TOOLS FOR WOUND ASSESSMENT AND MEASUREMENT.( The way I understand it as an RN).

To measure your wounds you need measuring Tapes,Gloves, Cotton Swab,digital camera,and clock.

Have all your supplies ready because you do not want to be going back and forth for supplies.

Provide privacy.

Wash your hands and wear your glove.

Get the measuring tools ready.(Write patient initial ,date,time and your name and title).

Patient initial and room number is good enough for this situation,because we are trying

to protect the patient as much as we can.Please follow your Facility policies and procedures .

Position your patient properly for the camera.

Remember do not take a picture of your patient face or his/her tattoos.

Position the measuring tape correctly and take your picture.

Use the tape to measure length and width ,and the cotton swab to measure the

depth by sticking it into the wound to find the depth,undermining and tunneling.

Place the cotton swab on the measuring tape to get and document the depth of the wound.

L x W x D =Length x Width x Depth

If the wound is round find the diameter.

Is there a tunneling.

Check for undermining?

What did you see?

Do not alter what you saw.And do not use personal phone to take pictures.

Remember that the head is always 12oclock and the tail 6oclock.

Discard the measuring tapes with patient initial in patient’s room ,inside the trash can,

after tearing it.

Wash your hands before leaving patient room.

cotton swab


Measuring tape

Print the pictures ,write a brief description and place it in patient chart.

Thanks ,you have done well.

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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