Steps for Action Protocol
(Document each steps)
Action Protocol for Wound Prevention
Document Exact Visual Findings → Notify the Nursing Supervisor Immediately → Contact the Facility Podiatrist or Primary Care Provider → Log Provider Orders and Time Received → Track Outcomes and Changes in Condition
Recognition Precedes Documentation. Documentation Precedes Intervention. Intervention Prevents Hospitalization.
STEP 01
Document Exact Visual Findings
- Location of wound/skin change
- Size, color, drainage, odor
- Pain, swelling, redness, warmth
- Photograph per facility policy
STEP 02
Notify Nursing Supervisor Immediately
- Report findings promptly
- Escalate concerns according to facility protocol
- Document notification date and time
STEP 03
Contact Facility Podiatrist or Primary Care Provider
- Provide objective clinical findings
- Communicate urgency when indicated
- Document date/time provider contacted
STEP 04
Log Provider Orders
- Record exact order received
- Include date and time of receipt
- Confirm implementation of orders
STEP 05
Reassess, document,
and communicate changes in condition
- Monitor wound progression
- Reassess and document findings
- Record response to treatment
- Report deterioration immediately