Negative Pressure Wound Therapy

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Negative Pressure Wound Therapy Documentation
Requirements Documentation Needed for NPWT Orders

  • A detailed written order/prescription signed and dated by the treating authorized prescriber. Must be received prior to the delivery.
  • Copy of patient demographics (face sheet)
  • Patient insurance information (if not available on face sheet)
  • Copy of discharge summary (if applicable)
  • Copy of history and physical (H and P)
  • Documentation of wound measurements (length x width x depth), include unit of measure
  • Amount of exudate (if available/can assist with qualifying)
  • Documentation of patient being appropriately turned and positioned
  • Documentation of patient’s using group 2 support surface if the pressure ulcer is on posterior trunk or pelvis (if not, why)
  • Documentation of patient’s moisture and incontinence has been appropriately managed
  • Documentation of patient’s nutritional status
  • Documentation to support debridement of necrotic tissue, if present
  • Prior therapies tried and/or considered and ruled out before ordering NPWT required for traumatic or surgical wounds
  • Date of surgery or other (please describe in chart notes)
  • Copy of pre-operative report
  • Copy of post-operative report
  • Additional supporting documentation required for complications of surgically created wounds (e.g., dehiscence, flaps, or grafts)

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