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STUDENT NAME
TRAINING PACKAGE Health
NATIONAL COURSE CODE HLT54115
NATIONAL COURSE NAME Diploma of Nursing
NATIONAL UNIT CODE HLTENN006
NATIONAL UNIT NAME Apply principles of wound management in the
clinical environment
ASSESSMENT DETAILS
TASK 1 Written Assignment A
TASK 2 Written Take Home Assignment B
TASK 3 Professional experience reflection activity on page 100 in TRB
TASK 4 Clinical Skills Assessment pages 30-32 and 74-75 in TRB
 There are 4 assessment tasks for this unit. 2 assessment tasks are contained within
this document. Task 3 & 4 are contained within your Training Record Book.
 This task makes up 100% of the assessment for this unit.
 You must achieve a satisfactory grade in each task to achieve a result of
competent for the units.
DUE
DATE:
HLTENN006 Asmt 1 of 4 Version: 1

Page 1 of 18
Owner: Health Review date:
DO NOT REMOVE Last updated: 02.09.2016
Responsible for currency: VET Regulation Support Officer Review date: 02.09.2016
STUDENT DECLARATION
1. I declare this assessment task to be solely my own work or, I have acknowledged within my
assessment if this work was completed with a peer
2. I have notified the trainer/assessor of any special needs or requirements I have in relation to
the assessment
3. I understand that my assessment will not be returned to me and I have kept a copy of my
own work
4. I have read and understood the Assessment Policy provided in Every Student’s Guide to
Assessment in TAFE NSW.
https://www.tafewestern.edu.au/files/dmfile/everystudentsguidetoassessment.pdf
STUDENT NAME STUDENT SIGNATURE DATE
RTO DECLARATION
I declare that any workplace information contained in this assessment will remain
confidential within TAFE NSW.
TRAINER/ASSESSOR NAME TRAINER/ASSESSOR DATE
SIGNATURE

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ASSESSMENT INSTRUCTIONS
 This assessment is to determine your competency in relation to the unit HLTENN006 – Apply
principles of wound management in the clinical environment.
 The assessments require you to:
o Complete the following tasks
o It must be completed and submitted in a professional, work processed format.
 Always keep a copy of the assessment submitted.
 Written Assessment Event is to be completed individually.
 Your assessment needs to have accurate spelling and grammar, in-text referencing,
reference list using the TAFE approved referencing system and relevant appendices
 Should you have any concerns about this assessment, please contact your trainer/assessor
before beginning the tasks.

Page 3 of 18
Marking Criteria – Written Assignment A
MARKS
ITEM MARKS
AWARDED
Definition
15
Describe in detail the physiological processes of wound
healing.
Patient assessment
20
Discuss 5 factors which can effect optimal wound healing
Pain management documentation 15
Strategies to minimise cross infection and prevent the
spread of disease and reduce further complications. 15
Education
Wound assessment tool consultation 15
Intervention and wound management products rationale.

20
Total 100
Marking Criteria – Take Home Assignment B
MARKS
ITEM MARKS
AWARDED
Definition 15
Page 4 of 18
Describe in detail the physiological processes of wound
healing.
Patient assessment
20
Discuss 5 factors which can effect optimal wound healing
Pain management documentation

15
Strategies to minimise cross infection and prevent the
spread of disease and reduce further complications. 15
Education
Wound assessment tool consultation 15
Intervention and wound management products rationale.

20
Total 100
ASSESSMENT TASK 1 – Written Assignment A
Question 1 Wound Types
Briefly describe the following wound types. Your response may include any relevant factors such as
causative factors, special nursing considerations and complications or treatment methods.
a) Surgical incisions
According to Gauta (2011), Surgical wound incision is caused by a cut made during surgery, it can
also be due drain paced during surgery. These wounds are typically treated by placement of surgical

