WOUND CARE STEPS

Wound Care Step/Code Examples of Instances
Introduction Greeting patients
Asking how patient is
Assessment Assessing wounds
Asking permission to assess
Assessing patients comfort
Measuring wounds
Assessing ostomy bag/checking if it is full or empty
Determining wound type
Noting wound behavior
Assessing materials
Setup Hand washing before wound care
Setting, opening and getting materials (e.g., opening packaged materials, wetting materials)
Moving/setting up patient
Putting on gloves
Putting clothes on
Giving helper and/or patient instructions
Adjusting or getting equipment (e.g., lowering the bed)
Removal Removal of gloves
Removal of wound dressing/materials
Clothes (patient and/or nurse)
Hand hygiene after wound care
Emptying ostomy bag
Cleaning Cleaning wound
Emptying or closing ostomy bag
Nail/hair cutting of trimming
Treatment Application of creams/ointments, etc. to help the wound
Dressing Covering wound with new material
Applying new fabrics/materials to the wound (packing)
Conclusion Saying bye to patient/family
Signing dressing
Recording time
Showing how to call nurse for help
Showing patient or family how to help patient
Asking patient if they are okay or need anything before they leave
Hugging patient before leaving
Calming patient before leaving
Saying goodbye