TOTAL SCORE
NG tube: describe drainage. Ostomy: describe stoma site & drainage. Other. Skin and Wounds. Color, turgor. Rash, bruises. Describe wound(s) location, size. Edges approximated ( yes ( no Drains (type & location) Characteristics of drainage. Dressings (clean, dry, intact) Sutures, staples, steri-strips . Risk for decubitus ulcer assessment rating ... ................
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