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dressing over the wound which is changed regularly. In case of complications, they occur within 30
days of surgery.
b) Arterial Ulcers
These are known as ischemic wounds. They are caused by peripheral artery disease; they are
also exhibited in diabetics experiencing difficulties in managing their condition. Treatment involves
vascularization of the affected area as well as regular cleaning that is done by vascular specialist
(Margolis et al. 1999).
c) Venous Ulcers
These are wounds that occur due to abnormal functioning of the veins. Venous ulcers are
caused injuries, ageing, obesity, and blood clots. They are manifested by red skin rashes that
develop into wounds. Treatment involves compression of the leg and wound care. Critical conditions
may require surgery.
d) Mixed Ulcers
According to Margolis et al. (1999), mixed ulcers results from a combination of arterial and
venous ulcers. This form of ulcers is complex and can change their character rapidly especially when
the arterial disease is progressing rapidly. As such, the arterial infection is the most essential factor
to consider during treatment. Most specialists recommend the reduction of strength of compression
in patients with mixed ulcers to reduce the risk of compression related complications (Grey et al.
2006).
e) Malignant wounds
Malignant wounds result from cancerous cells which infiltrates the skin and the body vessels
(blood and lymph vessels). The cancerous cells cause tissue death due to vascularity. Malignant
wounds maybe caused by skin metastasis by tumour or primary cancer. The treatment focuses on
physical and psychological management of the patients to maintain the quality of life rather than
healing (Grey et al. 2006).

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f) Neuropathic ulceration wounds
Neuropathic ulcers results from peripheral neuropathy common in diabetic patients. The
disease results in autonomic disorder and loss of body sensation. This is further complicated by
ischemia. Neuropathic ulcers wounds are managed through maintaining the Escher dry and
cleansing the wounds with non-cytotoxic cleansers (Margolis et al. 1999).
g) Infected wounds
Infected wounds refer to skin excavations invaded by pathogenic organisms. These conditions
trigger the body resulting to inflammation, and damage of the tissues. Mild wound infections can be
treated at home; however, severe conditions should be referred proper medical attention.
h) Burns
Burns refer to the damage to the skin or deeper tissues typically by hot liquids electricity, fire
or chemicals. Burns are associated with severe skin damage that results to death of the skin cells.
Burns are classified according to the intensity of the damage. Third-degree burns are the most
serious with high risk of severe complications such as blood loss, infections shock or even death.
i) Fistulas and sinuses
The term fistula refers to the abnormal cavity which forms between internal body cavity and
body surfaces. Sinuses refer to unusual pathway that starts or ends in one opening. These
conditions are cause by infections, liquefaction and foreign bodies (Grey et al. 2006). Management of
Fistula and sinuses depends upon the underlying cause of the condition. Causes can be complex and
multifactorial thus requiring complex medical attention.
j) Skin grafts
Skin graft refers to a surgical procedure which that involves removing the skin from one area
of a body and transplanting it to a different area of the body. This procedure is conducted especially

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if part of the patient’s body has lost its skin cover due to injuries, burns or infections. Proper care
should be taken after skin graft procedure, the donor cite heals faster than the graft site.
k) Visceral wounds
This refers to damage to the internal body organs including those within the abdomen such as
the liver, pancreas and intestines as well as those within the chest such as the heart and the lungs
(Grey et al. 2006). Visceral injuries can be classified into two categories: those caused by penetrating
mechanism or those caused cause by blunt trauma. Due the versatility of this condition, surgery
incisions are the standard approach to the treatment.
l) Discharging wounds
Also known as drainage wounds, they are wounds with exudates that result from tissue
damage. These wounds occur as a result dilation of the blood vessels especially during initial
inflammatory healing stage. Presence of certain bacteria is the primary cause of discharging
wounds. The treatment concern of this condition is based on the underlying infection (Grey et al.
2006).
m) Pressure ulcers.
According to Grey et al. (2006), pressure ulcers are also known as pressure sores. They are
injuries to the skin or the underlying body tissues that are results when the skin experiences a
prolonged pressure. This condition primarily affects people confines to beds or chairs for prolonged
period of time. Treatment of the pressure ulcer depends on the severity of the condition.
Management may range from minor nursing to serious medical care for life-threatening
complications

