Chronic wound management capability self-reflection tool

This tool supports healthcare workers who care for people living with chronic wounds to:

reflect on and document your current capability against the NSW Health Chronic Wound Management Capability Framework

identify and prioritise areas of chronic wound prevention and management capability for further development

positively reflect on and acknowledge your current expertise and strengths

start or continue conversations with your manager about performance and development needs

create a learning and education plan to support your professional development in wound prevention and management

document evidence to support requests for continuing professional development activities

The aim of this tool is to build the confidence, capability and future development of healthcare workers to provide wound management prevention and management. This tool is intentionally comprehensive so please allow sufficient time to complete it. You can complete the tool in any of the following ways:

all at once or focus on a few domains at a time

individually for your own personal learning

with a mentor

as part of professional development with your manager.

Note: Services are welcome to modify this tool to better meet their specific needs regarding self-reflection and capability building.

Instructions

Read the summary of each capability and select the capabilities that are relevant for your role. You can skip the capabilities that are not relevant.

For the relevant capabilities, read the capability statements across the three levels of proficiency and select the level that best describes your current capability. You can select two if you are currently in-between the levels.

Reflect on your current level against the level of proficiency required for your role. Do they match? If your current level of proficiency is lower than what is needed for your role, this capability would be a high priority for your professional development.

Optional. Share examples that demonstrate your level of proficiency in the capability.

My chronic wound management capability self-reflection

Name:

Date:

Role:

Part 1: Identifying your proficiency level of chronic wound management capabilities

Each capability in the framework is described across three progressive levels of proficiency: Foundational, Adept and Advanced.

Foundational	Adept	Advanced
Healthcare or other worker who: provides clinical or personal care to consumers, demonstrating baseline knowledge and skills required to identify and respond to altered skin integrity or wounds may require support to address impaired skin integrity, and wound assessment and management appropriately seeks assistance and escalates care to meet consumer needs.	Clinician who: meets all Foundational capabilities independently manages impaired skin integrity and chronic wounds within their scope of professional practice demonstrates an appropriate degree of critical analysis in the capability to assess a wound, differentiate wound types and determine treatments seeks expert input appropriately for complex decision-making and uses referral and escalation pathways as required.	Clinician who: meets all Foundational and Adept capabilities displays a high degree of autonomy and decision-making capability in complex chronic wound management may have advanced, specialist knowledge and skills provides leadership for wound management services.

Domain 1: Skin anatomy, physiology and pathophysiology

Knowledge about skin anatomy and physiology, the pathophysiology of wounds and wound healing mechanisms that underpin the ability to provide evidence-based chronic wound management.

1.1 Skin anatomy, physiology and function

Demonstrates knowledge of skin structure and function relevant for preventing, identifying and managing chronic wounds.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

1.1.1 Knowledge of skin anatomy	Self-reflection	Proficiency level
I can describe the basic anatomy of the skin.	☐	Foundational
AND I can explain anatomy of skin to colleagues and consumers.	☐	Adept
AND I have advanced knowledge of anatomy of the skin, and I can educate colleagues and consumers.	☐	Advanced
1.1.2 Knowledge of skin physiology	Self-reflection	Proficiency level
I can describe the primary functions of the skin.	☐	Foundational
AND I can describe other functions and physiology of skin.	☐	Adept
AND I can describe advanced skin physiology.	☐	Advanced

1.1 Skin anatomy, physiology and function: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

1.2 Wound types and aetiologies

Demonstrates knowledge of acute and chronic wounds and their causes and risk factors.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

1.2.1 Knowledge of wound types	Self-reflection	Proficiency level
I can describe the features of common wound types, including pressure injuries, lower limb ulceration, surgical wounds and other wounds, within own scope of practice.	☐	Foundational
AND I can identify these wounds.	☐	Adept
AND I can explain the features of complex or atypical wounds.	☐	Advanced
1.2.2 Knowledge of wound aetiologies	Self-reflection	Proficiency level
I can describe causes and risk factors for common wounds.	☐	Foundational
AND I can describe causes and risk factors for atypical wounds, relevant to my scope of practice.	☐	Adept
AND I can identify consumers at risk of wounds.	☐	Advanced

1.2 Wound types and aetiologies: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

1.3 Wound healing and chronic wounds

Demonstrates knowledge of wound healing, signs that a wound is not healing as expected, and strategies to support wound healing.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

1.3.1 Knowledge of wound healing	Self-reflection	Proficiency level
I can describe signs that a wound is healing as expected.	☐	Foundational
AND I can describe the four stages of wound healing.	☐	Adept
AND I can explain the expected wound healing timeframes in a range of wound types.	☐	Advanced
1.3.2 Knowledge of when a wound is chronic	Self-reflection	Proficiency level
I can describe signs of and criteria for a chronic wound.	☐	Foundational
AND I can describe factors which may impede wound healing and lead to development of a chronic wound.	☐	Adept
AND I can explain the factors which increase the risk of a wound becoming chronic.	☐	Advanced
1.3.3 Knowledge of strategies to support wound healing	Self-reflection	Proficiency level
I can describe factors that support wound healing.	☐	Foundational
AND I can describe strategies to create optimal conditions for wound healing.	☐	Adept
AND I can demonstrate critical understanding of advanced strategies to create optimal conditions for wound healing.	☐	Advanced

1.3 Wound healing and chronic wounds: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

Domain 2: Risk screening and wound prevention

Describes actions to identify consumers at risk of developing a wound and to prevent chronic wounds in individuals and across the community.

