Wound Care Recording Chart

A wound care recording chart for documenting a participant's wound healing at each dressing change, or as their support or health care plan directs. Support workers record each assessment, and any deterioration is escalated to the supervisor and the participant's GP or clinical team.

What is inside:

• Instructions on hand hygiene, PPE, measuring wound size and recording treatment
• Scope of practice limits for support workers and when a wound needs clinical oversight
• Wound appearance codes, from clean and granulating to necrotic tissue and high exudate
• Participant and wound details, date first noted and clinical team contact
• Recording log: location, size, appearance, treatment, dressing change and worker
• Ongoing notes on infection signs, healing progress, participant concerns and closure date
• Supervisor review and comments

Good to know: support workers may only attend simple, routine dressing changes authorised in the support plan and within their training. Pressure injuries, ulcers, burns and post-surgical wounds need clinical oversight and high intensity complex wound care competencies.

• Reviewed against the current NDIS Rules, Practice Standards and Commission guidance
• Editable DOCX with a placeholder legend, so you enter your details once
• Instant download

These templates are general information, not legal advice. No template can guarantee registration or audit outcomes.