WCC study materials
WCC study resources

WCC study plan

WCC · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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.

Week 2

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.

Week 3

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.

Week 4

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.

Week 5

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.

Week 6

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.

Week 7

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.

Week 8

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.