{ "assessment_info": { "title": "10 Point Wound Assessment", "assessment_id": "ASS_20181003074903_54a9f0d9-e181-4f70-a", "aspect_id": "ASP_20181003090919_5174638c-9b79-4f36-a", "description": "Practical Skills Assessment - 10 point WOUND assessment", "time_limit": "10 minutes", "performance_level": "Level 4 - Must perform without assistance at appropriate pace with basic understanding of theory and practice principles", "instruction": "YOU CAN NOT PROCEED WITHOUT A QUALIFIED ASSESSOR LOGGING IN.\n\nPlease ensure you have completed the study unit on wound assessment in order to show proficiency. Good Luck !\n\nBRIEF: The assessor will give you clear and accurate feedback identifying any knowledge or skill gaps and the need for re-evaluation if required.\n\nPRE-REQUISITE: This is a timed assessment. (Not facilitation)\n\nTIME FRAME - You have 10 minutes.\n\nPERFORMANCE LEVEL - (4 )- You must perform this activity without assistance at an appropriate pace with a basic understanding of theory and practice principles.\n\nVALIDITY - Scores are computer generated. On completion you may be required to record a maximum voice message or video following the 10 step wound assessment simulating report via Radio medical advice.\n\nCANDIDATE DIRECTIVE: Identify the wound given to you by the assessor and perform a methodical 10 point wound assessment." }, "wound_assessment_points": [ { "point": 1, "sortcode": 1, "description": "Identifies patient status (level of Consciousness)", "item_id": "ITM_20181003091059_3ee3df81-aec6-4107-8", "guidance": { "method": "Use AVPU scale assessment", "key_elements": [ "Alert - Patient is awake and responsive", "Verbal - Patient responds to verbal commands", "Pain - Patient only responds to painful stimuli", "Unresponsive - Patient does not respond to any stimuli" ], "commands_to_use": [ "Open your eyes", "Take a deep breath", "Squeeze my fingers" ], "notes": "Assess the patient's level of consciousness to determine neurological status and urgency of care needed" } }, { "point": 2, "sortcode": 2, "description": "Identifies the mechanism of injury", "item_id": "ITM_20181003091116_e94100e6-2489-4eb0-9", "guidance": { "definition": "What caused the injury", "key_elements": [ "Determine what caused the injury", "Understanding mechanism helps predict other injuries", "Provides insight into possible injury to underlying structures", "Helps assess risk of contamination", "Guides preferred method of wound closure" ], "examples": [ "Sharp object (knife, broken glass)", "Blunt trauma (fall, impact)", "Crushing force", "Penetrating injury", "Thermal injury" ], "importance": "The mechanism of injury provides valuable insight into the possible injury to underlying structures, the risk of contamination and the preferred method of wound closure" } }, { "point": 3, "sortcode": 3, "description": "Identifies the forces involved: Amount, location and time", "item_id": "ITM_20181003091157_bb0e3d74-f383-4aeb-8", "guidance": { "three_components": { "amount": "Amount of force applied to body", "location": "Area of the body involved", "time": "Length of time force was applied to the body" }, "assessment_approach": [ "Ask about the intensity/severity of the impact", "Determine exactly which body part was affected", "Establish duration of force application", "Consider if force was sudden or sustained" ], "clinical_significance": "These three factors help predict the extent of tissue damage and potential complications" } }, { "point": 4, "sortcode": 4, "description": "Describe the anatomical location and verbalises the use of correct wound photography", "item_id": "ITM_20181003091221_0ac178e4-e3fd-4ba6-9", "guidance": { "anatomical_description": [ "Use precise anatomical terminology", "Describe exact location on body part", "Note proximity to important structures", "Include orientation and positioning" ], "wound_photography": [ "Take photos with ruler for scale", "Ensure proper lighting", "Include wide shot for context", "Close-up for detail", "Document before and after cleaning" ], "documentation_importance": "Accurate location description and photography are essential for handover to medical professionals and legal documentation" } }, { "point": 5, "sortcode": 5, "description": "Describes the type of wound", "item_id": "ITM_20181003091254_371137c9-947f-4849-b", "guidance": { "wound_types": [ "Abrasion - superficial scraping", "Laceration - irregular tear", "Incision - clean cut", "Puncture - deep narrow wound", "Avulsion - tissue torn away", "Contusion - bruising without break in skin" ], "classification_factors": [ "Depth of wound", "Pattern of tissue damage", "Edges (clean vs irregular)", "Bleeding pattern" ], "clinical_significance": "Type of wound determines treatment approach, closure method, and