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Discussion

Charting in the WAR

Hello everyone,

We have been told that night shift nurses now need to chart in the WAR section of each patient. We thought this was for the Wound Care Nurse to chart this information. We do not do wound care, uncover them etc at night. We are not sure what to do. We have bare min supplies at night. This is in a Long Term Care facility.

Any suggestions?

Thanks!

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    Hopefully someone from LTC will respond but since they haven't yet, you can have my take:  This is a great question to go directly back to the one(s) who gave the instruction! "hey...it seems like we aren't set up to perform wound care at night. What specific wound related documentation are you wanting?”

    I can think of at least a couple of things that are relevant right off the bat, for example the status of dressings (clean/dry/intact), devices documented as intact and functioning properly such as wound vac, regular turns/prevention of pressure points, etc.. and whatever other wound related care applies to your patients.  I'm sure there are others, though is possible these things are all being documented elsewhere already. 

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