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- by sammykst Mar 30Question-
I work in a small overseas military hospital. For those of you back in the states, do you utilize a separate wound care assessment note for your post op c/s or is it just documented in the shift assessment/clinical note?
- Mar 31 by RN_BSN09I just document under the general nurse assessment, and add details under nurses notes. If the incision is well approximated, CDI, except for maybe some small drainage... that's all WNL for a C/S.
- Mar 31 by ElvishI document my c/s wound under the 'integumentary' section of my routine shift assessment. Our computer program has options for type of wound/dressing/drainage/measurements.