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TS 46603 Hartmann/Documentation f r Acute / Chronicle Under borscht her Klassifikationen 5/28.1.2010...
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How to fill out dokumentation der wundbehandlung fr
How to fill out "Dokumentation der Wundbehandlung FR":
01
Start by entering the patient's information, including their name, age, and any relevant medical history.
02
Describe the wound in detail, noting its location, size, and characteristics such as depth, color, and presence of drainage.
03
Document any interventions or treatments that have been performed, such as cleaning the wound, applying dressings, or administering medications.
04
Record the date and time of each treatment or dressing change.
05
Monitor and document any signs of infection, such as increased redness, swelling, or the presence of pus.
06
Note any pain or discomfort reported by the patient and document the pain scale used.
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Keep track of the progress of the wound healing process, including any changes observed over time.
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If applicable, document any consultations with other healthcare professionals regarding the wound treatment.
09
Include a section for the healthcare provider's signature and date of completion.
Who needs "Dokumentation der Wundbehandlung FR":
01
Healthcare professionals: Nurses, doctors, wound care specialists, and other healthcare providers involved in treating wounds need to fill out "Dokumentation der Wundbehandlung FR" as part of their routine documentation and to ensure continuity of care.
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Caregivers: Individuals responsible for providing home care or assisting with wound care also need to maintain accurate documentation to communicate the status of the wound and any treatments performed to other healthcare professionals.
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Medical institutions: Hospitals, clinics, and other medical facilities require proper documentation of wound care to maintain patient records, ensure quality care, and facilitate reimbursement processes.
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