Skin Tear Management Documentation
Date/Time
Assessed By
Location of Skin Tear
Side
Left
Right
Bilateral
Other
Type of Skin Tear (ISTAP Classification)
Type 1: No skin loss
Type 2: Partial flap loss
Type 3: Total flap loss
Size (L x W x D, cm)
Wound Bed Appearance
Exudate (Type/Amount)
Peri-wound Condition
Pain Assessment
Management Provided
Dressing Applied
Education/Instructions Given
Plan/Follow Up
Signature