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Pressure Ulcer Process Checklist\n\n\n| Quality Improvement  \u003Cbr>Name of Facility:  \u003Cbr>Date:__________  \u003Cbr>Organizations  \u003Cbr>Sharing Knowledge.Improving Health Care.  \u003Cbr>CENTEAS FOH MEDICAHE&MEDICAID 5ERVICES  \u003Cbr>This checklist is being used to assess processes related to managing pressure ulcers in the facility and identify areas that need improvement.This checklist should  \u003Cbr>be completed by a DON/DNS,QI Nurse or other team leader with considerable knowledge of the facility's policies and actual processes,while consulting with other  \u003Cbr>staff as needed.Please return completed assessment to Meghan.Foley@hcqis.orrg or fax to 630-928-5865   |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| Screening/Assessment/Documentation   | Yes   | No   | Not  \u003Cbr>Always   | F Tag Identified  \u003Cbr>(y/n)   | Comments   |\n| 1.Are allresidents screened for pressure ulcer risk using a risk assessment  \u003Cbr>tool (such as the Braden Scale or Norton Scale)on admission(and q week  \u003Cbr>x4),readmission,with condition change and with each MDS assessment?   |  |  |  |  |  |\n| 2.Do residents at high-risk for pressure ulcers receive a daily skin  \u003Cbr>inspection?   |  |  |  |  |  |\n| 3.Does your current assessment and documentation of pressure ulcers  \u003Cbr>include the following:   |  |  |  |  |  |\n| *Measurements(length,width,depth),location and stage   |  |  |  |  |  |\n| *Exudate(amount,color,consistency,odor)   |  |  |  |  |  |\n| *Description of tissue visible in wound bed   |  |  |  |  |  |\n| *Location and extent of tunneling,undermining,sinus tracts,if present   |  |  |  |  |  |\n| *Description of peri-wound tissue(color,temperature,bogginess and  \u003Cbr>fluctuation)   |  |  |  |  |  |\n| *Wound-related pain   |  |  |  |  |  |\n| 4.Are the following factors considered in assessments and re-  \u003Cbr>assessments:   |  |  |  |  |  |\n| *Mechanical forces(shearing,friction and pressure)   |  |  |  |  |  |\n| *Pronounced bony prominences   |  |  |  |  |  |\n| *Poor nutrition   |  |  |  |  |  |\n| *Altered cutaneous sensation   |  |  |  |  |  |\n| *Evidence of history of previous ulcers   |  |  |  |  |  |\n| 5.Is there a process for assessing existing ulcers at least every seven  \u003Cbr>days,or more often if the wound has changed?   |  |  |  |  |  |\n| Care Planning   | Yes   | No   | Not  \u003Cbr>Always   | F Tag Identifled  \u003Cbr>(y/n)   | Comments   |\n| 6.Is a system in place for changing a resident's plan of care when there are  \u003Cbr>changes in the skin condition,or if new pressure ulcer risk factors are  \u003Cbr>identified?   |  |  |  |  |  |\n| 7.Is a system in place for communicating care plan changes to the front-  \u003Cbr>line caregivers?   |  |  |  |  |  |\n| Treatment and Prevention   | Yes   | No   | Not  \u003Cbr>Always   | F Tag Identified  \u003Cbr>(y/n)   | Comments   |\n| 8.Do you utilize a tracking form for each pressure ulcer so that you can  \u003Cbr>easily determine if an area is showing improvement?   |  |  |  |  |  |\n| 9.Do you have protocols to follow if the ulcer shows no sign of  \u003Cbr>improvement within 14 days?   |  |  |  |  |  |\n\n\n| Treatment and Prevention (continued)   | Yes   | No   | Not  \u003Cbr>Always   | F Tag ldentified  \u003Cbr>(y/n)   | Comments   |\n| --- | --- | --- | --- | --- | --- |\n| 10.Does weekly documentation include an assessment for signs and  \u003Cbr>symptoms of infection?   |  |  |  |  |  |\n| 11.Do you have a protocol for management of tissue pressure?(e.g.  \u003Cbr>positioning,pressure relieving mattresses,dynamic mattress overlay,etc.   |  |  |  |  |  |\n| 12.Are there preventative/pressure relieving devices readily available for all  \u003Cbr>residents who need them(mattresses,cushions,etc.)?   |  |  |  |  |  |\n| 13.Is there a process to routinely monitor the effectiveness of pressure  \u003Cbr>relieving devices that includes audits and a feed back loop.   |  |  |  |  |  |\n| 14.Does your facility have a full time Certified Wound Care Nurse   |  |  |  |  |  |\n| 15.Does your facility have a physician who is currently certified as a wound  \u003Cbr>care specialist who visits at lea","cbCaicQjiWpMcslt","https://ap.wps.com/l/cbCaicQjiWpMcslt","pdf",177426,"English","# Screening/Assessment/Documentation\n# Care Planning\n# Treatment and Prevention\n## Treatment and Prevention (continued)\n# Education\n# Use of QAPI Tools and Processes","[{\"question\":\"这份清单的目的是什么？\",\"answer\":\"用于评估机构内压疮管理相关流程，并识别需要改进的环节。完成评估应由了解机构政策与实际流程的人员完成。\"},{\"question\":\"压疮风险评估与皮肤检查包含哪些要求？\",\"answer\":\"所有住户需在入院、再入院、病情变化及每次MDS评估时，使用风险评估工具进行筛查（如Braden或Norton量表）。高风险住户需进行每日皮肤检查。\"},{\"question\":\"治疗与预防部分要求如何跟踪与应对疗效不足？\",\"answer\":\"需要为每个压疮使用跟踪表以判断是否改善；若14天内无改善需遵循相应协议。每周记录还应包括感染迹象与症状评估。\"}]","Pressure Ulcer Process Checklist - Complete Assessment | PDF",1789928771]