2.1 Skin integrity and risk screening

Actions to assess skin and screen for risk of developing a wound in consumers to support prevention or early identification of wound chronicity.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

2.1.1 Performing skin integrity assessment	Self-reflection	Proficiency level
I can perform skin integrity assessments, within my scope of practice.	☐	Foundational
AND I support others to undertake skin integrity assessments, within their scope of practice.	☐	Adept
AND I apply critical analysis skills to undertake and/or advise others on skin integrity assessment in complex presentations.	☐	Advanced
2.1.2 Performing wound risk screening	Self-reflection	Proficiency level
I use risk screening processes to identify consumers at risk of developing skin injury and/or chronic wounds.	☐	Foundational
AND I take appropriate action in response to the risk screening.	☐	Adept
AND I support the development and implementation of risk screening processes in the organisation.	☐	Advanced

2.1 Skin integrity and risk screening: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

2.2 Maintaining skin integrity

Actions to protect and improve a consumer’s skin integrity for the purpose of preventing wounds.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

2.2.1 Delivering skin integrity interventions	Self-reflection	Proficiency level
I can implement identified skin integrity strategies, under supervision and within my scope of practice, including: skin care managing pressure, friction and shear managing moisture, including incontinence applying compression therapy referral for nutritional review, footwear and off-loading devices.	☐	Foundational
AND I recommend, independently deliver and supervise others in skin integrity and wound prevention strategies, within scope of practice.	☐	Adept
AND I deliver and/or advise on advanced wound prevention strategies, within scope of practice.	☐	Advanced
2.2.2 Collaborating with other team members for skin integrity and wound prevention	Self-reflection	Proficiency level
I can identify concerns about a consumer’s skin integrity and escalate care.	☐	Foundational
AND I appropriately involve other clinicians to address skin integrity and wound prevention needs.	☐	Adept
AND I collaborate with other clinicians to manage complex skin integrity and wound prevention needs.	☐	Advanced

2.2 Maintaining skin integrity: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

2.3 Addressing lifestyle risk factors and co-morbidity

Providing advice and support to consumers to reduce factors that increase their risk of developing a chronic wound.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

2.3.1 Addressing lifestyle risk factors	Self-reflection	Proficiency level
I can identify lifestyle factors that increase the risk of developing a chronic wound (e.g. poor nutrition, smoking, etc.) and escalate or refer.	☐	Foundational
AND I advise consumers about the benefits of lifestyle changes (e.g. nutrition, smoking cessation, etc.) that will reduce the risk of developing a chronic wound.	☐	Adept
AND I use health education and motivational techniques to encourage consumers to change lifestyle to reduce the risk of developing a chronic wound.	☐	Advanced
2.3.2 Addressing co-morbid factors	Self-reflection	Proficiency level
I can identify consumers with co-morbidities that increase the risk of developing a chronic wound and escalate or refer.	☐	Foundational
AND I refer for or address co-morbidity management, if within scope of practice, for example for continence management, homelessness, substance use, access to financial services or foot care.	☐	Adept
AND I establish referral pathways to ensure that consumers at risk of developing chronic wounds receive effective management of their co-morbidities.	☐	Advanced

2.3 Addressing lifestyle risk factors and comorbidity: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

2.4 Community awareness of wound prevention

Delivers population health interventions, including to priority populations, to increase community awareness to prevent chronic wounds, identify wounds and seek appropriate intervention for wounds.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

2.4.1 Community awareness of wound prevention	Self-reflection	Proficiency level
I contribute to community education strategies to increase awareness of wound prevention and early intervention.	☐	Foundational
AND I organise education strategies, including culturally appropriate strategies for Aboriginal Australians and other priority populations (e.g. people experiencing homelessness, people living with disability, people from refugee backgrounds, culturally and linguistically diverse communities, people on low incomes).	☐	Adept
AND I collaborate in community engagement and other public health strategies to improve wound prevention and early identification, including culturally appropriate strategies for all people and priority populations.	☐	Advanced

2.4 Community awareness of wound prevention: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

Domain 3: Comprehensive assessment

Describes actions to ensure that consumers have comprehensive, timely and regular assessments of their wound, co-morbidities and wellbeing, and they receive an accurate diagnosis of their wound.

3.1 Accurate and comprehensive assessment

Performs timely and comprehensive assessment for consumers with chronic wounds on initial presentation, at regular intervals during management, and with signs of deterioration.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

3.1.1 Observation and documentation of wound characteristics	Self-reflection	Proficiency level
I can accurately observe and document the characteristics of a wound, including tissue type, wound area, location, duration and other relevant wound parameters, including wound imaging and assessment tools available in the service.	☐	Foundational
AND supervise or review documentation performed by others.	☐	Adept
AND contribute to improving wound documentation procedures in the service, including selection of wound assessment tools, introduction of wound imaging systems and training.	☐	Advanced
3.1.2 Health assessments	Self-reflection	Proficiency level
I conduct health assessments within my scope of practice and/or under supervision, including assessment of history (medical, surgical and psychosocial), co-morbidities, lifestyle risk factors, medications and other relevant areas.	☐	Foundational
AND I supervise and/or review health assessments performed by others.	☐	Adept
AND I advise on assessment in complex clinical situations.	☐	Advanced

3.1 (continued) Accurate and comprehensive assessment

3.1.3 Mental health and wellbeing assessment	Self-reflection	Proficiency level
I ask consumers who have a chronic wound about their mental health and wellbeing and escalate any concerns raised.	☐	Foundational
AND I use mental health and wellbeing assessment tools for consumers with a chronic wound, including depression and anxiety, pain, patient reported measures and quality of life tools, and I provide information and referral to available mental health services.	☐	Adept
AND I synthesise complex information to assess the impact of the consumer’s wound and pain on their mental health and/or impact of their mental health on wound healing.	☐	Advanced
3.1.4 Social assessment	Self-reflection	Proficiency level
I ask consumers about cultural, economic, environmental, social and spiritual factors and their social networks and supports.	☐	Foundational
AND I explore how the wound may impact the consumer’s cultural and social wellbeing and how these factors may impact wound healing. And I discuss if and how their social networks could support wound management.	☐	Adept
AND I critically appraise ways to limit detrimental impact of wound management on the consumer’s cultural and social wellbeing and sensitively navigate complex social and support issues.	☐	Advanced
3.1.5 End of life assessment	Self-reflection	Proficiency level
I can identify consumers receiving or needing palliative care at end of life.	☐	Foundational
AND I partner with the consumer, their family and the palliative care team to ensure their wound management aligns with the consumer’s end of life plan.	☐	Adept
AND I ensure the chronic wound service has end of life procedures and training for staff.	☐	Advanced

3.1 Accurate and comprehensive assessment: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

3.2 Collaborating for specialist assessment

Identifying when a consumer with a chronic wound requires further specialist assessment, including from specialist interdisciplinary teams, and ensuring that they are referred to and access these services in a timely manner.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