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Question 2. Wound Management Techniques
Provide a brief explanation of each of the following wound management techniques.
a) Wound debridement
Wound debridement refers to the removal of damaged, dead or infected tissues from the
body. This procedure is conducted to boost the healing potential of the healthy tissues (Grey et al.
2006). Wound debridement can be conducted through surgical, mechanical or through maggot
therapy. It may also involve self-digestion or chemical procedures.
b) Doppler assessment
Doppler assessment is a process of measuring the amount of blood flow through the body
veins and arteries. Vascular flow studies can abnormal blood flows in the blood vessels. This
assessment is carried out on the arms or legs of the patients to measure blood floor in vessels that
carry blood to this body parts.
c) Compression therapy
According to Vowden et al. (2017), compression therapy refers to the principle of applying
elastic material typically the compression socks around the leg. The process involves mechanical
compression of the legs to produce a gentle squeeze to the veins which allows the valves to close .
This reduces the cavity of the veins thus restoring the overall blood floor to normal. It also facilitates
blood circulation. Compression therapy is a form of wound care that aims at wearing specifically
designed stockings on the ankles and legs which functions to stretch out the vein walls thus reducing
the overall swelling.
d) Clinical photography
Clinical photography also known as medical photography is a routine capture and recording
of daily presentations of the medical conditions of the patients. This data is used for diagnosis as
well as for recording various conditions exhibited in particular stages of treatment.

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e) Wound tracing
Wound tracing is a clinical method used by nurses to measure and record the wound area.
The primary purpose of wound tracing is to measure the progress of healing through changes in
area of the wound (Velnar et al. 2009).
Question 3. Laboratory results
Describe the correct process you would use for sterile specimen collection.
During sterile specimen collection, the healthcare personnel should adhere to the
precautions regarding the use of sterile techniques (Gauta, 2011). Also, hazardous biological
materials should be responsibly disposed to protect the health of the patient and the staff.
Nonetheless, ultimate hygiene is a central factor in sterile specimen collection.
Question 4. Development of contemporary management strategies
Outline the principles of warm moist wound healing.
Moist wound healing is vital in progression of wound from the inflammatory to the repair
stage. It enhances the viability and migration of the white blood cells, stimulates the wound repair
phase of healing, reduces the incidences of wound infection, reduces the wound pain, and keeps the
wound in physiological temperature enhancing the healing cells functioning (Vowden et al. 2017).
Question 5. Standards
Briefly explain the significance of the National Safety and Quality Health Service (NSQHS) Standards
as they relate to wound management
The primary significance of NSQHS standards is to improve the quality of medical service
provision and to protect the public from harm. NSQHS provides quality assurance procedures which
measures whether relevant health systems are in place. These standards ensure safety and quality
for patients with different health complications. NSQHS enhances the prevention and management

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of pressure injuries; this involves strategies to ensure that patients do not develop pressure injuries
and offers best management practices in case such complication arises.
ASSESSMENT TASK 2 – Written Take Home Assignment B
Sarah Victor, 51 years has had an abdominal hysterectomy 12 days ago. She has been readmitted
with a wound dehiscence and has completed a course of antibiotics for her wound infection. There
are no signs and symptoms of systemic infection at this stage although there is still a moderate
amount of exudate. Sarah states that her wound is “sore and a bit smelly”. Sarah lives alone but has
four cats. She is concerned about not having enough sick leave while recovering.
Write a report on the case study above to answer the following:
A Report on Sarah’s Case
An abdominal hysterectomy refers to a surgical procedure that involves removal of the
patients’ uterus in the lower abdomen (Gauta, 2011). Hysterectomy can also be operated through a
cut in the vagina or through laparoscopic surgical approach. After hysterectomy process, wound
complications may occur which is critical causes of postoperative morbidity. Typically, surgical
wounds heal in systematic sequence such as inflammation, epithelialization, fibroplasia, and lastly
maturation. Sarah’s case is as a result of mechanical failure which has resulted to wound
dehiscence.
Wound dehiscence is a condition where incisions made during surgical process separates
days after it has been stitched together. This condition occurs within 3-10 days after operation. It’s
majorly caused by injuries, infections, weak tissues in the wound area, early stitch removal,
stretching of the wound or incorrect suture technique. This condition interferes with correct wound
healing process.

