Click here to download a copy of frequently asked questions on the Axxess Wound Manager.
Navigate to Company Setup under the Admin tab. On the Clinical tab, select Enable under Wound Manager. Click Submit Request to finish enabling the Wound Manager.
Admin tab ➜ Company Setup ➜ Clinical tab ➜ Wound Manager ➜ Enable ➜ Submit Request
Once the Wound Manager is enabled, your organization will enter a three-week trial period during which it can be disabled. After the trial period has ended, the Wound Manager cannot be disabled.
No. The Wound Worksheet is a manual system that is not compatible with the new Wound Manager. If necessary, users can manually transfer data from the Wound Worksheet to the Wound Manager.
Once the Wound Manager is enabled, your organization will enter a three-week trial period during which it can be disabled. After the trial period has ended, the Wound Manager cannot be disabled.
To disable the Wound Manager during the trial period, navigate to Company Setup under the Admin tab. On the Clinical tab, select Disable under Wound Manager. Click Submit Request to finish disabling the Wound Manager.
Admin tab ➜ Company Setup ➜ Clinical tab ➜ Wound Manager ➜ Disable ➜ Submit Request
Yes. Data will not automatically flow between the Wound Manager and Wound Worksheet. All documentation previously entered for a wound will remain on the PDF visit note. Orders entered at the start of the episode and during the episode do not need to be re-added. However, orders entered at recertification must be added to the Plan of Care Profile. Wound documentation must be added using the functionality in the Wound Worksheet.
No. The Wound History and Flowsheet screens are only available when the Wound Manager is enabled.
Yes. When you turn the Wound Manager back on, all the previously entered information will be present.
Yes. The Wound Manager provides automation features that require wound care orders to be added before wounds. This functionality facilitates compliance and prevent disruptions in data automation.
Yes. Each wound must be associated to its own wound care order. Each wound has its own set of data points for reporting and analytics.
Yes. Each wound must be associated to its own wound order. You can use the Duplicate button to duplicate a wound care order without having to re-type the order for every wound.
The unassociated orders will not flow to the Plan of Care. After selecting Complete in the Wound Manager, the system will alert you if there are unassociated wound orders. Select Yes in the pop-up alert to automatically delete the unassociated wound orders and complete the documentation in the Wound Manager. Users can only delete unassociated orders when creating the Plan of Care at start of care, resumption of care or recertification.
Treatment performed is based on the wound orders entered by the clinician. This is a common area of deficiency for many organizations. It is imperative that clinicians document treatment performed that is congruent with the physician orders.
No. When completing a visit, recertification or resumption of care, all existing wound orders will automatically move from the Plan of Care Profile to the Wound Orders Profile.
When completing a start of care visit, users can enter wound care orders by selecting the Wound Orders Profile button in the Orders for Discipline and Treatment section on the Integumentary Status tab.
No. All existing wound care orders will automatically move to the Wound Orders Profile to be associated to the appropriate wounds.
Wound care orders flow to the Plan of Care when an assessment is completed.
No. A wound care order must be created to add a wound and take/upload a wound photo.
On the Integumentary Status tab of an OASIS assessment, select Alteration in Integumentary Status (problem statement) under Orders for Discipline and Treatment. Select Need for Wound Management (intervention) to add goals, medical necessity and homebound narratives to support skilled care.
OASIS ➜ Integumentary Status tab ➜ Orders for Discipline and Treatment section ➜ Alteration in Integumentary Status (problem statement) ➜ Need for Wound Management (intervention)
If you receive an order to evaluate and treat a wound, when the clinician is not able to receive orders for subsequent wound care, the initial orders (which may include cleansing and covering the wound) must be added to cover the intervention documented by the clinician in the patient record. Once subsequent orders are received, click the Change Order button to add the new orders.
The Wound Orders Profile cannot be accessed outside of an assessment or physician order. Users can view wound orders through Plan of Care Summaries, which house all patient interventions. To view a patient’s Plan of Care Summary, navigate to the patient’s chart and select Plan of Care Summary from the Quick Reports menu on the right side of the screen.
No. The Wound Manager supports an unlimited number of wounds.
No. The Wound Manager automatically assigns a unique number to each wound. By automatically assigning wound numbers, the system prevents duplicate numbers and enables tracking throughout the life of each wound. Wound numbers are never recycled.
Wound numbers from the wound clinic can be included in wound care orders (e.g., wound care to wound #1 pressure ulcer to left buttock). However, if the wound clinic does not keep track of the patient’s historical wounds or reuses numbers, or if the patient is seen by another clinic, the system would not be able to track the life cycle of the wound across admission periods.
No. The system does not require users to document wound measurements. This is an enhancement that will be released in the Wound Manager in a future update.
From a mobile device, users can take wound photos in the Wound Manager without storing the photos to the device. From a PC, tablet or phone, users can upload photos that are stored on the device. Wound photos stored on devices must comply with the organization’s confidentiality and privacy policies and procedures.
No. Electronic consent to take wound photos is an enhancement that will be released in a future update.
If you created the wound with the incorrect order, you must write a new order. If you associated the wrong order but have not yet created the wound, click the delete icon next to the order to move it back to the Wound Orders Profile.
Yes. When wounds are added and the visit is saved, the wounds automatically flow to the next visit for documentation.
Clinicians should always carefully review orders before administering care. The Wound Manager provides four opportunities for clinicians to verify that the correct order is associated to a wound:
Yes. The system automatically validates documentation to confirm that it is filled out correctly. Clinicians will receive an automatic validation error when attempting to sign a visit note without completing necessary documentation in the Wound Manager.
No. This is an enhancement that will be released in the Wound Manager in a future update.
The information from the wound flowsheet appears on the PDF version of clinical notes. Users can print clinical notes to retain hard copies of wound flowsheet data.
No. Since stage 1 and 2 pressure ulcers do not granulate, the Wound Manager does not allow clinicians to document granulation for these ulcers.
All historical wounds can be reactivated within 14 days of deactivation. After 14 days have passed, only stage 3 and 4 pressure ulcers can be reactivated.
Users can reactivate eligible inactive wounds by selecting Reactivate Wound on the Wound History page. Wounds that are eligible for reactivation can be activated on the subsequent admission period. All other wounds become historical and are only visible from the admission period during which they were active.
No. Wounds can only be reactivated and documented in the Wound Manager from a visit note or assessment.
No. Clinicians can only select a higher stage of tissue damage for pressure ulcers.
Once a wound is activated, it cannot be deleted. To remove an active wound from the Wound Manager (e.g., wounds activated in error), click the blue Deactivate button and select the reason for deactivating the wound. Users can select from the following reasons:
Yes. Documentation in the Wound Manager can be completed even if a visit note has not yet been completed or signed.
You can document your assessment in a late note, but you cannot add new wounds, change orders, restage/change tissue injury level, reactivate or deactivate wounds after the next visit has started. The Wound Manager prevents users from managing wounds out of order to avoid disruptions in wound tracking and data integrity.
Yes. As long as you do not start another visit before completing the late visit, you can enter wound documentation and manage the wounds (e.g., add new wounds, change orders).
Axxess provides a library of on-demand training materials to help your staff deliver better wound care using the Wound Manager:
Wound Manager Overview
Wound Manager Intro Guide
Wound Orders Profile
Wound Manager Videos
