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Managing Wound Assessments

The Wound Assessment feature in MedFlow enables providers to document incision care, comorbidities, and dressing recommendations through either voice dictation or manual entry.

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Written by Regina Arbolante
Updated over 2 months ago

Overview

This feature simplifies postoperative documentation by offering two input options: dictation for hands-free entry and manual forms for direct data selection. Providers can record details such as drainage amount, incision size, comorbidities, and treatment notes. The system then generates a structured wound assessment document that includes medical necessity, wound measurements, dressing instructions, and comorbidity considerations. Patient-identifiable information must always be redacted in training examples and screenshots.

Summary

  1. Access from the Documentation tab on an order or from the Appointment page → Create Wound Assessment.

  2. Select Drainage Amount.

  3. Choose Incision Size relative to expectations.

  4. Override and enter manual measurements if needed.

  5. Add Wound Notes.

  6. Enter Comorbidities via the search box and checklist.

  7. Add any extra notes.

  8. Save the document.

  9. For multiple wounds:

    • Use Bulk Edit to apply the same details.

    • Use Individual Edit for unique wound details

Tips for Efficiency

  • Use dictation when possible for faster, more detailed assessments.

  • Speak naturally but follow the guidance prompts to ensure all required details are included.

  • Double-check comorbidities and medications, as these impact treatment justification.

  • Save frequently to avoid losing progress.

Important Notes

  • Screenshots should only show wound assessment content, not patient identifiers.

  • Redact provider stamps and any sensitive details before sharing or training.

  • If wound measurements show an error, continue with documentation and save. Updates to fix this

Step-By-Step Guide

Accessing the Wound Assessment

  • Open the patient’s order and select the Documentation tab, or

  • From the appointment page, click Create Wound Assessment.

Filling Out The Form

Select the drainage amount

  • Light

  • Light-Moderate

  • Moderate

Specify incision size relative to expectations.

  • Slightly larger than expected

  • As expected

  • Slightly smaller than expected

If needed, override measurements manually by switching the override button.

  • Click the switch

  • Input length, width, and depth in cm.

Add additional wound notes if needed

Comorbidities Section

Enter comorbidities by typing into the search box (e.g., “diabetes,” “vascular disease,” “age-related conditions”). A checklist dropdown will be available for you to select one or multiple comorbidities.

Add Additional Notes if needed

Save the document.

Two Types of Edit of Wound Assessments

Bulk Editing Mode

For Bulk Editing Mode, we do one form and apply it to multiple wounds. Each wound is recorded separately even when you use bulk edit. It only makes it easier if you’re creating or editing multiple wound assessments with the same details.

  1. Switch to Bulk Edit mode

  2. Fill out the form (Input Drainage Amount, Incision Size Assessment)

  3. Select the Wounds you with to apply your form details to

  4. Save the changes by clicking on the Apply to [count] wounds.

  5. Review the Individual Wound Details to make sure it’s correct.

Individual Editing Mode

For Individual Editing Mode, you can create or edit the form separately. This applies if the wound assessments has different details.

  1. Switch to Individual Editing Mode

  2. Fill out the form separately (follow the standard process)

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