Yuma Regional Medical Center
Yuma, Arizona, USA
This tool is used to document the presence of a wound and condition of surrounding skin on admission and at regular intervals thereafter to document wound progression. It is also used to document objective images of treatment outcomes for referral and payer services and to facilitate communication among interdisciplinary teams.
The downloadable ool contains two documents:
- Photographic Wound Documentation Protocol
- Photographic Wound Documentation Form
Complete assessment of wound(s) on right side of the Documentation Form (location, classification, stage, size, color, drainage/odor, induration, margin erythema, and tunneling/underming. Include nurses signature, date and time. We place completed form, with patient ID sticker, in patient’s chart under physician progress notes.