Check a wound against its care plan and route warning signs without treating it yourself

Reset: Re-read this authored instruction — “Read today's dressing, cleaning, activity and contact instructions and confirm the responsible service.” — and its success check, then attempt only this step.

1. Possible snag: The learner cannot name the responsible service.

   Correction: Put service and emergency contacts at the top of the care plan.

Stop / get help: Call emergency services for uncontrolled bleeding, collapse/confusion, severe systemic illness, breathing difficulty, a cold/pale/blue limb or rapidly worsening severe symptoms.

Reset: Re-read this authored instruction — “Before moving a dressing, look for uncontrolled bleeding, collapse/confusion, rapidly spreading swelling/redness with severe illness, breathing difficulty or a limb that is cold/pale/blue.” — and its success check, then attempt only this step.

1. Possible snag: The result from “Before moving a dressing, look for uncontrolled bleeding, collapse/confusion, rapidly spreading swelling/redness with severe illness, breathing difficulty or a limb that is cold/pale/blue.” does not yet meet this declared check: The learner routes emergency signs immediately without continuing the check.

   Correction: Return to the start of “Screen emergency signs first”, reduce complexity or pace, and repeat only the part needed to satisfy: “The learner routes emergency signs immediately without continuing the check.”

Stop / get help: Call emergency services for uncontrolled bleeding, collapse/confusion, severe systemic illness, breathing difficulty, a cold/pale/blue limb or rapidly worsening severe symptoms.

Reset: Re-read this authored instruction — “Wash hands, use good light and open only clinician-approved supplies. Do not place items on an unclean surface.” — and its success check, then attempt only this step.

1. Possible snag: An unprescribed antiseptic is added.

   Correction: Use only prescribed supplies and tell the clinician exactly what has contacted the wound.

Stop / get help: Call emergency services for uncontrolled bleeding, collapse/confusion, severe systemic illness, breathing difficulty, a cold/pale/blue limb or rapidly worsening severe symptoms.

Reset: Re-read this authored instruction — “If the plan says the dressing, steri-strips, staples, sutures, drain or negative-pressure seal stays in place, do not lift or adjust it. Observe the outside only.” — and its success check, then attempt only this step.

1. Possible snag: A dressing is removed despite a keep-intact instruction.

   Correction: Stop, leave protected items alone and call when the plan is unclear.

Stop / get help: Call emergency services for uncontrolled bleeding, collapse/confusion, severe systemic illness, breathing difficulty, a cold/pale/blue limb or rapidly worsening severe symptoms.

Reset: Re-read this authored instruction — “Record visible redness boundary, swelling, warmth as noticed without risky touching, drainage amount/colour/odour, pain trend, fever reading if already advised, and ability to use the area.” — and its success check, then attempt only this step.

1. Possible snag: The log says only 'worse'.

   Correction: Record when the change began and the exact visible/symptom/function features.

Stop / get help: Call emergency services for uncontrolled bleeding, collapse/confusion, severe systemic illness, breathing difficulty, a cold/pale/blue limb or rapidly worsening severe symptoms.

Reset: Re-read this authored instruction — “If the care plan permits, use the same ruler/photo distance and include a scale without exposing private identifiers; never probe depth or remove material to see more.” — and its success check, then attempt only this step.

1. Possible snag: The result from “If the care plan permits, use the same ruler/photo distance and include a scale without exposing private identifiers; never probe depth or remove material to see more.” does not yet meet this declared check: The measurement method matches the prior record.

   Correction: Return to the start of “Measure only if authorised”, reduce complexity or pace, and repeat only the part needed to satisfy: “The measurement method matches the prior record.”

Stop / get help: Call emergency services for uncontrolled bleeding, collapse/confusion, severe systemic illness, breathing difficulty, a cold/pale/blue limb or rapidly worsening severe symptoms.

Reset: Re-read this authored instruction — “Use the care plan: emergency services for emergency signs; same-day clinical contact for spreading redness, pus/foul drainage, fever/feeling unwell, worsening pain, opening edges or loss of function; routine contact for slower concerns.” — and its success check, then attempt only this step.

1. Possible snag: A normal single temperature is treated as proof of no infection.

   Correction: Use the whole clinical pattern and care-plan routing signs.

Stop / get help: Call emergency services for uncontrolled bleeding, collapse/confusion, severe systemic illness, breathing difficulty, a cold/pale/blue limb or rapidly worsening severe symptoms.

Reset: Re-read this authored instruction — “State wound/procedure/date, what changed and when, measurements if authorised, pain/temperature/function, current dressing and what you have not done. Follow the service's next instruction.” — and its success check, then attempt only this step.

1. Possible snag: The result from “State wound/procedure/date, what changed and when, measurements if authorised, pain/temperature/function, current dressing and what you have not done. Follow the service's next instruction.” does not yet meet this declared check: The receiving service has the facts needed and the learner records the advice.

   Correction: Return to the start of “Give a concise handoff”, reduce complexity or pace, and repeat only the part needed to satisfy: “The receiving service has the facts needed and the learner records the advice.”

Stop / get help: Call emergency services for uncontrolled bleeding, collapse/confusion, severe systemic illness, breathing difficulty, a cold/pale/blue limb or rapidly worsening severe symptoms.