3.2.1 Referral for specialist assessment	Self-reflection	Proficiency level
I can identify when a consumer with a chronic wound requires further assessment and escalate.	☐	Foundational
AND I make timely and appropriate referrals for assessment by specialists, other disciplines or interdisciplinary teams as required.	☐	Adept
AND I facilitate rapid access to services according to the urgency of the situation.	☐	Advanced
3.2.2 Actioning referrals for specialist assessment	Self-reflection	Proficiency level
Foundational level not applicable for this capability
I appropriately action referrals received in accordance with their priority.	☐	Adept
AND I develop systems for the efficient and appropriate allocation and prioritisation of referrals received.	☐	Advanced
3.2.3 Developing specialist referral pathways	Self-reflection	Proficiency level
Foundational level not applicable for this capability
I contribute to the development of referral criteria and pathways of care between chronic wound management and other specialist services.	☐	Adept
AND I implement and monitor the referral criteria and pathways of care for timely and appropriate access to specialist assessment.	☐	Advanced

3.2 Collaborating for specialist assessment: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

3.3 Wound diagnosis

Ensuring a person with a chronic wound has a wound diagnosis that is communicated to them and is available to all members of the consumer’s care team.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

3.3.1 Diagnostic testing	Self-reflection	Proficiency level
I can identify when further diagnostic tests are required and appropriately escalate or refer.	☐	Foundational
AND I conduct appropriate diagnostic tests, within my scope of practice, using relevant equipment and techniques.	☐	Adept
AND I apply a systematic approach to conduct and/or request a range of investigations required to accurately diagnose complex chronic wounds.	☐	Advanced
3.3.2 Identifying the wound diagnosis	Self-reflection	Proficiency level
I can review the consumer’s medical records to confirm the wound diagnosis.	☐	Foundational
AND I interpret the results of relevant diagnostic investigations and formulate a diagnosis for non-complex wounds and seek specialist input to diagnose complex chronic wounds.	☐	Adept
AND I apply critical analysis skills to interpret available information to develop a working diagnosis and potential differential diagnoses for complex chronic wounds.	☐	Advanced
3.3.3 Documentation of wound diagnosis	Self-reflection	Proficiency level
I accurately record the wound assessments I have conducted in the consumer’s medical record.	☐	Foundational
AND I ensure that all assessments and investigations conducted by the wound team and the diagnosis of the consumer’s wound are documented.	☐	Adept
AND I contribute to the implementation of robust documentation processes within the service.	☐	Advanced

3.3 Wound diagnosis (continued)

3.3.4 Consumer awareness of their wound diagnosis	Self-reflection	Proficiency level
I check that the consumer is aware of the results of investigations.	☐	Foundational
AND I communicate investigation results and the wound diagnosis to the consumer in language they can understand.	☐	Adept
AND I communicate complex investigation results, diagnosis and prognosis to the consumer in language they can understand.	☐	Advanced

3.3 Wound diagnosis: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

Domain 4: Chronic wound management

Collaborating with the consumer, their carers and the wound management team to develop and communicate an evidence-based, person-centred chronic wound management plan, and to deliver interventions for wound, lifestyle and co-morbidity management.

4.1 Chronic wound management goals

Collaborates with the consumer and their carers to identify appropriate and achievable goals for their wound management.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

4.1.1 Identifying the consumer’s goals	Self-reflection	Proficiency level
I ask the consumer about their chronic wound management goals at the start of their treatment.	☐	Foundational
AND I support the consumer to identify and express their goals for management (wound, lifestyle, health and other) and record them in the chronic wound management plan.	☐	Adept
AND I contribute to agreement of achievable goals in complex situations.	☐	Advanced
4.1.2 Monitoring attainment of the consumer’s goals	Self-reflection	Proficiency level
I check with the consumer if their chronic wound management goal remains the same as treatment progresses.	☐	Foundational
AND I monitor the attainment of the consumer’s chronic wound management goals throughout treatment.	☐	Adept
AND I monitor the attainment of consumers’ goals across the service.	☐	Advanced

4.1 Chronic wound management goals: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

4.2 Chronic wound management plan

Advises and collaborates with the consumer and their carers to co-design an evidence-based and person-centred chronic wound management plan, accessible to the consumer and the wider healthcare team.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

4.2.1 Identifying the consumer’s preferred management options	Self-reflection	Proficiency level
I ask the consumer if they have any treatment preferences for their chronic wound.	☐	Foundational
AND I support the consumer to identify their preferences for comprehensive chronic wound management and incorporate these into their management plan where appropriate and agreed.	☐	Adept
AND I discuss the likely impacts of these preferences on wound healing in complex situations and work with the consumer on an agreed management plan.	☐	Advanced
4.2.2 Identifying evidence-based treatments	Self-reflection	Proficiency level
I contribute to the selection of evidence-based treatments to include in the chronic wound management plan, within my scope of practice.	☐	Foundational
AND I identify and recommend appropriate evidence-based treatment options and reach agreement on a management plan with the consumer and wider wound management team.	☐	Adept
AND I identify and recommend specialist evidence-based treatment options in complex situations.	☐	Advanced
4.2.3 Accommodating personal needs in the management plan	Self-reflection	Proficiency level
I work with the consumer to identify ways that the chronic wound management plan can accommodate other priorities in their life.	☐	Foundational
AND I build a therapeutic relationship with the consumer to better identify their holistic needs and ensure their chronic wound management plan is person-centred.	☐	Adept
AND I advise on ways to accommodate the consumer’s preferences and deliver effective and safe chronic wound management in complex situations.	☐	Advanced

4.2 Chronic wound management plan (continued)

4.2.4 Identifying service providers	Self-reflection	Proficiency level
I work with the consumer to identify their preferred service providers.	☐	Foundational
AND I advise consumers about the range of services available to them, including My Aged Care, Veteran Affairs, the National Disability Insurance Scheme (NDIS) and self-management.	☐	Adept
AND I lead the development of referral and collaborative processes with other service providers.	☐	Advanced

4.2 Chronic wound management plan: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

4.3 Providing chronic wound treatment

Delivers a range of evidence-based therapeutic interventions, within scope of practice and local guidelines, to manage a chronic wound.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

