Monday, September 13, 2010

Discharge Assesments: Wound Progress

Q: How do I complete section M on the discharge assessment if the resident is no longer in the facility and I cannot measure the wound or know what the wound bed looks like?

A: Each facility usually has a system in place to document wound progress. Often this is found on “Skin Progress Sheets”. The facility should determine if their progress sheets are accurate documents. This would be the source for current measurements of the wound and description of the wound bed. A facility should be sure that all nurses completing wound or skin progress sheets are fully trained in accurate wound staging, measurement and wound base terminology that aligns with the MDS 3.0 fields.

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