Wound Care Workflow During CCMS Downtime
This chart outlines the specific workflow for Wound Care Clinic services during CCMS (SystmOne) downtime at Klinik Kesihatan Bandar Maharani.
SystmOne is inaccessible — CCMS Downtime Confirmed --> BCP Manager announces Downtime Activation.
Register Patient
Manual or backup electronic registration
- Manual Registration Book
- EPRS: Electronic Patient Registration System — legacy backup system
Provide Manual Clerking Sheet with Wound Format Stamp
Pre-stamped wound assessment form
Provide Manual Clerking Sheet with a Wound Format Stamp applied to the designated section.
Staple QMS Number
Queue tracking
Staple QMS number onto the Manual Clerking Sheet.
Guide to Waiting Area
Room 9
Guide patient to Waiting Area Room 9. Patient waits until called by wound care staff. Queue management follows normal calling sequence or manual numbering if QMS is also down.
Wound Dressing Procedure
Standard wound care protocol
Proceed with wound dressing as per clinical indication.
Document on Stamped Section
All findings recorded on the stamped area
Document findings & procedures on the "Stamped Section" of the Manual Clerking Sheet.
Log Workload into Excel/Google Sheet
Parallel digital tracking; crucial for data re-entry later
Staff logs workload into Excel/Google Sheet with:
- Patient Name
- IC Number
- Procedure Type
- Outcome
Collect Manual Clerking Sheet
Retain for re-entry
Collect and retain the Manual Clerking Sheet for data re-entry after system recovery.
Next Appointment
TCA given
Provide next Wound Care TCA (To Come Again) date to patient.
Patient Education
Inform regarding follow-up
Inform patient regarding their next appointment date and any wound care instructions.
System Restored
CCMS back online
ICT Focal Person confirms CCMS restoration.
Data Re-Entry
Backdated documentation
- Backdated documentation to match actual visit date
- Re-entry must include actual visit date
- Cross-check between paper notes & digital log is mandatory
Wound Care Stamp Format
The stamp includes the following fields:
- Cleansing Solution
- Dressing
- Others
- Wound Location
- Wound Size (cm): Length / Depth
- Wound Assessment: ☐ Necrotic ☐ Slough ☐ Granulation ☐ Epithelial ☐ Infection ☐ Dry ☐ Wet ☐ Surrounding
Original flowchart image to be inserted here.
Suggested path: /img/bcp/wound-care-downtime-flow.png