Wound reassessment algorithm
Wound reassessment algorithm Cleaning a Wound Cleaning a Wound
«Flowchart»

After cleaning, reassess the wound bed and surrounding skin.

After cleaning, reassess the wound bed and surrounding skin.

After cleaning, reassess the wound bed and surrounding skin.

Residual debris?
Sinus tract or tunneling?

Residual debris?
Sinus tract or tunneling?


Residual debris?

Clean the wound bed.

Clean the wound bed.

Clean the wound bed.

Signs of infection?
Inflammation?
Necrotic tissue?

Signs of infection?
Inflammation?
Necrotic tissue?



Signs of infection?

Consult with a QHP or certified wound care nurse specialist.

Consult with a QHP or certified wound care nurse specialist.

Consult with a QHP or certified wound care nurse specialist.

Dress with the appropriate product per assessment and orders.

Dress with the appropriate product per assessment and orders.

Dress with the appropriate product per assessment and orders.

Irrigate with sterile normal saline solution as ordered.

Irrigate with sterile normal saline solution as ordered.

Irrigate with sterile normal saline solution as ordered.

End

End

End