Koerber Kathryn L
Infinity Healthcare Staffing, Inc., LaGrange, Illinois, USA.
J Nurses Staff Dev. 2009 Jul-Aug;25(4):E1-4. doi: 10.1097/NND.0b013e3181ae1445.
Many nurses are uncertain of how to appropriately document wound information, and this may result in inconsistent wound care. A method of educating staff nurses on the importance of wound care documentation is needed. Through computerized self-study modules, staff nurses were educated on how to complete documentation accurately and completely, including how to identify the type of wound, stage the wound (for pressure ulcers), measure the wound, and describe exudate, wound base, odor, pain, temperature, tunneling, undermining, and maceration.
许多护士不确定如何恰当地记录伤口信息,这可能导致伤口护理不一致。需要一种方法来教育注册护士伤口护理记录的重要性。通过计算机化自学模块,注册护士接受了如何准确、完整地完成记录的培训,包括如何识别伤口类型、对伤口进行分期(针对压疮)、测量伤口以及描述渗出液、伤口基底、气味、疼痛、温度、窦道、潜行和浸渍情况。