Standing orders - wound care

[nurselearner]

We have standing orders for symptom management and are thinking of adding standing orders for wound care- stage 1, 2 and 3.

Does anybody have standing orders for wound care and how was it done? protocols? supplies?

Thanks for any input.

[nurselearner]

Ok - if no body has standing orders for wound care-then how do you do it? Write the orders and get them signed with every change? Please help.

[doodlemom]

We have general standing orders for stage 1 and 2, but for stage 3 and 4, we write specific orders based o the needs of the patient. While it does require a physician's order, we rarely actually get the order from a doc (they usually don't know anything about wound dressing.) What we usually end up doing is telling the doc that this is our recommendation and send it to be signed.