|
Common PU Locations
|
|
|
Wound 6
|
|
|
Wound 6
|
|
|
Location
|
Location Comment
|
|
Wound Duration
• • •
|
Wound Duration Comment
|
|
Type
• • •
|
Type Comment
|
|
Wound Pressure Stage/DFU Grade
|
Wound Stage/Grade Comment
|
|
Thickness
|
Thickness Comment
|
|
Size in cm (LxWxD)
|
Size Comment
|
|
Previous Size
|
Previous Size Comment
|
|
Undermining/Tunneling
|
Undermining/Tunneling Comment
|
|
Wound Bed
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Visible Anatomical Structures
• • •
|
Visible Anatomical Structures Comment
|
|
Wound Edges
• • •
|
Wound Edges Comment
|
|
Surrounding Tissue
• • •
|
Surrounding Tissue Comment
|
|
Exudate Amount
|
Exudate Amount Comment
|
|
Exudate Type
|
Exudate Type Comment
|
|
Odor
|
Odor Type
|
|
Concern for Infection
|
Concern for Infection Comment
|
|
Wound Progression
|
Wound Progression Comment
|
|
Wound Care Performed
|
|
|
Wound cleansed
|
Wound Cleaning Comment
|
|
Sharp Debridement Contraindications
• • •
|
Debridement Contraindications Comment
|
|
Sharp Debridement Wound 6
|
Debridement Freewrite
|
|
Topical Numbing Cream
|
|
|
Post Debridement Measurement (LxWxD) cm:
|
Debridement Type
|
|
Tissue Removed
• • •
|
Tissue Removed Comment
|
|
Wound Bed Post-Debridement
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Instrument(s) Used
• • •
|
Instrument(s) Used Comment
|
|
Blood Loss
|
Pressure Applied
|
|
Primary Dressing(s)
• • •
|
Secondary Dressing(s)
• • •
|
|
Dressings Freewrite
|
|
|
Wound 7
|
|
|
Wound 7
|
|
|
Location
|
Location Comment
|
|
Wound Duration
• • •
|
Wound Duration Comment
|
|
Type
• • •
|
Type Comment
|
|
Wound Pressure Stage/DFU Grade
|
Wound Stage/Grade Comment
|
|
Thickness
|
Thickness Comment
|
|
Size in cm (LxWxD)
|
Size Comment
|
|
Previous Size
|
Previous Size Comment
|
|
Undermining/Tunneling
|
Undermining/Tunneling Comment
|
|
Wound Bed
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Visible Anatomical Structures
• • •
|
Visible Anatomical Structures Comment
|
|
Wound Edges
• • •
|
Wound Edges Comment
|
|
Surrounding Tissue
• • •
|
Surrounding Tissue Comment
|
|
Exudate Amount
|
Exudate Amount Comment
|
|
Exudate Type
|
Exudate Type Comment
|
|
Odor
|
Odor Type
|
|
Concern for Infection
|
Concern for Infection Comment
|
|
Wound Progression
|
Wound Progression Comment
|
|
Wound Care Performed
|
|
|
Wound cleansed
|
Wound Cleaning Comment
|
|
Sharp Debridement Contraindications
• • •
|
Debridement Contraindications Comment
|
|
Sharp Debridement Wound 7
|
Debridement Freewrite
|
|
Topical Numbing Cream
|
|
|
Post Debridement Measurement (LxWxD) cm:
|
Debridement Type
|
|
Tissue Removed
• • •
|
Tissue Removed Comment
|
|
Wound Bed Post-Debridement
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Instrument(s) Used
• • •
|
Instrument(s) Used Comment
|
|
Blood Loss
|
Pressure Applied
|
|
Primary Dressing(s)
• • •
|
Secondary Dressing(s)
• • •
|
|
Dressings Freewrite
|
|
|
Wound 8
|
|
|
Wound 8
|
|
|
Location
|
Location Comment
|
|
Wound Duration
• • •
|
Wound Duration Comment
|
|
Type
• • •
|
Type Comment
|
|
Wound Pressure Stage/DFU Grade
|
Wound Stage/Grade Comment
|
|
Thickness
|
Thickness Comment
|
|
Size in cm (LxWxD)
|
Size Comment
|
|
Previous Size
|
Previous Size Comment
|
|
Undermining/Tunneling
|
Undermining/Tunneling Comment
|
|
Wound Bed
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Visible Anatomical Structures
• • •
|
Visible Anatomical Structures Comment
|
|
Wound Edges
• • •
|
Wound Edges Comment
|
|
Surrounding Tissue
• • •
|
Surrounding Tissue Comment
|
|
Exudate Amount
|
Exudate Amount Comment
|
|
Exudate Type
|
Exudate Type Comment
|
|
Odor
|
Odor Type
|
|
