Post-Surgical Wound Monitoring Form
Patient Name
Assessment Date
Assessment Time
Type of Surgery
Wound Location
Wound Appearance
Intact
Redness
Swelling
Dehiscence
Discharge
Wound Edges
Discharge/Exudate
None
Serous
Purulent
Sanguineous
Odor
None
Foul
Pain/Tenderness
None
Mild
Moderate
Severe
Temperature (°C)
Wound Size (cm)
Actions Taken
Additional Notes
Assessor Name