General wound assessment chart

General wound assessment chart v3

Use this tool well

  • Always obtain baseline data
  • Reassess wounds on a regular basis
  • Be on the look out for signs of infection
  • Regularly monitor the effects of treatment
  • Accurately document wound management strategies

Last updated 01 July 2009

This assessment tool helps you when clinically observing a wound. Share it with your colleagues and help standardise the process.

Key Principles of using a Wound Assessment Tool

  • All wounds should initially be assessed in order to obtain base line data. This will include some form of measurement technique. If it is necessary to photograph a wound, obtain and record the appropriate consent
  • When an individual has more than one wound, each wound should be assessed separately and each wound should have a separate documented plan of care. It is good practice to allocate a numbering system in such instances as this will ensure that communication/documentation corresponds with the correct wound
  • Consider factors which may delay wound healing
  • Be aware of any known allergies and sensitivities that your patient/client has or subsequently develops. Such information should always be documented.
  • If infection is suspected take appropriate action and seek advice from either the Antimicrobial Pharmacist, Microbiologist or Infection Control Nurse

Source

NHS Quality Improvement Scotland (NHS QIS)

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Published Date: 13/03/2009

Improvement

Healthcare Improvement Scotland took over the responsibilities of NHS Quality Improvement Scotland on 1st April 2011.