Wound Assessment Report

Purpose

• The Wound Assessment Report allows providers to review, download, or upload comprehensive data for individual or grouped wounds across a selected date of service (DOS). This tool supports clinical decision-making and documentation by consolidating patient wound data in a structured and printable format.

Audience

• Providers
• Administrators
• Clinical Documentation Support Staff

Considerations

• Patient Search: To begin, the provider must enter the patient’s name in the search field. The system will automatically populate the Date of Birth (DOB) field based on the match.

• Optional Fields:

  • • Facility and Provider filters are optional and can help narrow search results.

    • A field labeled Notes DOS will appear after patient selection. This allows users to choose from a list of documented Dates of Service.

• Report Types:

  • • The system supports viewing and downloading both:

      • • Single Wound Assessment Reports

        • Grouped Wound Assessment Reports (summarizing all wounds on a patient)

Instructions / How to

1. Search for a Patient.

   • • Begin by typing the patient’s full name (minimum 4 characters).

     • Once selected, the DOB will automatically populate.

2. Apply Filters (Optional)
   • • Use the Facility and Provider filters to refine the report scope if needed.
3. Select Date of Service
   • • Use the Notes DOS dropdown to select the specific Date of Service. This controls which wound entries will be displayed.
4. Viewing the Report
   • • The report will display key clinical details, including:
       • • Wound Number, Location, Etiology, Stage, Status, Date Acquired

         • Measurements (Length, Width, Depth, Area, Volume)

         • Observations such as:
           • • % Epithelial / Granulation / Slough / Eschar
             • Tunneling, Undermining, Periwound Condition
     • Wound status highlights like days active, area, and volume changes are clearly visualized for quick assessment.
5. Uploading or Downloading Reports
   • • Use the icons above the report (⬆ Upload, ⬇ Download, 👁 View) to manage the report files.
     • You can upload or download Grouped or Single Wound Assessment Reports depending on your selection.
6. Additional Options
   1. • Add Skin Sub Referral: Initiate a referral to another provider directly from the report screen.
      • Move Wound: Reassign a wound to a different census or patient if necessary.

 

Troubleshooting

• No Patient Found: Ensure the full name is entered correctly (minimum 4 characters).
• Notes DOS Not Appearing: Confirm a valid patient has been selected and that wound notes exist for the date range.
• Upload Fails: Verify that the file format and size meet system requirements.
• Incorrect Wound Assignment: Use the Move Wound option to correct patient or census assignment.

Our support team is available to help with any questions or concerns at [e-mail] 

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