Anatomical Diagrams-Skin Surface Assessment

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ANATOMICAL DIAGRAMS-SKIN SURFACE ASSESSMENT
Utilize diagrams to document all injuries and findings including cuts, lacerations, bruises, abrasions, redness,
swelling, bites, burns, scars and stains/foreign material on patient’s body. Distinguish pre-existing injuries
from those resulting from the incident. Record size, color and appearance of all injuries. If an Alternate Light
Source is used to assist in visualizing secretions, denote areas of (+)findings with “+ALS”.
L
L
R
R
___________________________
____________________________
Case Number
Initials of Examiner
ORIGINALS-EXAMINER
YELLOW COPY- INVESTIGATOR
PINK COPY-LAB

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