TABLE OF CONTENTS
Wound Care Type/Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Pressure Ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Diabetic Ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Stasis Ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Burn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Ulcer associated with atherosclerosis due to Diabetes . . . . . . . . . . . . . . . . . . . . . . 5
Surgical Wound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Procedure for Enzymatic Debriding Ointment . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . 6
A- Application of Enzymatic Debriding ointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
B- Removal of Enzymatic ointment and secondary dressing . . . . . . . . . . . . . . . . . 7
Procedure for Hydrocolloid Dressings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
A- Placement of Hydrocolloid Dessing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
B- Removal of Hydrocolloid Dressing . . . . . . . . . . . . . . . . . . . . . . 10
Procedure for Hydrogel Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
A- Placement of Hydrogel Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
B- Removal of Hydrogel Dressing . . . . . . . . . . . . . . . . . 13
Procedure for Lyofoam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
A- Placement of Lyofoam Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
B- Changing and/or removal of Lyofoam Dressing . . . . . . . . . . . . . . . . . 16
Procedure for Polymen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
A- Placement of Polymen Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
B- Changing and/or Removal of Polymen Dressing . . . . . . . . . . . . . . . . . 18
Procedure for Wet to Dry Dressing Change . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . 20
A- Placement of Wet to Dry Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
B- Removal of Wet to Dry Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Procedure for Wound Cleanse/Skin Protectant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Prevention and Treatment of Decubitus/Wound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Procedure for Dressing Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Procedure for Wound/Decubitus Summaries . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . 26
Emergency Care for Wound Infection-Reviw Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Discharge to Community needing Wound Care or Medication Assistance . . . .  . . . . . 28
Adverse outcome report: Increase in Number of Pressure Ulcers . . . . . . . . . . . . . . . . 29
Decline in Wound Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Pressure Ulcer Assessment Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Photograph Authorization Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Patient Release of Photograph Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Addendums (Wound Body Chart, Wound Record Addendum) . . . . . . . . . . . . . . . . . . . 35

 

 

      This service reflects the author’s own opinions about Home Health Care services. Although the information and Policies are from sources deemed very reliable, they are not guaranteed. PN System © owner disclaims any personal liability for loss incurred as a result of the applications of any information offered in this application process, or in the use of our services. If expert, professional, medical, clinical assistance is required, the services of a component professional person should be sought. Your Director of Nursing, MUST review/approve the Policies/procedures/forms, also you and your Agency guarantee to comply with all Federal/Local/State laws to use our services.