We found that among the forensic pathologists, there was high variability regarding the vocabulary used for the description of wound morphology, which complicated the exact comparison of the two documentations of the same wound.There were no significant differences for any of the four methods ...
Thorough documentation of the wound assessment and diagnosis is crucial to establish medical necessity. This section should include a detailed description of the wound, its location, size, depth, and any associated complications. Additionally, documenting the etiology or cause of the wound is essential...
DescriptionDescribes the wound care intervention/order. Orders entered through the Wound Orders Profile can be edited by selecting the pencil icon before associating the order to a wound. ClinicianDisplays the name of the clinician who entered the order. Effective DateDisplays the date the order was...
Documentation guidelines Physical response: Location, size and appearance of wound; description of dressings and drainage on dressings; amount of bleeding from wound; description of accompanying injuries, breath sounds, heart sounds Response to treatment: Vital signs, pulse oximetry, urine output, mental...
Load Previous Documentation Save, Save & Exit, Complete All active wounds associated with the patient are listed on the right side of the screen. Click on a wound description to navigate directly to the wound. The wounds listed for the current page are highlighted in blue. The arrows at the...
In addition, classification and description of distinct fea- tures of a wound is not based on evidence and a univer- sally accepted nomenclature. This will eventually result in incorrect documentation, equivocal terms and the lack of diagnostic and therapeutic consequences. Ultimately, the possible ...
Description When indicated by patient history, anal and genital cultures may be performed to isolate the organism responsible for sexually transmitted disease. Group B streptococcus (GBS) is a significant and serious neonatal infection.The Centers for Disease Control and Prevention (CDC)...
• a wound documentation app that standardizes: no more searching for formulation aids or templates, as the selection options in the app significantly simplify the wound description • a wound documentation app that connects: easier collaboration, as photos of the wounds and also the wound docume...
Designed for iPad Free Screenshots iPad iPhone Description The purpose of this app is to contact the treating physician via a mobile device and send data about the progress of the wound. Using this app the patient or wound treatment personnel (nurse) can provide detailed data as well as images...
Description Type of Wounds The main wound type appears in the highlighted row with the wound subtype or wound type descriptions in the subsequent rows. Number of Wounds The sum of wound types is listed in the highlighted header followed by the subtotals for each wound subtype or description...