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Wound-care guide · Referral sources

A practical wound-documentation checklist

Useful wound documentation describes the wound, treatment, patient response and decisions in a consistent format.

01

Document location, measurements and tissue findings

02

Record treatment, supplies and patient tolerance

03

Name the clinician or team receiving the update

Wound assessment

Use consistent terms and measurement methods.

  • Anatomic location and wound type
  • Length, width, depth and undermining or tunneling
  • Tissue, drainage, odor and surrounding skin
  • Pain, temperature, edema and infection concerns

Plan and communication

The note should show what was done and what happens next.

  • Treatment completed and products used
  • Orders followed or changes requested
  • Patient and caregiver instruction
  • Follow-up timing, responsible clinician and escalation
Document uncertainty honestlyDo not infer a diagnosis, stage or cause that has not been established by the appropriate clinician.

Related pages

Related care and guidance.