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Tips for Effective Wound Documentation

Wound documentation helps healthcare providers to track progress in wound healing & utilize important therapeutic options. https://goo.gl/96aq3t<br>

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Tips for Effective Wound Documentation

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  1. Call Us : 855-968-6394 Tips for Effective Wound Documentation www.woundemr.com

  2. Accurate wound documentation is a vital part of monitoring, treating, and managing wounds. Proper wound management with improved technologies can promote wound healing and thus prevent further complications.

  3. Wound documentation should be consistent and concise. Nowadays, most healthcare facilities use wound management software to document details such as: • Patient history CMS recommends a weekly thorough assessment with daily monitoring of the dressing and wound to assess for complications in long-term care patients. • Wound assessment • Treatment offered • Results of the treatment • Follow-up details

  4. Documented Wound Assessment Details Should Include • History Of Present Illness • Wound Area • Size • Condition Of Wound Edges • Surrounding Skin • Pain • Odor • Discharge Plan, And More • Infection Signs • Risk Assessment • Procedures Performed • Supplies And Tests Ordered • Any Conditions Which Would • Affect Healing • Response To Treatment • Care Plan

  5. Tips for Standardized Wound Documentation Visual documentation of images • Wound photographs serve as a permanent record. Images of wounds along with the corresponding notes on size, shape, fluid and tissue type allows better understanding of your documentation. Note down medications and wound dressings • It is important to note down the medications provided and the type of dressing used to dress the wound. Fill out relevant details in charts Fill out relevant details in charts Make sure to document relevant details in charts. Documentation charts for each hospital will be different. 

  6. WoundWizard - Comprehensive  Wound Care EHR A comprehensive wound care EHR can improve clinical and operational efficiencies and maximize workflow. WoundWizard® provides you with a total wound care solutions management program. It is ideal for Long Term Care Facilities, Hospitals, Wound Care Centers and other healthcare facilities.

  7. If you would like to schedule a demo or want further information about WoundWizard® web-based EMR, contact us. WoundWizard®941 McLean Avenue, Suite 387 Yonkers, NY 10704 Tel 855-WOUNDWIZARD      855-968-6394Fax 208-279-8681 THANK YOU

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