Remote-access Guide

is remote access charting acceptable for wound care

by Prof. Junior Johnston Published 2 years ago Updated 2 years ago
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How are wound care professionals using smartphones?

With the increasing global presence of and reliance on smartphones, featuring high-resolution digital photography and wireless, high-speed Internet, patients with wounds and point-of-care wound professionals are increasingly engaged in remote wound management and surveillance.

How do you document wound care treatment?

A thorough wound care treatment chart helps the entire treatment team stay up to date on a patient’s progress. Here are a few wound care documentation samples and tips to ensure your team is documenting wounds effectively: 1. Measure Consistently

Why is comprehensive wound care documentation so important?

Comprehensive wound care documentation is a critical part of day-to-day operations in any medical facility. Not only does it help ensure patients receive the high-quality care they deserve, but it also helps protect those providing care from litigation. Unfortunately, lawsuits tied to wound care are incredibly common.

How has technology changed the wound care industry?

Remote Wound Care With the increasing global presence of and reliance on smartphones, featuring high-resolution digital photography and wireless, high-speed Internet, patients with wounds and point-of-care wound professionals are increasingly engaged in remote wound management and surveillance. Twenty years ago, home …

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What documentation should be included in a wound assessment?

A wound assessment must be made and accurately recorded at every dressing change: the size of the wound, its depth, colour and shape, as well as the condition of surrounding skin, should all be documented.

What tool should be used when undertaking a wound assessment?

The Triangle of Wound Assessment is a new tool that extends the current concepts of wound bed preparation and TIME beyond the wound edge5. It divides assessment of the wound into three areas: the wound bed, the wound edge, and the periwound skin.

How do you document a wound in nursing?

How Do You Document a Wound Assessment Properly?Measure Consistently. Use the body as a clock when documenting the length, width, and depth of a wound using the linear method. ... Grade Appropriately. Edema, or swelling, can vary in severity depending on the patient and the wound. ... Get Specific.

What information is considered and included in an Individualised wound management plan of care?

The Importance of Individualized Wound CareSocial Factors. Social factors that may impact patient care and adherence to treatment include the patient's ethnicity and cultural beliefs. ... Psychological Factors. ... Physical Factors. ... Nutritional Factors. ... Lifestyle Factors. ... About The Author.

What are the 5 rules of wound care?

In this article, the authors offer five generalisable principles that colleagues providing community care can apply in order to achieve timely wound healing: (1) assessment and exclusion of disease processes; (2) wound cleansing; (3) timely dressing change; (4) appropriate (dressing choice; and (5) considered ...

What are five 5 wound characteristics you would identify when assessing a wound?

Wound report Characteristics of the wound bed, such as necrotic tissue, granulation tissue and infection. Odour and exudate (none, low, moderate, high) Condition of the surrounding skin (normal, oedematous, white, shiny, warm, red, dry, scaling, thin)

Why are wound charts important?

Wound charting helps to evaluate the progress of healing or the lack of progress on a day-to-day basis. It! consolidates the wound information on a single page instead of scattering it over several pages and it serves as a professional record of the care that is given (11).

How do you perform a wound assessment?

EvaluationIdentify the wound location.Determine the cause of the wound:Evaluate for foreign bodies or neoplastic processes. ... Determine the stage of the wound:Stage I: Superficial, involving only the epidermal layer. ... Evaluate and measure the depth, length, and width of the wound[51]More items...•

How do you document a surgical wound?

Include the date, time, and your signature (including your credentials) in all your notes. Document the anatomic location of the incision, including on which side of the body surgery was performed. Chart the length of the incision in centimeters and include the depth measurement whenever appropriate.

What principles of wound care should the nurse include when completing wound care for a client with sutures?

The basic principles for the management of a wound or laceration are:Haemostasis.Cleaning the wound.Analgesia.Skin closure.Dressing and follow-up advice.

What should be included in individual care plan?

A person's care plan should include:their goals, needs and preferences.the services that you will provide or organise.who will provide the services.when services will be provided, such as frequency, days and times.care management arrangements.how involved the person will be in managing their package.More items...•

What are the nursing interventions for wound care?

Acute Wound ManagementRemove visible debris and devitalised tissue.Remove dressing residue.Remove excessive or dry crusting exudates.Reduce contamination.

How do you perform a wound assessment?

EvaluationIdentify the wound location.Determine the cause of the wound:Evaluate for foreign bodies or neoplastic processes. ... Determine the stage of the wound:Stage I: Superficial, involving only the epidermal layer. ... Evaluate and measure the depth, length, and width of the wound[51]More items...•

What is the most common method for wound measurement?

The most common method is linear measurement, also known as the "clock" method. Imagine the body as the face of an imaginary clock, the head is 12:00 and the feet are 6:00. Length is measured by placing the ruler at the point of greatest length or from 12:00 to 6:00.

Which of the following tools is recommended for assessing wound progression or regression?

One such instrument, the Bates-Jensen Wound Assessment Tool (BWAT), is used in the U.S. and internationally.

What is the push tool?