4.3.1 Use of clinical pathways	Self-reflection	Proficiency level
I follow local wound management protocols and pathways to manage specific types of chronic wounds.	☐	Foundational
AND I participate in the development and implementation of wound management policies, protocols, pathways and models of care, within my scope of practice.	☐	Adept
AND I apply knowledge of contemporary research evidence to lead development and implementation of wound management policies, protocols, pathways and models of care, within my scope of practice.	☐	Advanced
4.3.2 Infection prevention and control	Self-reflection	Proficiency level
I follow general infection prevention and control practices when providing chronic wound treatment, including aseptic technique.	☐	Foundational
AND I identify the appropriate aseptic technique to use for the management of a range of wounds, within scope of practice, and support others to implement appropriate infection prevention and control.	☐	Adept
AND I contribute to the development of tools and monitoring of infection prevention and control practices in the service.	☐	Advanced
4.3.3 Wound bed preparation	Self-reflection	Proficiency level
I can safely remove dressings, undertake simple cleansing of the peri-wound and wound bed (e.g. with saline) and escalate or seek advice when more complex wound bed preparation is required.	☐	Foundational
AND I perform comprehensive wound bed preparation, including skin and wound cleansing, removal of nonviable tissue and moisture balance, within my scope of practice.	☐	Adept
AND I advise on and perform complex wound bed preparation.	☐	Advanced

4.3 Providing chronic wound treatment (continued)

4.3.4 Selection of dressings and products	Self-reflection	Proficiency level
I access information about the properties of dressings, such as the information available in the NSW Wound Care Formulary (accessible to NSW Health staff), when selecting products.	☐	Foundational
AND I apply understanding of the properties and uses of dressings to select appropriate products, within my scope of practice.	☐	Adept
AND I advise others about use of emerging technologies and products for the management of complex chronic wounds and provide expert opinion for the development or updating of product formularies.	☐	Advanced
4.3.5 Application of dressings and products	Self-reflection	Proficiency level
I apply dressings and products as per the wound management plan or recommended product instructions for use, within my scope of practice.	☐	Foundational
AND I supervise the application of dressings and products by others.	☐	Adept
AND I use innovative product solutions to manage complex chronic wounds and teach others how to use advanced dressings and products.	☐	Advanced
4.3.6 Delivery of other wound therapies	Self-reflection	Proficiency level
I deliver wound therapies as instructed and within my scope of practice, for example strategies to off-load pressure.	☐	Foundational
AND I recommend and carry out evidence-based wound management techniques and therapies within my scope of practice, such as compression therapy, pressure off-loading and negative pressure wound therapy.	☐	Adept
AND I perform and advise on advanced, emerging or specialist wound therapies in complex situations, within my scope of practice.	☐	Advanced

4.3 Providing chronic wound treatment: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

4.4 Collaboration in chronic wound treatment

Referring to other disciplines or interdisciplinary teams for treatment that is out of scope of practice.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

4.4.1 Referring treatment to other clinicians	Self-reflection	Proficiency level
I can identify the scope of my wound management knowledge and skills and escalate treatment to other clinicians as required.	☐	Foundational
AND I make timely and appropriate wound management referrals to other multidisciplinary clinicians for treatments beyond the scope of my practice or skill level.	☐	Adept
AND I accept referrals and collaborate with other wound clinicians to deliver specialist and/or innovative therapies to manage complex chronic wounds.	☐	Advanced
4.4.2 Referring to interdisciplinary wound management teams for treatment	Self-reflection	Proficiency level
I refer appropriately to specialist wound management interdisciplinary teams, e.g. high risk foot services.	☐	Foundational
AND I participate as a collaborative member of interdisciplinary management teams.	☐	Adept
AND I develop and promote specialist inter-disciplinary teams that provide coordinated and integrated management of complex chronic wounds.	☐	Advanced

4.4 Collaboration in chronic wound treatment: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

4.5. Management of co-morbidities and consumer wellbeing

Ensures that consumers are offered information, referral and treatment of factors that may impede wound healing or have a negative impact on their wellbeing.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

4.5.1 Management of pain	Self-reflection	Proficiency level
I ask the consumer about their pain, including when undergoing dressing changes and other treatments (procedural pain), and use wound-related pain assessment and management tools.	☐	Foundational
AND I regularly evaluate pain and ensure they are receiving appropriate non-pharmacological and pharmacological pain management strategies, including pre-procedural analgesia.	☐	Adept
AND I seek solutions to address the effects of difficult to managed pain in complex situations.	☐	Advanced
4.5.2 Supporting activities of daily living (ADLs)	Self-reflection	Proficiency level
I identify when consumers are experiencing difficulties with ADLs and escalate concerns.	☐	Foundational
AND I support or organise referral to address the consumer’s ADL needs, including provision of advice and equipment, within my scope of practice.	☐	Adept
AND I develop systems and pathways to improve access to ADL support for consumers with a chronic wound.	☐	Advanced
4.5.3 Supporting mental health	Self-reflection	Proficiency level
I recognise when a consumer is living with a mental illness and/or the mental health impact of a chronic wound, and check they are accessing appropriate support services.	☐	Foundational
AND I connect the consumer with mental health support pathways if required and accepted.	☐	Adept
AND I develop pathways to support consumers with serious mental illness to access appropriate chronic wound management services, as well as services to address mental health needs related to the experience of a chronic wound.	☐	Advanced

4.5. Management of co-morbidities and consumer wellbeing (continued)

4.5.4 Addressing lifestyle risk factors	Self-reflection	Proficiency level
I provide consumers with information about addressing lifestyle risk factors that influence wound healing, including nutrition, hydration, sleep, smoking cessation and other relevant risk factors.	☐	Foundational
AND I discuss the lifestyle risk factors that influence wound healing, provide advice on interventions that would benefit them and arrange referrals when the consumer agrees.	☐	Adept
AND I develop health education and information resources about the benefits of addressing lifestyle and risk factors to promote wound healing, including nutrition, smoking cessation, blood glucose control, footwear, continence and other relevant factors.	☐	Advanced
4.5.5 Management of co-morbid health conditions	Self-reflection	Proficiency level
I appropriately use referral pathways to address management of a consumer’s co-morbid wound risk factors, e.g. for diabetes management and vascular supply.	☐	Foundational
AND I address co-morbidities and risk factors that are within my scope of practice.	☐	Adept
AND I develop referral pathways and collaborative practices to effectively address common co-morbidities and risk factors.	☐	Advanced

