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Tips To Treasure: Wound Assessment Tool

Need a quick and easy way to remember how to accurately assess a wound? Look no further: the Institute for Clinical Systems Improvement (ICSI) has developed a pressure ulcer treatment protocol (2008), using a mnemonic to guide you through the assessment process:

When assessing a wound, consider the following assessment factors:


• (A) Anatomic location
• (S) Size, shape
• (S) Stage
• (E) Exudate
• (S) Surrounding skin
• (S) Sinus tract, tunneling
• (M) Margins
• (E) Edges
• (N) Nose (odor)
• (T) Tissue

Visit: http://www.guideline.gov/summary/summary.aspx?view_id=1&doc_id=13698 for additional information on wound assessment.