Wound Care &
Skin Integrity

• Stage pressure injuries (Stage 1–4, deep tissue injury, unstageable) using current NPIAP definitions
• Assess any wound systematically with the TIME framework (Tissue, Infection/Inflammation, Moisture, Edge)
• Apply an evidence-based prevention bundle (SSKIN) and adjust it to each patient’s risk profile
• Differentiate uncomplicated cellulitis from necrotizing fasciitis and recognize LRINEC-style red flags
• Recognize Stevens-Johnson syndrome / toxic epidermal necrolysis as a dermatologic emergency
• Identify nutrition, perfusion, moisture, and mobility as the true drivers of healing — and treat them
• Document skin and wounds with objective, observation-first, dignity-preserving language

This module was developed from bedside wound-care workflow analysis across North American acute and long-term care settings — not from product brochures or dressing-company education alone. WestNet HealthOS was built because the conventional wound workflow too often treats the hole in the skin while ignoring the body that produced it.

Module 05 is not anti–wound-care. It is anti–surface-only care — the kind that orders an expensive dressing for a Stage 4 sacral wound while the patient is malnourished, dehydrated, immobile, and lying on the same pressure point for the eighth hour running.

The skin is the body’s largest organ and its most honest one. It cannot hide what is happening underneath. A breakdown over the sacrum, the heel, or the ischium is not a local accident — it is the visible endpoint of a chain: too little protein and fluid to rebuild tissue, too little blood flow to deliver it, too much pressure for too long, too much moisture macerating the surface, and too few hands turning and checking the patient.