How do you document a skin tear?

How do you document a skin tear?

The clinician must thoroughly assess the wound to determine the extent and depth of the damage. When assessing a skin tear, it is important to document the position of the skin tear; pain levels; size of the tear; description of the wound bed; level and appearance of exudate; and the integrity of the surrounding skin.

How do you describe a skin tear wound?

The International Skin Tear Advisory Panel (ISTAP) defines a skin tear as “a wound caused by shear, friction, and/or blunt force resulting in separation of skin layers.” ISTAP expands the definition by describing the difference between partial thickness (the epidermis and dermis are separated) and full-thickness wounds …

What can you do for a skin tear?


  1. Wash your hands.
  2. Control the bleeding.
  3. Gently clean the wound with warm clean water.
  4. Gently pat dry with a clean towel.
  5. If a skin flap is still attached, try to replace it by gently rolling the skin back over the wound.
  6. Cover the wound with a clean, non-stick pad.

Is a skin tear considered a pressure ulcer?

The updated International Pressure Ulcer Classification System documents that skin tears should not be classified as pressure ulcers.

What is the skin around a wound called?

Wound exudate contains potent enzymes that can delay healing (in chronic wounds, such as leg ulcers, for example) and if this exudate is not managed properly, it can compromise the surrounding skin, called the periwound area.

How to document damage after an auto accident?

If your car is safe to drive and you are causing a road hazard, move your car to the side of the road. Shift into park and turn off your car. Turn on your hazard lights. Use cones and flares, if you have them. Call an ambulance if others appear to be injured, such as the driver of the other vehicle, pedestrians or bicyclists.

When does an incident become an occupational injury?

However, if the work environment or a work event contributes to the incident (i.e., employee steps on a stone or slips, trick knee gives way, and he falls), then any resulting injury is occupational.”

How to document a fall in a hospital?

Follow your facility’s policies and procedures for documenting a fall. Thorough documentation helps ensure that appropriate nursing care and medical attention are given. Whether it’s written on the patient’s chart or entered in the hospital’s electronic medical record, documentation for a fall should include * all observations.

What to look for in a car accident lawsuit?

After a car accident, the success of any car insurance claim or personal injury lawsuit will hinge mostly on your ability to prevail on two key issues: fault for the car accident and the nature and extent of your losses ( damages ).