We aren't allowed to document the size of a wound or stage ulcers. When we find something that we are concerned about we can put in a consult with the wound nurse and she does all of those things. She also starts a treatment plan, does the dressing changes, and takes pictures during the initial assessment and during treatment.
We are only able to say where it is and what it looks like (red, black, drainage, smell, etc.). I was told it is done this way because everyone classifies the wounds or stages the ulcers differently and one person may say it's a stage 2 while someone else stages it a 3.