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
