacral and heel case.
Lower extremity ulcers: venous, arterial, and lymphatic
Compare venous, arterial, and lymphatic ulcers across location, wound bed, margins, pulses, edema, temperature, and pain pattern
Interpret ankle-brachial pressure index values and state the thresholds that permit or prohibit compression
Select an appropriate compression level for a described venous ulcer case and list absolute and relative contraindications
Outline the components of complete decongestive therapy for a lymphatic ulcer case and identify referral triggers
Distinguish claudication and rest pain from neuropathic pain using described patient history
Your checkpoint
Three-column comparative table of venous, arterial, and lymphatic ulcers plus five worked case interpretations, each with a compression decision and documented rationale.
Wound bed preparation and debridement methods
Apply the TIME framework to four wound descriptions and name the single unmet component driving non-healing
Differentiate sharp, conservative sharp, enzymatic, autolytic, mechanical, and larval debridement by indication, contraindication, and clinician scope of practice
Determine when debridement is contraindicated, including stable intact heel eschar, severe arterial insufficiency, and bleeding risk
Select cleansing solutions and quantify appropriate use versus overuse of surfactants and antimicrobial cleansers
Specify a monitoring parameter that confirms the wound bed preparation plan is working
Your checkpoint
TIME-based wound bed preparation plan for four cases, each naming the debridement method chosen, the rationale, the contraindication screen, and the monitoring parameter.
Neuropathic and diabetic foot wounds
Classify diabetic foot ulcers using a validated system such as Wagner or the University of Texas system based on described findings
Explain how neuropathy, ischemia, and infection each contribute to ulcer formation and to delayed healing
Select an offloading device (total contact cast, removable cast walker, forefoot offloading shoe, felted foam) for a plantar neuropathic ulcer and justify the choice
Recognize Charcot deformity criteria and identify the point at which urgent referral is required
Outline the components of a structured diabetic foot examination including monofilament, vibration, and pulse assessment
Your checkpoint
Diabetic foot workup for six vignettes, each with classification, offloading device selection, vascular status interpretation, and documented referral triggers.
Infection, bioburden, and antimicrobial stewardship & Dressing selection and topical therapy
Differentiate contamination, colonization, critical colonization, local infection, and spreading infection using clinical signs alone
Decide when a culture is warranted and select the correct technique (tissue biopsy versus swab) while interpreting reported results
Critique topical antimicrobial use against stewardship principles, including silver and iodine indications and duration limits
Match dressing categories (foam, alginate, gelling fiber, hydrocolloid, film, antimicrobial, collagen, negative pressure) to specific wound characteristics
Justify a dressing regimen for an heavily exudating wound, a dry wound, and a deep cavity wound
Your checkpoint
Dressing selection matrix covering eight dressing categories plus a five-case antimicrobial decision log that documents start, stop, and duration rationale for each patient.
Nutrition, pain management, and patient/caregiver education & Infection, bioburden, and antimicrobial stewardship
Screen nutritional status using BMI, unintended weight loss percentage, and validated laboratory markers, and state referral criteria to a dietitian
Estimate calorie and protein needs for a patient with a pressure injury and translate them into stage-appropriate recommendations
Construct a multimodal pain plan timed around dressing changes that combines topical, systemic, and non-pharmacologic measures
Teach a caregiver a dressing change and repositioning routine using teach-back and document demonstrated competency
Re-audit stewardship decisions from earlier cases against current evidence and correct any weak justifications
Your checkpoint
Patient education packet containing a one-page teach-back caregiver handout on dressing change and repositioning, plus a single-case nutrition and pain plan with measurable targets.
Skin anatomy, physiology, and the phases of wound healing & Wound assessment, measurement, and documentation & Pressure injury staging, prevention, and offloading & Lower extremity ulcers: venous, arterial, and lymphatic & Neuropathic and diabetic foot wounds & Wound bed preparation and debridement methods & Infection, bioburden, and antimicrobial stewardship & Dressing selection and topical therapy & Nutrition, pain management, and patient/caregiver education
Complete two timed 100-question mock exams and trace every missed item back to a specific reference
Re-drill the two lowest-scoring domains from the previous week's analysis until each reaches 80% or higher
Rehearse pressure injury staging, ankle-brachial index interpretation, and TIME planning from memory in a 20-minute rapid recall session
Consolidate one high-yield summary sheet per domain and verify each fact against a primary source
Practice written documentation under time pressure for assessment, staging, and dressing rationale
Your checkpoint
Second mock exam score of 80% or higher, a written remediation log for every incorrect answer, and a completed set of nine one-page domain summary sheets.
Milestones
Week 2: Correctly stage at least 17 of 20 pressure injury vignettes, including one unstageable injury and one deep tissue pressure injury, with defensible written rationale.
Week 4: Score 80% or higher on a 40-question timed quiz over domains 1 through 4, and produce a complete TIME wound bed preparation plan unaided in under 15 minutes.
Week 6: Classify 15 of 15 wound vignettes as colonized, critically colonized, locally infected, or spreading infection, and justify each corresponding dressing or antimicrobial choice.
Week 7: Score at least 75% overall and at least 70% in every domain on a 100-question mixed practice set, with a caregiver teach-back handout reviewed by a peer or mentor.
Week 8: Complete two timed mock exams, reach 80% or higher on the second attempt, and show a remediation log covering every missed item.