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The physiological wound healing process can be divided into four phases namely the vascular
response, followed by inflammatory response which is followed by proliferation and maturation
(Velnar et al. 2009). Vascular response is the initial phase characterised with constriction of the
blood vessels to reduce blood flow which eventual coagulation. Inflammation is the second phase
characterised by fluid engorgement which allows healing and repairs the cells on the wound site.
Proliferation involves formation of new tissues made of collagen on the wound site. Lastly
maturation occurs when the wound finally closes. In the case of Sarah’s wound, the healing stopped
at the inflammation phase resulting to exudate complications.
According to Velnar et al. (2009), factors that can hinder optimum surgical wound healing
includes injuries, infections, and weak tissues in the wound area, early stitch removal, stretching of
the wound or incorrect suture technique. From the assessment of Sarah’s lifestyle her condition is
likely to be as a result of stretching of the wound while working this is because she cannot access
sick leave. Sarah’s condition can also be attributed to infections especially due to her four cats. Since
she stays alone, managing the hygiene of her four cats may be difficult hence resulting to infections.
Pain and comfort management are critical practices for patients especially after abdominal
hysterectomy (Nilsson et al. 2012). In the case of Sarah opioid narcotics should be used to reduce
post-operative pain management. This can be recorded in Sarah’s book in form of dosage and
frequency. Sarah should be advised to quit strenuous task while at work as well as home until full
recovery. Pain and comfort management can also be enhanced through proper wound dressing as
well as warming the cleansing solution (Velnar et al. 2009). Furthermore, music therapy and opioid
use can be applied to reduce anxiety.
Cross infection is one of the critical dangers of delayed wound healing. In the case of Sarah’s
condition, proper and frequent cleansing and dressing of the wound should be conducted. Also,
Sarah should be advised to maintain proper hygiene back at home. This may involve proper care of
the four cats; cats can be primary sources of cross infections. Sarah should also quit strenuous tasks
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until full recovery. Nonetheless proper follow up should be done by the healthcare practitioner to
ensure these strategies are followed.
Many chronic wounds need care from multidisciplinary team. The following are four multi-
disciplinary team members:
 Pharmacists – they prepare and dispense medical drugs according to a medical doctor’s
prescription.
 General Practice nurses – they provide primary health care in a general healthcare
service
 Podiatrists – they are responsible for diagnosis treatment as well as rehabilitation or
surgical conditions of lower limbs.
 Family doctor or General Practitioner – provide comprehensive person care as well as
referrals for other health professionals.
In my opinion Sarah’s wound is experiencing complications during its inflammatory healing
stage. Therefore, the most appropriate management techniques for the patient will be proper
dressing of the wound to reduce the exudates as well as administration of opioid narcotics to reduce
pain. This will be advised to avoid heavy works until the wound heals (Nilsson et al. 2012).
ASSESSMENT TASK 3 – Professional experience reflection activity in Training Record Book
In the Training Record book complete reflective practice activity for apply principles of wound
management in the clinical environment on page 100 whilst on clinical work placement.

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ASSESSMENT TASK 4 - Clinical Skills Assessments
You are to complete relevant clinical skills in your training record book for this unit in either a
simulated, workplace environment or both as outlined on pages 30-32 and 74-75 of your TRB

Page 15 of 18
ASSESSMENT SUMMARY REPORT
STUDENT NAME
TRAINER/ASSESSOR NAME
DATE ASSESSED
NATIONAL UNIT CODE/S HLTENN006
NATIONAL UNIT NAME/S Apply principles of wound management in
the clinical environment
TASK # TASK DETAIL S/NS
Assessor – Note each assessment task/s included and the assessment method.
Add/delete rows as required.
TASK # FEEDBACK S/NS
 Satisfactory
TASK 1 Written Assignment A
 Not Satisfactory
 Satisfactory
TASK 2 Written Take Home Assignment B
 Not Satisfactory
Professional experience reflection Activity in  Satisfactory

TASK 3
TRB on page 100  Not Satisfactory
Clinical skills assessments page 30-32 and 74-  Satisfactory

TASK 4
75 in TRB  Not Satisfactory
OVERALL RESULT  COMPETENT  NOT COMPETENT
Your result will be able to be viewed in the Learner portal
approximately three weeks after submission.

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FEEDBACK TO STUDENT FROM THE TRAINER/ASSESSOR ON THEIR
PERFORMANCE AND RESULT
TRAINER/ASSESSOR NAME TRAINER/ASSESSOR DATE
SIGNATURE
Your trainer/assessor will provide you with feedback following completion of the task.
They will update your learner record with the result which you can view in the Learner
portal. If you wish to provide feedback, please complete the Learner questionnaire
provided here and detail your feedback in the Assessment comment box on Page 2.
Should you wish to query your assessment result please view the process in the
Assessment Policy available on the TAFE Western website.