4.5 Management of co-morbid factors and wellbeing: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

4.6 Managing wound deterioration

Identifies when a wound is not responding to management, is infected or deteriorating, takes action to investigate the causes and takes appropriate remedial action.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

4.6.1 Responding to wound stagnation or deterioration	Self-reflection	Proficiency level
I can identify the signs of wound deterioration and non-healing and escalate.	☐	Foundational
AND I manage wound deterioration or non-healing with actions and/or referral to other clinicians.	☐	Adept
AND I provide consultation, advice, support and/or management of deteriorating or non-healing wounds as appropriate.	☐	Advanced
4.6.2 Managing infection	Self-reflection	Proficiency level
I identify the overt signs of wound infection and escalate appropriately.	☐	Foundational
AND I recognise covert signs of wound infection and respond appropriately within my scope of practice and/or by referral to other clinicians.	☐	Adept
AND I determine the extent of infection based on clinical signs and/or investigations (e.g. wound culture) and initiate or refer for appropriate treatment.	☐	Advanced

4.6 Managing wound deterioration: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

4.7 Preventing wound recurrence

Provides advice to consumers and follow-up services to prevent recurrence of closed wounds and/or the development of new wounds after wound closure.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

4.7.1 Advice to consumers about preventing wound recurrence	Self-reflection	Proficiency level
I inform consumers with a recently closed chronic wound about strategies to prevent wound recurrence or the development of a new wound.	☐	Foundational
AND I develop wound prevention plans appropriate to the consumer’s needs and risks.	☐	Adept
AND I advise on specialist and innovative wound prevention strategies for consumers with a history of chronic wounds in complex situations.	☐	Advanced
4.7.2 Follow-up care after wound closure	Self-reflection	Proficiency level
I inform consumers with closed chronic wounds about recommended follow-up to prevent wound recurrence.	☐	Foundational
AND I organise and/or provide long-term follow-up services for consumers with closed chronic wounds to prevent recurrence.	☐	Adept
AND I develop pathways of care to support the long-term prevention needs of consumers with closed chronic wounds.	☐	Advanced

4.7 Preventing wound recurrence: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

Domain 5: Enablement and partnerships

Person-centred and collaborative practices underpin all interactions of the chronic wound journey and experience. A focus on empowering consumers to engage in their chronic wound management and meeting the needs of consumers from priority populations are important. This involves promoting partnership between the consumer, their family and carers, communities and clinicians across healthcare settings.

5.1 Health literacy, information and communication

Explores and addresses the health literacy and communication needs of consumers to support their understanding of their chronic wound and management options.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

5.1.1 Assessing the consumer’s health literacy	Self-reflection	Proficiency level
I use locally approved health literacy tools with the consumer, their family and carers.	☐	Foundational
AND I assess the health literacy of consumers and their family and carers, their capacity to engage in decision-making about their chronic wound and adapt communication and information sharing to enhance their understanding.	☐	Adept
AND I contribute to developing policies, procedures and practices for the wound management service that include addressing health literacy.	☐	Advanced
5.1.2 Providing health information	Self-reflection	Proficiency level
I provide the consumer and their family and carers with information about their wound, wound healing and management options.	☐	Foundational
AND I develop accessible health information to improve consumer understanding of chronic wounds and actively engage in wound management decisions.	☐	Adept
AND I consider health literacy for the provision of chronic wound information in the service.	☐	Advanced

5.1 Health literacy, information and communication (continued)

5.1.3 Checking the consumer’s understanding	Self-reflection	Proficiency level
I ask the consumer if they understand information about their chronic wound and its management, and if they have any questions.	☐	Foundational
AND I use health literacy approaches to check that the consumer has understood, such as teach-back and paraphrasing.	☐	Adept
AND I apply approaches to improve the chronic wound management service addressing health literacy.	☐	Advanced
5.1.4 Addressing communication needs	Self-reflection	Proficiency level
I can identify consumers experiencing communication deficits or disabilities and escalate their requirements, including to access interpreters.	☐	Foundational
AND I take appropriate action to ensure consumers have their communication requirements met, e.g. interpreters, visual and audio communication mediums and other forms of accessible information, such as Auslan.	☐	Adept
AND I ensure systems are in place to support effective communication with consumers who experience language and communication deficits or disabilities.	☐	Advanced

5.1 Health literacy, information and communication: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

5.2 Enabling consumer involvement

Supports and empowers consumers to participate in their chronic wound management, including making shared decisions about their care and performing self-management if it is their preference.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

5.2.1 Shared decision-making	Self-reflection	Proficiency level
I use shared decision-making tools for consumers with chronic wounds.	☐	Foundational
AND I support consumers with chronic wounds to express the level of decision-making they wish to have over their management, to express their views and preferences for care, and incorporate these preferences into their chronic wound management plan.	☐	Adept
AND I develop resources and capability to foster shared decision making across the wound management service.	☐	Advanced
5.2.2 Self-management	Self-reflection	Proficiency level
I identify when and how consumers wish to participate in self-management of their chronic wound.	☐	Foundational
AND I support the consumer, their family and carers to participate in appropriate self-management of their chronic wound, including providing supervision and coaching.	☐	Adept
AND I develop systems to empower consumers to self-manage their chronic wound, including education, supervision and coaching.	☐	Advanced

5.2 Enabling consumer involvement: Overall proficiency level	☒ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

5.3 Culturally safe services

Takes responsibility to learn about providing a culturally safety service to people living with a chronic wound from Aboriginal and other priority population communities. Collaborates with cultural workers, organisations and community members to deliver safe and appropriate services.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

5.3.1 Learning about Aboriginal cultural safety	Self-reflection	Proficiency level
I participate in Aboriginal cultural awareness programs to learn about the importance of culture for the health and wellbeing of Aboriginal consumers. I reflect on how to incorporate these factors into chronic wound management.	☐	Foundational
AND I demonstrate appreciation of the importance of culture for health and wellbeing by incorporating these into chronic wound management services with Aboriginal consumers.	☐	Adept
AND I collaborate with cultural partners to create a culturally welcoming chronic wound management service for Aboriginal consumers and communities.	☐	Advanced
5.3.2 Learning about cultural safety for other priority communities	Self-reflection	Proficiency level
I participate in awareness programs about providing culturally safe services to consumers from diverse backgrounds, including for cultural, linguistic, religious, refugee and LGBTIQA+ communities.	☐	Foundational
AND I demonstrate understanding of the importance of culture in providing chronic wound management services to consumers from diverse backgrounds.	☐	Adept
AND I collaborate with cultural partners to create a culturally safe chronic wound management service for consumers from all backgrounds.	☐	Advanced

