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Wound Assessment & Documentation – ARNP

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Wound Assessment & Documentation – ARNP

Welcome to the Wound Assessment and Documentation training module 2 brought to you by Quality Surgical Management; the leading wound care specialty group under the leadership of the company’s founder, Chief Executive Officer and Medical Director Dr. Steven Magilen who has more than 35 years of experience in wound care.

Modules

Wound Assessment & Documentation (Steven Magilen, MD)

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Lessons

  • Wound Assessment & Documentation
  • Objectives
  • Assessment & Documentation in QsmartCare (QSC)
  • Assessment
  • Assessment Tools
  • Assessment
  • QSC Documentation Braden Scale
  • ASSESSMENT
  • Who are the “at-risk” residents?
  • Who are the “at-risk” residents?
  • There’s a lot to assess
  • Location, Location, Location
  • Assessing the Location
  • Locations, Sides & Planes in QSC©
  • Assess Etiology of Wounds
  • Assessing the Wound Bed: Granulation Tissue
  • Assessing the Stage
  • Charting the Stage of a wound in QSC©
  • Assess the Wound Bed
  • Assessing the Wound Bed: Necrotic Tissue
  • Assessing the Wound Bed: Granulation Tissue
  • Let’s look at this another way
  • Assessing the Wound Bed: Granulation Tissue
  • Assessing the Wound Bed: Granulation Tissue
  • Assessing the Wound Bed: Necrotic Tissue
  • Slough vs. Fibrin & Biofilm
  • Assessing the Wound Bed: Necrotic Tissue
  • Charting necrosis, devitalized tissue and fibrin in QSC©
  • ASSESS THE PERIWOUND
  • ASSESS THE PERIWOUND:Periwound Descriptions
  • Assessing the periwound:Periwound Descriptions
  • Assessing the periwound:Periwound Descriptions
  • Assessing the periwound
  • Charting in QSC©
  • Measuring a wound – your tools
  • Measuring a wound – L x W x D plus undermining
  • Measuring a wound
  • Charting in QSC©
  • ASSESSING THE WOUND VOLUME
  • KNOW YOU EXUDATE
  • ASSESSING THE EXUDATE
  • Assessing the EXUDATE
  • Assessing the EXUDATE
  • Assessing Pain
  • Assessing Pain
  • Types of Pain
  • Assessing Types of Pain
  • Assessing Types of Pain
  • PAIN ASSESSMENT TOOLS
  • Charting in QSC©
  • IN SUMMARY
  • If it is NOT DOCUMENTED… it has NOT been DONE (period)
  • Your documentation
  • Compassion and Empathy
  • Thank You!
  • References
  • References continued
  • References Continued

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