COVID-19 Wound Photos

Purpose of this online submission form is to collect images of unusual/atypical wounds, skin tears and/or injuries that the WOC nurses are seeing as a result of COVID-19. We would like to compile this information in an effort to utilize such to produce a clinical document in the near future. Thank you in advance for your collaboration and contributions to this project.

Your name

Your email address

This information will be used in case we need to collect additional information

Date when this photo was taken

Please provide title for this image

If submitting multiple images, please use space below to identify each image

Please provide description for this image

If submitting multiple images, please use space below to provide description for each image

How does this wound/skin tear/injury differ from what you typically observe?

Was this wound/skin tear/injury avoidable or unavoidable?

Avoidable

Unavoidable

Not sure

Please provide explanation to the previous question in the space below.

Use below space to explain what was different about this wound/skin tear/injury. For example: location, type of damage, etc.

Please list patient's comorbidity condition(s) in the space below.

I own the rights to this image to use and distribute as I feel necessary.

Agree

Disagree

I grant permission to the WOCN Society to use this image in future works.

Agree

Disagree

This image is HIPPA compliant

Agree

Disagree

Attachment(s)

Please use space provided below to attach the image(s) and permission form(s), if appropriate

Drop your files here

Send me a copy of my responses

Report Abuse