infection risk" } }, { "point": 6, "sortcode": 6, "description": "Accurately describe the size of wound (Length and depth)", "item_id": "ITM_20181003091506_a6da8d34-2c84-4209-9", "guidance": { "measurement_technique": [ "Use ruler or measuring device", "Measure length in centimeters", "Assess depth carefully", "Note if depth varies across wound" ], "documentation_format": [ "Length x Width x Depth (in cm)", "Note any irregular shapes", "Describe deepest portion", "Compare to anatomical landmarks" ], "clinical_importance": "Accurate size measurement is critical for determining treatment approach, closure method, and healing time prediction" } }, { "point": 7, "sortcode": 7, "description": "Indicate the potential damage to underlying structures", "item_id": "ITM_20181003091540_eab08aba-ea48-4cf1-9", "guidance": { "structures_to_assess": [ "Muscles and tendons", "Nerves", "Blood vessels", "Bones and joints", "Organs (if deep penetration)" ], "assessment_methods": [ "Visual inspection of wound depth", "Functional testing when appropriate", "Check for foreign objects", "Assess for active bleeding patterns" ], "red_flags": [ "Bone visible in wound", "Pulsatile bleeding", "Loss of function", "Numbness or tingling" ] } }, { "point": 8, "sortcode": 8, "description": "Demonstrate or verbally indicate the presence of the pulse, movement and sensation (PMS)", "item_id": "ITM_20181003091620_c5ea6cb1-c091-4b2d-8", "guidance": { "pms_components": { "pulse": "To test for pulses to ensure adequate blood circulation", "movement": "To test for movement to assess for adequate nerve function to the parts of the body affected by the injury", "sensation": "To test for sensation to assess for adequate nerve function to the parts of the body affected by the injury" }, "testing_approach": [ "Check pulse distal to injury", "Test active and passive movement", "Assess light touch sensation", "Compare to uninjured side" ], "documentation": [ "Present/Absent for each component", "Note any diminished responses", "Record specific deficits found" ], "clinical_significance": "PMS testing helps identify damage to vascular and nervous structures that may require immediate intervention" } }, { "point": 9, "sortcode": 9, "description": "Can discuss the potential risk of infection", "item_id": "ITM_20181003091801_e38e4815-b798-4981-b", "guidance": { "infection_risk_factors": [ "Contamination level of wound", "Time since injury occurred", "Patient's immune status", "Location of wound", "Type and depth of wound" ], "time_critical_factors": [ "Any wound exposed for greater than 8 hours is at significant risk for infection", "Mechanism of injury affects contamination risk", "Environment where injury occurred" ], "prevention_measures": [ "Proper cleaning and irrigation", "Antibiotic prophylaxis consideration", "Tetanus status evaluation", "Appropriate wound closure timing" ], "high_risk_indicators": [ "Dirty/contaminated wounds", "Puncture wounds", "Human or animal bites", "Crush injuries with tissue damage" ] } }, { "point": 10, "sortcode": 10, "description": "Predict the need for evacuation (time and method)", "item_id": "ITM_20181003091827_ac9457c2-5ae8-4efd-b", "guidance": { "evacuation_criteria": [ "Severity of injury", "Potential for complications", "Available on-site treatment capabilities", "Patient stability", "Risk of deterioration" ], "timing_considerations": [ "Immediate - life-threatening injuries", "Urgent - within 4 hours for surgical evaluation", "Routine - stable patients for definitive care" ], "method_selection": [ "Helicopter for remote locations", "Boat transfer if appropriate", "Ground transport when feasible", "Consider weather and sea conditions" ], "documentation_requirements": [ "Justification for evacuation decision", "Preferred method and timing", "Patient condition during transport", "Any interventions needed en route" ] } } ], "grading": { "pass_threshold": "7.5", "scoring_type": "Computer generated", "grade_scale_id": "AGS_20181003074903_6b440bc7-04b5-427d-b", "scoring_options": [ "Competent", "Knowledge Gap", "Skill gap", "Not Yet Competent" ] }, "additional_requirements": { "radio_medical_advice": "Verbalize simulating radio medical advise your wound assessment", "documentation": "Complete accurate documentation required", "retests_allowed": 1, "auto_activate": true }, "key_learning_points": { "systematic_approach": "Follow all 10 points methodically without skipping any steps", "communication": "Clear, concise communication during radio medical advice simulation", "time_management": "Complete assessment within 10-minute timeframe", "safety_first": "Always consider patient safety and your own safety during assessment", "documentation": "Accurate record-keeping is essential for continuity of care" } }