Wound Care Documentation Templates
Blaze Team
About this snippets template
Wound care documentation templates for home health
These wound care documentation templates are 10 snippets for home health nurses: three full templates (wound assessment, wound care visit, skin risk check) and seven shorter snippets for teaching, the dressing change and the plan. Type a shortcut wherever you chart and the text appears.
What's inside
Three wound documentation templates
- Wound assessment and staging (/woundassess) in the order reviewers read it: location, type and stage, measurements with the area worked out for you, wound bed, drainage, periwound skin, and the change since the last measurement
- Wound care visit note (/woundnote) with the dressing change, teaching, physician notification, homebound and skilled-need lines
- Skin integrity and pressure injury risk (/skinrisk) with the Braden score you type and its risk level
Seven shorter snippets for commonly typed paragraphs
- Wound care teaching (/woundteach)
- Pressure ulcer prevention teaching (/puteach)
- Dressing change sentence (/dressing)
- No signs of infection (/noinfect)
- Wound care plan and skilled-need line (/woundplan)
- Caregiver return demonstration (/cgdemo)
- Wound photo line (/photo)
Who it's for
RNs and LPNs making wound care visits in home health. It works in any EHR, because the text goes wherever your cursor is.
Start in two minutes
Use /woundassess at your next weekly measurement. Then type /woundteach the next time you teach wound care, change the wording to your own, and save one more sentence you type often as a snippet. Wound notes take minutes at the bedside, not an hour after dinner.
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