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
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
- 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
- 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.
Healthcare Improvement Scotland
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Published Date: 13/03/2009