General wound assessment chart

Tissue Viability | Healthcare Improvement Scotland

General wound assessment chart v3

How to 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

Healthcare Improvement Scotland

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Published Date: 13/03/2009