Choosing a dressing

Purpose of this sheet: essential wound care landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. Exam relevance: The TIME framework and systematic wound assessment are staples of OIIQ scenarios covering long-term care. — Clinical landmarks — Heavy exudate: alginate, hydrofibre or foam Moderate exudate: foam or hydrocellular Light exudate: thin hydrocolloid or transparent film Dry wound needing moisture: hydrogel Infected wound: antimicrobial dressing, silver or PHMB, reassessed regularly Fragile surrounding skin: silicone contact layer The goal is a moist wound bed with dry, intact surrounding skin. A dressing that sticks on removal was the wrong choice. — Remember — Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. Keywords: wound care, chronic wound, ostomy, dressing, TIME framework, OIIQ exam, OIIQ exam prep, OIIAQ exam prep, nurse in Quebec, NursEduc.

Clinical content reviewed by Ducamelle Louis, Registered Nurse