5.3 Culturally safe services (continued)

5.3.3 Collaborating with cultural workers and communities to provide culturally safe care	Self-reflection	Proficiency level
I seek guidance from Aboriginal health workers and practitioners, multicultural health workers, refugee health workers, peer support workers or other cultural guides to deliver culturally appropriate care to consumers from priority populations.	☐	Foundational
AND I engage with priority population communities and organisations to deliver culturally competent chronic wound services to consumers from diverse backgrounds.	☐	Adept
AND I build relationships with communities and organisations to inform, design and partner in culturally safe and responsive chronic wound management services for consumers from diverse backgrounds.	☐	Advanced

5.3 Culturally safe services: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

5.4 Virtual care

Uses virtual care modalities effectively and efficiently to improve access to services for consumers and to improve communication between consumers, carers and the health team.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

5.4.1 Providing clinical care using virtual care modalities	Self-reflection	Proficiency level
I use virtual care options as part of providing chronic wound management, e.g. providing virtual care consultation or taking images of a consumer’s wound.	☐	Foundational
AND I provide and refer to a range of wound management virtual care service options to improve access to specialist care.	☐	Adept
AND I participate in the development of new virtual care options to improve consumer access to a range of chronic wound management services.	☐	Advanced
5.4.2 Communicating with the care team using virtual care modalities	Self-reflection	Proficiency level
I use electronic systems to communicate with the wider clinical team, e.g. making electronic referrals, documenting in electronic medical record.	☐	Foundational
AND I support other colleagues to adopt new electronic modalities, e.g. image capture systems.	☐	Adept
AND I participate in the development and implementation of new electronic clinical documentation and communication tools to improve efficient sharing of health information across disciplines and care settings.	☐	Advanced

5.4 Virtual care: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

5.5 Clinical partnerships

Working collaboratively across disciplines, networks, organisations and care settings, including when consumers transition between care settings.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

5.5.1 Awareness of and relationships with other chronic wound management providers	Self-reflection	Proficiency level
I identify local chronic wound management providers, their scopes of practice and ways to engage with them for advice and/or referral.	☐	Foundational
AND I participate in chronic wound management networks and other collaborative forums to build professional relationships and processes to optimise coordination and integration of care for consumers with chronic wounds.	☐	Adept
AND I establish collaborative relationships and systems across care settings, e.g. between primary care, residential aged care and government health services.	☐	Advanced
5.5.2 Coordination of care with other chronic wound service providers	Self-reflection	Proficiency level
I respond to requests for information from others involved in the consumer’s care in a timely and appropriate manner, including complying with privacy and confidentiality legislation and policies.	☐	Foundational
AND I facilitate effective coordination of care across services and settings.	☐	Adept
AND I develop processes to improve timely and appropriate communication between services, particularly when a consumer’s care is transferred between services.	☐	Advanced

5.5 Clinical partnerships: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

Domain 6: Learning and service improvement

Describes a range of learning and improvement approaches required to maintain and enhance individual and service chronic wound management capability and to sustain delivery of contemporary, evidence-based services to consumers.

6.1 Reflective practice

Reflects on own values, attitudes and beliefs, and how they impact professional behaviour and the consumer experience.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

6.1.1 Reflection on values, attitudes and beliefs	Self-reflection	Proficiency level
I reflect on my values, attitudes and beliefs, how these have influenced my professional experiences and behaviour towards consumers living with a chronic wound, and its impact on them.	☐	Foundational
AND I support colleagues to participate in regular reflective practice of their experiences.	☐	Adept
AND I facilitate reflective practices across the chronic wound management service.	☐	Advanced
6.1.2 Making changes to practice based on reflection	Self-reflection	Proficiency level
I use reflection to identify actions to improve the experience of consumers living with a chronic wound and my potential for interprofessional collaboration.	☐	Foundational
AND I support colleagues to identify actions for improvement based on their reflections.	☐	Adept
AND I facilitate system improvements based on reflections from colleagues.	☐	Advanced

6.1 Reflective practice: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

6.2 Learning in the workplace

Seeks or provides advice, support and feedback between colleagues to improve the chronic wound management practice of team members.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

6.2.1 Seeking feedback from colleagues	Self-reflection	Proficiency level
I seek chronic wound management advice or support from clinicians with more experience or from clinicians from other disciplines.	☐	Foundational
AND I provide clinical support to colleagues.	☐	Adept
AND I facilitate mentoring opportunities for the chronic wound management team.	☐	Advanced
6.2.2 Responding to feedback	Self-reflection	Proficiency level
I constructively respond to feedback about my practice received from colleagues and consumers.	☐	Foundational
AND I act as a role model for other colleagues and respond promptly to requests for advice and support from them.	☐	Adept
AND I facilitate a safe and supportive feedback culture in the service.	☐	Advanced
6.2.3 Workplace education	Self-reflection	Proficiency level
I participate in workplace supervision and clinical educational opportunities.	☐	Foundational
AND I contribute to developing and delivering chronic wound management clinical education.	☐	Adept
AND I contribute to undergraduate, postgraduate and other workplace learning opportunities.	☐	Advanced

6.2 Learning in the workplace: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

6.3 Professional development and maintaining contemporary practice

Identifies learning needs and keeps up to date with contemporary chronic wound management practice by participating in evidence-based learning and development approaches.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

6.3.1 Identifying learning needs	Self-reflection	Proficiency level
I identify gaps in my chronic wound management knowledge and skills, identify learning goals and develop plans to meet these goals.	☐	Foundational
AND I support others to identify their chronic wound management professional development goals and plans.	☐	Adept
AND I identify learning priorities for the wider chronic wound management team.	☐	Advanced
6.3.2 Maintenance of contemporary practice	Self-reflection	Proficiency level
I keep up to date with statutory and mandatory training requirements as relevant, including registration and/or credentialling of clinical skills.	☐	Foundational
AND I act as a mentor, supervisor and/or clinical assessor for other colleagues or student learners in my scope of practice.	☐	Adept
AND I contribute to workplace in-service, undergraduate or postgraduate programs.	☐	Advanced

6.3 Professional development and maintaining contemporary practice (continued)

6.3.3 Keeping up to date with evidence-based guidelines	Self-reflection	Proficiency level
I access and use policies, procedures and guidelines to inform chronic wound management practice.	☐	Foundational
AND I access evidence-based guidelines and research findings to inform chronic wound management practice and disseminate to others.	☐	Adept
AND I advise on the development and adoption of evidence-based guidelines in the service.	☐	Advanced

6.3 Professional development and maintenance of contemporary practice: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

6.4 Service improvement

Undertakes quality improvement and research activities to improve the chronic wound management service.