Q: What is the PUSH Tool? PUSH is an acronym for Pressure Ulcer Scale for Healing. The National Pressure Ulcer Advisory Panel developed this tool to monitor pressure healing over time. The PUSH Tool monitors three parameters: surface area of the wound, wound exudate and type of wound tissue.

What Does Remote Wound Care Offer?

Remote wound care incorporates the principles of telehealth and telemedicine. These concepts provide a patient-centered approach to wound care allowing wound care professionals to provide excellent care to their patients even at a distance. Various telemedicine platforms offer secure patient data storage as well as video conferencing options. These allow wound care providers to conduct visual wound assessments and access vital information key to patient management.

What is a wound pro?

Similar to RITA, the Wound Pros also offers a remote vitals monitoring application powered by AI. Remote vitals monitoring software can be installed on standard smartphone devices and uses a video-based approach to measure patient vitals, e.g., oxygen saturation, heart rate, respiration, blood pressure, temperature, and stress levels. These vital signs are routinely monitored in wound care and deviations often help wound care experts determine if an adverse wound healing process is ongoing. For example, variations in blood pressure and high temperatures (fevers) might indicate pathological stress and ongoing wound infection. Providing real-time patient data to wound care experts will allow them to rapidly implement corrective measures remotely. Remote vitals monitoring will be particularly beneficial to persons with underlying health conditions complicating or causing their wounds, living in under-served communities where access to wound care is limited or non-existent.

What are the components of telemedicine?

Telemedicine which includes all the clinical services available to a patient being treated virtually includes the following components: 1 Teleconsultation 2 Teleassistance 3 Teleexpertise

Faster Documentation Done Right Every Time

Physicians love these proprietary tools built into Intellicure because they save time charting and coding while producing robust, compliant documentation.

Combatting Physician Burnout

Intellicure was built by a practicing wound care physician and a wound clinic manager to accomplish the goal of delivering quality outcomes while making their lives easier. That goal remains today as Intellicure adds new time-saving tools that improve clinical workflows without disrupting administrative tasks.

Optimal Clinical Outcomes, Happy Patients

Intellicure’s wound care software helps physicians achieve better quality outcomes for their patients. Intellicure takes great pride in its commitment to data as the key to wound healing on an individual and global basis.

MIPS Success Without Even Trying

Intellicure ensures every physician using its wound care software or wound care EHR will beat MIPS every year. In fact, Intellicure users routinely rank among America’s top 5% of clinicians in quality care.

Why is wound care documentation important?

Comprehensive wound care documentation is a critical part of day-to-day operations in any medical facility. Not only does it help ensure patients receive the high-quality care they deserve, but it also helps protect those providing care from litigation.

What Is Included in a Wound Assessment?

A wound assessment begins with a thorough examination of a patient’s full body. All wounds must be assessed, measured, and effectively documented at least every seven days. In terms of how to document a wound assessment, more details are always better. Some of the key elements to document are:

How to measure wound size?

Measurement: The size of the wound should be measured in centimeters and listed in the wound care treatment chart as length times width times depth. Nurses must also document the location and depth of any tunneling or undermining.

How to measure depth of a wound?

This can be accomplished by gently placing a cotton-tip applicator into the deepest part of the wound, then holding the applicator up to a ruler. This same applicator can be used to measure tunneling and undermining. Because undermining spreads in many directions, the linear method should be used to document multiple measurements. For example, a nurse may describe the wound’s undermining as “0.5 cm between 1:00 and 2:00 and 1.5 cm between 2:00 and 5:00.”

What is the importance of wound bed?

Wound Bed: It’s important to document tissue type (slough, eschar, epithelial, granulation, etc.), coloring, and level of adherence using percentages. For example, “40% of the wound is covered in non-adherent tan slough while 60% is covered with red granulation tissue.”

What are the signs of infection in a wound?

A wound assessment should cite any indicators of infection, including redness or localized pain.

What are the different types of drainage?

Common types of draining include serous, sanguineous, serosanguineous, and purulent. Words like “none,” “scant,” “small,” “moderate,” and “large/copious” are often used to describe the amount of drainage assessed. Odor: Wounds can have different odors, ...

What is wound mapping?

Wound Mapping Ultrasound is a diagnostic tool that enables visualization of blood flow and ankle-brachial index waveform documentation

How can wound assessment be completed?

Wound assessments and monitoring can be completed easily through the use of digital aids for measurement, imaging, and documentation. This article provides a list of wound management systems and digital platforms. These tools can be used by healthcare providers to enhance the care of patients with wounds. This article provides a brief overview of some of these technologies.

What is bedside assessment?

BedSide is a front-line assessment tool that features 2D wound measurements, recommends diagnosis and treatment, and provides clinical alerts

What is an episcan?

EPISCAN I-200 is a high-frequency ultrasound technology which helps to differentiate subtle changes in tissue structure

What is Woundmatix telehealth?

WoundMatix telehealth solution allows patients to upload wound images to care coordinator for assessment, measurement, and outcome tracking

What is wound care community?

The Wound Care Community is a space to share resources & connect with others interested in improvements & innovations within this area.

What is woundwise IQ?

WoundWiseIQ is a mobile app that captures the wound image. This image captures is automatically processed and sent to SAAS application

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