Assignment Task
Selective Proposal: Why documentation of each wound measurement is important when a patient has multiple wounds?
Name: Juby Mathew
Professional Designation: RPN
Place of work: CTG clinic.
Submitted on: Dec30, 2020
Selective Proposal-Approved, see below.
Name: Mathew, Juby Date: Dec 14, 2020
Professional Designation: RPN. Place of Employment: Clinic
Title of Selective: Why documentation of each wound measurement is important when a patient has multiple wounds?
Need Goal Resource Evidence
I have identified that wound measurement is not accurately documented at CTG clinic, Ontario, the place where I work. If a patient has more than one wound, nurses usually document “as multiple wounds” on the wound care flow sheet, instead of documenting wound size of each wounds on separate wound care flow sheets and care plan. The documentation of each wound size is important as it helps to identify whether the wound is healing within the four to six weeks’ timeframe, and the treatment is effective or not. In addition, continuity of the care can be achieved by appropriate documentation, which is a proof for any legal proceedings. To implement standardised practice of documentation of wound measurement for nurses at CTG clinic. I would provide survey questions to group of nurses who are working in the same facility. Use current policies and practices as resources, get management approval, review literature on wound measurement and frequency, education session to group of nurses. Chart audit to identify pre & post documentation practices.
I would ask the group of nurses’ responses, assess the data from the survey and the wound care flow sheet of the patients pre- and post-survey. I would also assess whether I have accomplished the goal by asking feedback from the manager if it is possible.
Audit the charts and compare pre- and post-documentation practices to identify the standardized wound measurement and documentation.
Faculty Comments only:
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