This capability is relevant for my role	☐	Please complete the following tables.
This capability is not applicable for my role	☐	Please continue to the next capability.

6.4.1 Clinical audits	Self-reflection	Proficiency level
I participate in chronic wound management clinical audits, for example collating data.	☐	Foundational
AND I contribute to developing and implementing chronic wound management audits and other quality improvement activities.	☐	Adept
AND I develop quality assurance systems for the continuous improvement of chronic wound management services and monitor the service for avoidable clinical variation.	☐	Advanced
6.4.2 Consumer feedback	Self-reflection	Proficiency level
I report feedback received from consumers, carers and other stakeholders about their chronic wound management experience.	☐	Foundational
AND I respond to feedback received from consumers, carers, communities and colleagues.	☐	Adept
AND I actively seek feedback and involvement from consumers, families, carers, communities and colleagues to co-design quality improvement and research activities.	☐	Advanced

6.4 Service improvement (continued)

6.4.3 Research	Self-reflection	Proficiency level
Foundational level not applicable for this capability
I participate in chronic wound management quality improvement projects and research.	☐	Adept
AND I identify gaps in the chronic wound management evidence base, and lead or collaborate on quality improvement and research activities to strengthen the evidence base for effective chronic wound management.	☐	Advanced

6.4 Service improvement: Overall proficiency level	☐ Foundational ☐ Adept ☐ Advanced
Proficiency required for my role	☐ Foundational ☐ Adept ☐ Advanced
Priority for professional development	☐ Low ☐ Medium ☐ High
Examples to support my selection (optional)	☐ Course or qualification ☐ Clinical experience ☐ Other (Details):

Part 2: Summarising your capability and learning needs

You can use this table to collate and summarise the self-reflection of your current chronic wound management capability and the priorities for your future learning. You may choose to share this table with your manager or keep it to compare with future reflections on your chronic wound management capability.

Name:

Date:

Role:

Domain 1: Skin anatomy, physiology and wound pathophysiology

Capability	Proficiency level	Learning needs
LOW	MEDIUM	HIGH
1.1 Skin anatomy, physiology and function	1.1.1 Knowledge of skin anatomy	Choose an item.	☐	☐	☐
1.1.2 Knowledge of skin physiology	Choose an item.	☐	☐	☐
1.2 Wound types and aetiologies	1.2.1 Knowledge of wound types	Choose an item.	☐	☐	☐
1.2.2 Knowledge of wound aetiologies	Choose an item.	☐	☐	☐
1.3 Wound healing and chronic wounds	1.3.1 Knowledge of wound healing	Choose an item.	☐	☐	☐
1.3.2 Knowledge of when a wound is chronic	Choose an item.	☐	☐	☐
1.3.3 Knowledge of strategies to support wound healing	Choose an item.	☐	☐	☐

Domain 2: Risk screening and wound prevention

Capability	Proficiency level	Learning needs
LOW	MEDIUM	HIGH
2.1 Skin integrity and risk screening	2.1.1 Performing skin integrity assessment	Choose an item.	☐	☐	☐
2.1.2 Performing wound risk screening	Choose an item.	☐	☐	☐
2.2 Maintaining skin integrity	2.2.1 Delivering skin integrity interventions	Choose an item.	☐	☐	☐
2.2.2 Collaborating with other healthcare team members for skin integrity and wound prevention	Choose an item.	☐	☐	☐
2.3 Addressing lifestyle risk factors and co-morbidity	2.3.1 Addressing lifestyle risk factors	Choose an item.	☐	☐	☐
2.3.2 Addressing co-morbidity	Choose an item.	☐	☐	☐
2.4 Community awareness of wound prevention	2.4.1 Community awareness of wound prevention	Choose an item.	☐	☐	☐

Domain 3: Comprehensive assessment

Capability	Proficiency level	Learning needs
LOW	MEDIUM	HIGH
3.1 Accurate and comprehensive assessment	3.1.1 Observation and documentation of wound characteristics	Choose an item.	☐	☐	☐
3.1.2 Health assessments	Choose an item.	☐	☐	☐
3.1.3 Mental health and wellbeing assessment	Choose an item.	☐	☐	☐
3.1.4 Social assessment	Choose an item.	☐	☐	☐
3.1.5 End of life assessment	Choose an item.	☐	☐	☐
3.2 Collaborating for specialist assessment	3.2.1 Referring for specialist assessment	Choose an item.	☐	☐	☐
3.2.2 Actioning referral for specialist assessment	Choose an item.	☐	☐	☐
3.2.3 Developing specialist referral pathways	Choose an item.	☐	☐	☐
3.3 Wound diagnosis	3.3.1 Diagnostic testing	Choose an item.	☐	☐	☐
3.3.2 Identifying the wound diagnosis	Choose an item.	☐	☐	☐
3.3.3 Documentation of wound diagnosis	Choose an item.	☐	☐	☐
3.3.4 Consumer awareness of their wound diagnosis	Choose an item.	☐	☐	☐

