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Run: Weekly Pressure Injury Wound Assessment

Weekly Pressure Injury Wound Assessment template for documenting stage, measurements, wound bed, drainage, periwound skin, pain, and treatment response. Use ...

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Assessment Context

Assessment date and time recorded critical (required)

Wound location documented critical (required)

Pressure injury stage documented critical (required)

Comparison to prior weekly assessment available

Yes No N/A

Wound Measurements

Length critical (required)

Width critical (required)

Depth critical (required)

Undermining present

Yes No N/A

Tunneling present

Yes No N/A

Wound Bed and Drainage

Primary tissue type in wound bed critical (required)

Note (optional)

Drainage amount critical (required)

Drainage type

Note (optional)

Odor present

Yes No N/A

Wound bed appearance is improving, stable, or worsening critical (required)

Periwound, Pain, and Treatment Response

Periwound skin condition critical (required)

Note (optional)

Pain score documented critical (required)

Current treatment applied or continued critical (required)

Treatment response since last assessment critical (required)

Provider notified for deterioration or critical findings critical (required)

Yes No N/A

Follow-Up and Sign-Off

Next reassessment plan documented

Photo documentation captured if required by policy

Yes No N/A

Photo evidence (optional)

Inspector name and credentials critical (required)

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