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SOP: Skin Tear and Wound Reporting

Standard for skin tear assessment, documentation, and reporting.

SOP: Skin Tear and Wound Reporting

Procedure for assessing, documenting, and reporting skin tears and wounds.

Assessment

  • Classify skin tear type (I–III)
  • Measure L x W x D; photo with consent
  • Pain score and infection signs

Documentation

  • Wound note in EHR with measurements
  • eMAR treatment added and scheduled
  • Notify provider and Responsible Party

Download: Wound Assessment Form (PDF)

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