Concern for Infection
|
Concern for Infection Comment
|
|
Wound Progression
|
Wound Progression Comment
|
|
Wound Care Performed
|
|
|
Wound cleansed
|
Wound Cleaning Comment
|
|
Sharp Debridement Contraindications
• • •
|
Debridement Contraindications Comment
|
|
Sharp Debridement Wound 8
|
Debridement Freewrite
|
|
Topical Numbing Cream
|
|
|
Post Debridement Measurement (LxWxD) cm:
|
Debridement Type
|
|
Tissue Removed
• • •
|
Tissue Removed Comment
|
|
Wound Bed Post-Debridement
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Instrument(s) Used
• • •
|
Instrument(s) Used Comment
|
|
Blood Loss
|
Pressure Applied
|
|
Primary Dressing(s)
• • •
|
Secondary Dressing(s)
• • •
|
|
Dressings Freewrite
|
|
|
Wound 9
|
|
|
Wound 9
|
|
|
Location
|
Location Comment
|
|
Wound Duration
• • •
|
Wound Duration Comment
|
|
Type
• • •
|
Type Comment
|
|
Wound Pressure Stage/DFU Grade
|
Wound Stage/Grade Comment
|
|
Thickness
|
Thickness Comment
|
|
Size in cm (LxWxD)
|
Size Comment
|
|
Previous Size
|
Previous Size Comment
|
|
Undermining/Tunneling
|
Undermining/Tunneling Comment
|
|
Wound Bed
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Visible Anatomical Structures
• • •
|
Visible Anatomical Structures Comment
|
|
Wound Edges
• • •
|
Wound Edges Comment
|
|
Surrounding Tissue
• • •
|
Surrounding Tissue Comment
|
|
Exudate Amount
|
Exudate Amount Comment
|
|
Exudate Type
|
Exudate Type Comment
|
|
Odor
|
Odor Type
|
|
Concern for Infection
|
Concern for Infection Comment
|
|
Wound Progression
|
Wound Progression Comment
|
|
Wound Care Performed
|
|
|
Wound cleansed
|
Wound Cleaning Comment
|
|
Sharp Debridement Contraindications
• • •
|
Debridement Contraindications Comment
|
|
Sharp Debridement Wound 9
|
Debridement Freewrite
|
|
Topical Numbing Cream
|
|
|
Post Debridement Measurement (LxWxD) cm:
|
Debridement Type
|
|
Tissue Removed
• • •
|
Tissue Removed Comment
|
|
Wound Bed Post-Debridement
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Instrument(s) Used
• • •
|
Instrument(s) Used Comment
|
|
Blood Loss
|
Pressure Applied
|
|
Primary Dressing(s)
• • •
|
Secondary Dressing(s)
• • •
|
|
Dressings Freewrite
|
|
|
Wound 10
|
|
|
Wound 10
|
|
|
Topical Numbing Cream
|
|
|
Location
|
Location Comment
|
|
Wound Duration
• • •
|
Wound Duration Comment
|
|
Type
• • •
|
Type Comment
|
|
Wound Pressure Stage/DFU Grade
|
Wound Stage/Grade Comment
|
|
Thickness
|
Thickness Comment
|
|
Size in cm (LxWxD)
|
Size Comment
|
|
Previous Size
|
Previous Size Comment
|
|
Undermining/Tunneling
|
Undermining/Tunneling Comment
|
|
Wound Bed
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Visible Anatomical Structures
• • •
|
Visible Anatomical Structures Comment
|
|
Wound Edges
• • •
|
Wound Edges Comment
|
|
Surrounding Tissue
• • •
|
Surrounding Tissue Comment
|
|
Exudate Amount
|
Exudate Amount Comment
|
|
Exudate Type
|
Exudate Type Comment
|
|
Odor
|
Odor Type
|
|
Concern for Infection
|
Concern for Infection Comment
|
|
Wound Progression
|
Wound Progression Comment
|
|
Wound Care Performed
|
|
|
Wound cleansed
|
Wound Cleaning Comment
|
|
Sharp Debridement Contraindications
• • •
|
Debridement Contraindications Comment
|
|
Sharp Debridement Wound 10
|
Debridement Freewrite
|
|
Post Debridement Measurement (LxWxD) cm:
|
Debridement Type
|
|
Tissue Removed
• • •
|
Tissue Removed Comment
|
|
Wound Bed Post-Debridement
• • •
|
|
|
Granular %
|
Fibrotic %
|
|
Slough %
|
Eschar %
|
|
Wound Bed Comment
|
|
|
Instrument(s) Used
• • •
|
Instrument(s) Used Comment
|
|
Blood Loss
|
Pressure Applied
|
|
Primary Dressing(s)
• • •
|
Secondary Dressing(s)
• • •
|
|
Dressings Freewrite
|
|
