Hello everyone! I was just hired as a treatment/wound nurse at a fairly new facility here in California. My new facility really needs a lot of help in the treatment department as far as paperwork. My question is what documentation should we have for wounds? As far as I can tell we only have nurse's notes and a pressure sore log and that's it. Should we have weekly documentation for non-pressure wounds as well? Is a nurse's note enough for non pressure wounds? Can you please let me know exactly which documents our facility should have for treatments in preparation for State Survey? Thank you so much!