IncisionSiteList IncisionConditionList WoundTypeList WoundSiteList WndBed%List
Long Names Short Names Long Names Short Names Long Names Short Names Long Names Short Names Long Names Short Names
Head R Head R Clean&Dry Clean Abrasion Abrasn Occiput Occiput N/A N/A
Head L Head L Redness Redness Abscess Abscess Ear, R Ear, R <25% <25
Head Top Head T Ecchymosis Ecchymo Arterial Ulcer A Ulcer Ear, L Ear, L 25% 25%
Head Back Head B Exudate Exudate Blister/Vessicle Blister Nares, R Nares,R 50% 50%
Neck R Neck R Drainage Drnge Bulla Bulla Nares, L Nares,L 75% 75%
Neck L Neck L Swelling Swell Burn Burn Nose Nose 100% 100
Neck Back Neck B Carbuncle Carbncl Lip, Upper Lip, Up
Neck Front Neck F IncisionApproxList Denuded Denuded Lip, Lower Lip,Low IncisionCareList
Chest Midline Chest Long Names Short Names Dermatitis Derm Neck, R Neck, R Long Names Short Names
Chest Right Chest R Well-approx WA Diabetic Ulcer D Ulcer Neck, L Neck, L Dressing Intact DrsgInt
Chest Left Chest L Not well-approx Not WA Epiderm Strippng Stripng Neck, Back Of Neck B Dressing Change Drsg ^
Thoracic R ThoraxR Excoriation Excor Throat Throat Drsg Reinforced Reinfrc
Thoracic L ThoraxL ExudateTypeList Faruncle(Boil) Farncle Chest Chest OR Drsg Intact Or Drsg
Abdomen Midline Abdomen Long Names Short Names Fissure Fissure Shoulder, R Shldr, R
Abdomen RUQ Abd RUQ Blood, Bright Red BRB Friction Frictn Shoulder, L Shldr, L DressingList
Abdomen RLQ Abd RLQ Blood, Clots BC Herpes Herpes Abdomen Midline Abd Mid Long Names Short Names
Abdomen LUQ Abd LUQ Blood, Dark Red DB Incision Incis Abdomen RUQ Abd RUQ Transparent Film TrnsFlm
Abdomen LLQ Abd LLQ Green Grn Karposi Sarcoma K Sarco Abdomen RLQ Abd RLQ Hydrocolloid HC
Back Midline Back Mucoid Muc Laceration Lacertn Abdomen LUQ ABD LUQ Foam Foam
Back RUQ BackRUQ Purulent Pus Maceration Macertn Abdomen LLQ Abd LLQ Wound Gel Wnd Gel
Back RLQ BackRLQ Serosanguinous SS Nodule Nodule Back Upper Bck Up Calcium Alginate CaAlg
Back LUQ BackLUQ Serous Ser Open Chest OpnChst Back Lower Bck Lw Vaseline Dsg VD
Back LLQ BackLLQ Tan Tan Pressure Ulcer P Ulcer Sacrum Sacrum Wet to Dry W to D
Perineum Peri Watery Wat Pustule Pustule Perineum Peri Gauze Gauze
Groin R Groin R Yellow Yel Rash Rash Groin, R Groin,R Kerlix Kerlix
Groin L Groin L Shear Shear Groin, L Groin,L Barrier Film BarFilm
Arm R Arm R WoundAppearanceList Shingles Shingle Arm, R Arm, R Barrier Cream BarCrm
Arm L Arm L Long Names Short Names Stasis Ulcer S Ulcer Arm, L Arm, L Barrier Ointment BarOint
Hand R Hand R Eschar Eschar Tumor Tumor Hand, R Hand, R
Hand L Hand L Epithlial Tissue Epith Hand, L Hand, L WoundCareList
Leg R Leg R Granulation  GranTis TractsUnderminingList Leg, R Leg, R Long Names Short Names
Leg L Leg L Necrotic Necrot Long Names Short Names Leg, L Leg, L Dressing Chg Drsg ^
Foot R Foot R Pale Pink Pink Tracts Tracts Foot, R Foot, R Dakin's Solution DS
Foot L Foot L Red Red Undermining Undermn Foot, L Foot, L Enzymatic Debrid ED
Slough Slough None None Heel, R Heel, R Surgical Debrid SD
IncisionClosureList Hypokeritosis HypoKer **************** . Heel, L Heel, L Mech Debrid MD
Long Names Short Names Add a Remark .. Trochanter, R Troch,R
Approximated Approx SurroundingSkinList Note Location  Trochanter, L Troch,L UlcerStageList
Intact-staples Staples Long Names Short Names And Size …. Malleolus, R Mal,R Long Names Short Names
Intact-steristrp SterStr Discolor Dscolor Malleolus, L Mal, L Stage I I
Intact-sutures Sutures Erythema Erythem ExudateAmountList Stage II II
Retention Suture Retentn Excoriated Excor Long Names Short Names ExudateLongList Stage III III
Open Open Intact Intact Not Applicable N/A Long Names Short Names Stage IV IV
Dehiscence Dehis Indurated Indur <25% <25 Blood, Bright Red BRB Partial Thick Part
Occlusive Drsg OccDrsg Macerated Macer 25% 25% Blood, Clots Bld/Clt Full Thickness Full
Healed Healed Dessicated Dessic 50% 50% Blood, Dark Red Bld/Drk Unstageable Unstage
Denuded Denuded 75% 75% Green Green
100% 100 Mucoid Mucoid
Purulent Pus
WoundSizeList Serosanguinous SeroSan
Long Names Short Names Serous Serous
Add a Remark and . Tan Tan
note length, .. Watery Watery
width, and depth Yellow Yellow
in cms.   ….