Domain 4: Chronic wound management

Capability	Proficiency level	Learning needs
LOW	MEDIUM	HIGH
4.1 Chronic wound management goals	4.1.1 Identifying the consumer’s goals	Choose an item.	☐	☐	☐
4.1.2 Monitoring attainment of the consumer’s goals	Choose an item.	☐	☐	☐
4.2 Chronic wound management plan	4.2.1 Identifying the consumer’s preferred management options	Choose an item.	☐	☐	☐
4.2.2 Identifying evidence-based treatments	Choose an item.	☐	☐	☐
4.2.3 Accommodating personal needs in the management plan	Choose an item.	☐	☐	☐
4.2.4 Identifying service providers	Choose an item.	☐	☐	☐
4.3 Providing chronic wound treatment	4.3.1 Use of clinical pathways	Choose an item.	☐	☐	☐
4.3.2 Infection prevention and control	Choose an item.	☐	☐	☐
4.3.3 Wound bed preparation	Choose an item.	☐	☐	☐
4.3.4 Selection of dressings and products	Choose an item.	☐	☐	☐
4.3.5 Application of dressings and products	Choose an item.	☐	☐	☐
4.3.6 Delivery of other wound therapies	Choose an item.	☐	☐	☐
4.4 Collaboration in chronic wound treatment	4.4.1 Referring treatment to other clinicians	Choose an item.	☐	☐	☐
4.4.2 Referring to interdisciplinary wound management teams for treatment	Choose an item.	☐	☐	☐

Capability	Proficiency level	Learning needs
LOW	MEDIUM	HIGH
4.5 Management of co-morbid factors and consumer wellbeing	4.5.1 Management of pain	Choose an item.	☐	☐	☐
4.5.2 Supporting activities of daily living (ADLs)	Choose an item.	☐	☐	☐
4.5.3 Supporting mental health	Choose an item.	☐	☐	☐
4.5.4 Addressing lifestyle risk factors	Choose an item.	☐	☐	☐
4.5.5 Management of co-morbid health conditions	Choose an item.	☐	☐	☐
4.6 Managing wound deterioration	4.6.1 Responding to wound deterioration	Choose an item.	☐	☐	☐
4.6.2 Managing infection	Choose an item.	☐	☐	☐
4.7 Preventing wound recurrence	4.7.1 Advice to consumers about preventing wound recurrence	Choose an item.	☐	☐	☐
4.7.2 Follow-up care after wound closure	Choose an item.	☐	☐	☐

Domain 5: Enablement and partnerships anatomy, physiology and wound pathophysiology

Capability	Proficiency level	Learning needs
LOW	MEDIUM	HIGH
5.1 Health literacy, information and communication	5.1.1 Assessing the consumer’s health literacy	Choose an item.	☐	☐	☐
5.1.2 Providing health information	Choose an item.	☐	☐	☐
5.1.3 Checking the consumer’s understanding	Choose an item.	☐	☐	☐
5.1.4 Addressing communication needs	Choose an item.	☐	☐	☐
5.2 Enabling consumer involvement	5.2.1 Shared decision making	Choose an item.	☐	☐	☐
5.2.2 Self-management	Choose an item.	☐	☐	☐
5.3 Culturally safe services	5.3.1 Learning about Aboriginal cultural safety	Choose an item.	☐	☐	☐
5.3.2 Learning about cultural safety for other priority communities	Choose an item.	☐	☐	☐
5.3.3 Collaborating with cultural workers and communities to provide culturally safe care	Choose an item.	☐	☐	☐
5.4 Virtual care	5.4.1 Providing clinical care using virtual care modalities	Choose an item.	☐	☐	☐
5.4.2 Communicating with the care team using virtual care	Choose an item.	☐	☐	☐
5.5 Clinical partnerships	5.5.1 Awareness of and relationships with other chronic wound management providers	Choose an item.	☐	☐	☐
5.5.2 Coordination of care with other chronic wound management service providers	Choose an item.	☐	☐	☐

Domain 6: Learning and service improvement

Capability	Proficiency level	Learning needs
LOW	MEDIUM	HIGH
6.1 Reflective practice	6.1.1 Reflection on values and experiences	Choose an item.	☐	☐	☐
6.1.2 Making changes to practice based on reflection	Choose an item.	☐	☐	☐
6.2 Learning in the workplace	6.2.1 Seeking feedback from colleagues	Choose an item.	☐	☐	☐
6.2.2 Responding to feedback	Choose an item.	☐	☐	☐
6.2.3 Workplace clinical education	Choose an item.	☐	☐	☐
6.3 Professional development and maintaining contemporary practice	6.3.1 Identifying learning needs	Choose an item.	☐	☐	☐
6.3.2 Maintaining contemporary clinical practice	Choose an item.	☐	☐	☐
6.3.3 Keeping up to date with evidence-based guidelines	Choose an item.	☐	☐	☐
6.4 Service improvement	6.4.1 Clinical audits	Choose an item.	☐	☐	☐
6.4.2 Consumer feedback	Choose an item.	☐	☐	☐
6.4.3 Research	Choose an item.	☐	☐	☐

The Agency for Clinical Innovation (ACI) is the lead agency for innovation in clinical care. We bring consumers, clinicians and healthcare managers
together to support the design, assessment and implementation of clinical innovations across the NSW public health system to change the way that care
is delivered. The ACI’s clinical networks, institutes and taskforces are chaired by senior clinicians and consumers who have a keen interest and track record in innovative clinical care. We also work closely with the Ministry of Health and the four other pillars of NSW Health to pilot, scale and spread solutions to healthcare system-wide challenges. We seek to improve the care and outcomes for patients by re-designing and transforming the NSW public health system.

Our innovations are:

person-centred

clinically led

evidence-based

value-driven.

aci.health.nsw.gov.au

Agency for Clinical Innovation

1 Reserve Road St Leonards NSW 2065, Locked Bag 2030, St Leonards NSW 1590, Phone: +61 2 9464 4666 | Email: aci-info@health.nsw.gov.au | Web: aci.health.nsw.gov.au. Further copies of this publication can be obtained from the Agency for Clinical Innovation website at aci.health.nsw.gov.au

Disclaimer: Content within this publication was accurate at the time of publication.

© State of New South Wales (Agency for Clinical Innovation) 2023. Creative Commons Attribution-No Derivatives 4.0 licence. For current information go to: aci.health.nsw.gov.au The ACI logo is excluded from the Creative Commons licence and may only be used with express permission.

Title	Chronic wound management capability self-reflection tool
Published	September 2023
Next review	2028
Produced by	Primary, Integrated and Community Health
Preferred citation	NSW Agency for Clinical Innovation. Chronic wound management capability self-reflection tool. Sydney: ACI; 2023.
TRIM ACI/D23/2850	SHPN (ACI) 230729	978-1-76023-616-8	ACI_8568