Page 17 of 18
References
Gauta, J. (2011). Outpatient laparoscopic hysterectomy: evaluation of pain. JSLS: Journal of the Society of
Laparoendoscopic Surgeons, 15(3), 346. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183569/
Grey, J. E., Enoch, S., & Harding, K. G. (2006). Wound assessment. Bmj, 332(7536), 285-288.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360405/
Margolis, D. J., Kantor, J., & Berlin, J. A. (1999). Healing of diabetic neuropathic foot ulcers receiving standard
treatment. A meta-analysis. Diabetes care, 22(5), 692-695.
https://care.diabetesjournals.org/content/diacare/22/5/692.full.pdf
Nilsson, L., Wodlin, N. B., & Kjølhede, P. (2012). Risk factors for postoperative complications after fast‐track
abdominal hysterectomy. Australian and New Zealand journal of obstetrics and gynaecology, 52(2),
113-120. http://www.diva-portal.org/smash/get/diva2%3A524368/FULLTEXT01.pdf
Vowden, K., & Vowden, P. (2017). Wound dressings: principles and practice. Surgery (Oxford), 35(9), 489-494.
https://www.academia.edu/download/57887339/Wound_Dressing.pdf
Velnar, T., Bailey, T., & Smrkolj, V. (2009). The wound healing process: an overview of the cellular and
molecular mechanisms. Journal of International Medical Research, 37(5), 1528-1542.
https://journals.sagepub.com/doi/pdf/10.1177/147323000903700531

Page 18 of 18

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ASSESSMENT COVER SHEET + TASKS

TRAINING PACKAGE Health

NATIONAL COURSE CODE HLT54115

NATIONAL COURSE NAME Diploma of Nursing

NATIONAL UNIT CODE HLTENN006

NATIONAL UNIT NAME Apply principles of wound management in the

TASK 1 Written Assignment A

TASK 2 Written Take Home Assignment B

TASK 3 Professional experience reflection activity on page 100 in TRB

TASK 4 Clinical Skills Assessment pages 30-32 and 74-75 in TRB

 This task makes up 100% of the assessment for this unit.

 You must achieve a satisfactory grade in each task to achieve a result of

competent for the units.

HLTENN006 Asmt 1 of 4 Version: 1

assessment if this work was completed with a peer

Assessment in TAFE NSW.

STUDENT NAME STUDENT SIGNATURE DATE

confidential within TAFE NSW.

TRAINER/ASSESSOR NAME TRAINER/ASSESSOR DATE

HLTENN006 Asmt 1 of 4 Version: 1

principles of wound management in the clinical environment.

 The assessments require you to:

o Complete the following tasks

o It must be completed and submitted in a professional, work processed format.

 Always keep a copy of the assessment submitted.

 Written Assessment Event is to be completed individually.

before beginning the tasks.

HLTENN006 Asmt 1 of 4 Version: 1

Pain management documentation 15

Strategies to minimise cross infection and prevent the

spread of disease and reduce further complications. 15

Wound assessment tool consultation 15

Intervention and wound management products rationale.

Marking Criteria – Take Home Assignment B

Pain management documentation

Strategies to minimise cross infection and prevent the

spread of disease and reduce further complications. 15

Wound assessment tool consultation 15

Intervention and wound management products rationale.

ASSESSMENT TASK 1 – Written Assignment A

Question 1 Wound Types

causative factors, special nursing considerations and complications or treatment methods.

HLTENN006 Asmt 1 of 4 Version: 1

(Margolis et al. 1999).

may require surgery.

healing (Grey et al. 2006).

cleansing the wounds with non-cytotoxic cleansers (Margolis et al. 1999).

i) Fistulas and sinuses

multifactorial thus requiring complex medical attention.

HLTENN006 Asmt 1 of 4 Version: 1

incisions are the standard approach to the treatment.

HLTENN006 Asmt 1 of 4 Version: 1

Provide a brief explanation of each of the following wound management techniques.

therapy. It may also involve self-digestion or chemical procedures.

carry blood to this body parts.

the overall swelling.

well as for recording various conditions exhibited in particular stages of treatment.

area of the wound (Velnar et al. 2009).

Question 3. Laboratory results

Nonetheless, ultimate hygiene is a central factor in sterile specimen collection.

Question 4. Development of contemporary management strategies

Outline the principles of warm moist wound healing.