SOP: Wound Care Clinic (WCC)
Introduction
The Wound Care Clinic (WCC) at Klinik Kesihatan Bandar Maharani (KKBM) delivers structured, protocol-based wound care services to patients requiring regular dressing and clinical reassessment. The service runs under dedicated clinical supervision and uses SystmOne (CCMS) for documentation, appointment tracking, data reporting, and clinical audit. An internal AppSheet-based wound care repository was also developed to resolve documentation gaps arising from the lack of mobile integration with SystmOne.
Wound Care Guidelines NEW
Wound Care Clinic Team
Wound Care Team
Dr Suzane Chin Shiyun
FMS
Dr Muhd Hamdi
Head Unit, Wound Care
MA Matiin Hanafy
Coordinator
PPK Nooraini
Asst.
- FMS In-Charge: Oversight and audit of clinic operations
- MO In-Charge: Clinical evaluation, escalation, and decision-making
- MA Wound Care: Dressing procedures, reassessments, documentation
- PPK Support: Room preparation, waste disposal, patient assistance
Patient Flow Summary — WCC Touchpoints
After the patient completes triage, registration, and vitals — see OPD Patient Journey↴, the WCC-specific pathway begins:
1. General Wound Care Patient Flow
Triage & Screening
Patient has an appointment or presents for wound dressing at the clinic.
At Registration Counter
- Register basic details and demographic data in SystmOne
- Process payment when applicable
- Auto-allocate patient to Procedure Room 9
- Provide QMS queue number
Patient Sits at Waiting Area 9
Patient waits in designated Waiting Area 9 until called.
Call Patient for Vital Signs
- Begin 2-identifier process
- Record vital signs & anthropometry in SystmOne
Template: JKN Assessment & Procedure
Wound Care Clinic
- Begin 2-identifier process
- Review patient condition
- Wound assessment via TIMES framework
- Proceed with dressing procedures
- Document in SystmOne via Rekod Penjagaan Luka template
Complex wound case: Discuss with MOIC for further management or escalation.
After Completion of Procedure
- Ensure patient is stable
- Set next TCA date in SystmOne
- Discharge patient accordingly
2. Management of New Wound Case
Patient Triage During Consultation
Patient identified as a new wound case from one of these sources:
- Walk-in — acute wound at triage
- Post-discharge — recently discharged from hospital with ongoing wound care needs
- Referral — from tertiary centre or GP
Consultation Room — Seen by Doctor
Full wound assessment using Template: Wound Care – New Case:
- Complete history taking
- Full wound assessment by doctor
- Assess patient & plan dressing method
- Auto-allocate to Room 9 (Wound Care Clinic)
- Update patient checklist
Wound Care Clinic — Room 9
- Initial wound assessment by MA/Nurse
- Consent: procedure & image capture
- Apply dressing per MO plan
- Use Template: Rekod Penjagaan Luka for procedure documentation
TCA schedule:
- Nexy dressing with MA: EOD / twice weekly
- Next MOIC Wound Care review: 2 weeks
Discharge Patient
- Confirm wound stability
- Inform patient of next TCA date
- Discharge patient with appropriate follow-up instructions
Follow-Up and Appointment Protocol
- Follow-up frequency: EOD or twice weekly, adjusted by MA/FMS based on clinical progress.
- All new cases receive a Wednesday TCA for WCC MO review in 2 weeks time.
AppSheet-Based Wound Image Repository
Real-time image uploads are not possible due to the lack of a SystmOne mobile app. The AppSheet solution provides:
Contributors
Dr Muhd Hamdi
Head Unit, Wound Care • KK Bandar Maharani
MA Matiin Hanafy
Coordinator • KK Bandar Maharani