Dressing Regime Tick) Action if Wound is Deteriorating / Static or Improving Date / Time Dressed Wound by? Assessment (Please Dressed by   (Signature / Initials) Date:  Time: Dressed by   Date: (Signature / Initials)  Time: Dressed by   (Signature / Initials) Date:  Time: Dressed by   (Signature / Initials) Date:  Time: Dressed by   (Signature / Initials) Date:  Time: Dressed by   (Signature / Initials) Date:  Time: Dressed by   (Signature / Initials) Date:  Time: Based on original design by Newcastle Upon Tyne Hospitals NHS (2014)
Date / Time Wound Assessment (Please Tick) Dressing Regime Action if Wound is Deteriorating / Static or Improving Dressed by? Date: Time:    Dressed by (Signature / Initials) Date: Time:    Dressed by (Signature / Initials) Date: Time:    Dressed by (Signature / Initials) Date: Time:    Dressed by (Signature / Initials) Date: Time:    Dressed by (Signature / Initials) Date: Time:    Dressed by (Signature / Initials) Date: Time:    Dressed by (Signature / Initials) Based on original design by Newcastle Upon Tyne Hospitals NHS (2014)
TV-PGN-04-App2-KeyForWoundAssess-V01-Iss1-Jul16.docx