Nurses General Nursing
Published Apr 13, 2016
Ann Avery
1 Post
Greetings I am looking for clarification re- documenting wounds in the care plan - would the Wound stage be documented in the Care plan - or just the nursing diagnosis and plan to treat?
Thank You, Ann Avery
seaofclouds21, BSN, RN
153 Posts
That will depend specifically on your facilities charting. We have specific wound assessment forms we fill out for wound/skin assessments. Then our care plan has comments about wound healing, but not really the description/staging of the wounds.
amoLucia
7,736 Posts
As above in LTC for me.
nortonplusRN
62 Posts
In my facility, we put the stage of the wound in the careplan and we update as necessary.