Governance and systems for the prevention and management of pressure injuries Overview of what is required Suggested approach Examples of evidence Your policies, procedures and/or protocols Relevant documentation from committees and should provide guidance on alternatives other meetings where reports on pressure injury prevention and management equipment available and what to document when a person resource allocation and efficacy are reviewed in their own home refuses to use recommended and discussed. equipment or recommended equipment is not available. Preventing pressure injuries Overview of what is required Suggested approach Examples of evidence 8.5 Identifying risk factors for pressure injuries using an agreed screening tool for all presenting patients within timeframes set by best practice guidelines 8.5.1 An agreed tool to screen for pressure injury risk is used by the clinical workforce to identify patients at risk of a pressure injury 8.5.2 The use of the screening tool is monitored to identify the proportion of at-risk patients that are screened for pressure injuries on presentation 8.5.3 Action is taken to maximise the proportion of patients who are screened for pressure injury on presentation The next part of the organisation-wide pressure Ensure the pressure injury policy framework Policies, procedures and/or protocols for injury prevention and management system implemented locally includes an agreed process screening consumers for pressure injury risk. and criteria for screening to identify at risk concerns the processes that are in place for Relevant documentation from committees and consumers. identifying consumers who are at risk of other meetings where pressure injury risk developing pressure injuries. Conduct local audits, or participate in audits screening processes are discussed, agreed and conducted by the overarching health service monitored. These actions require the inclusion of agreed risk organisation for compliance with the screening Orientation manuals, education resources and assessment criteria for pressure injury in your process. Monitoring and data collection systems records of attendance at training by the community health service service’s should identify the proportion of consumers who workforce on assessment processes including commencement and ongoing assessment are: conducting pressure injury risk screening. policies, procedures and/or protocols. Your screened at admission for their risk of community health service needs to agree on the Audit of consumer clinical records to pressure injury screening process for pressure injuries including demonstrate compliance with the screening identified as at risk of pressure injury through process and use of agreed screening tool, which evidence-based tools will be used. the initial screening process where applicable.
Governance and systems for the prevention and management of pressure injuries Overview of what is required Suggested approach Examples of evidence Your policies, procedures and/or protocols should provide guidance on alternatives available and what to document when a person in their own home refuses to use recommended equipment or recommended equipment is not available. Relevant documentation from committees and other meetings where reports on pressure injury prevention and management equipment resource allocation and efficacy are reviewed and discussed. Preventing pressure injuries Overview of what is required Suggested approach Examples of evidence 8.5 Identifying risk factors for pressure injuries using an agreed screening tool for all presenting patients within timeframes set by best practice guidelines 8.5.1 An agreed tool to screen for pressure injury risk is used by the clinical workforce to identify patients at risk of a pressure injury 8.5.2 The use of the screening tool is monitored to identify the proportion of at-risk patients that are screened for pressure injuries on presentation 8.5.3 Action is taken to maximise the proportion of patients who are screened for pressure injury on presentation The next part of the organisation-wide pressure injury prevention and management system concerns the processes that are in place for identifying consumers who are at risk of developing pressure injuries. These actions require the inclusion of agreed risk assessment criteria for pressure injury in your community health service’s service commencement and ongoing assessment policies, procedures and/or protocols. Your community health service needs to agree on the screening process for pressure injuries including which evidence-based tools will be used. Ensure the pressure injury policy framework implemented locally includes an agreed process and criteria for screening to identify at risk consumers. Conduct local audits, or participate in audits conducted by the overarching health service organisation for compliance with the screening process. Monitoring and data collection systems should identify the proportion of consumers who are: screened at admission for their risk of pressure injury identified as at risk of pressure injury through the initial screening process Policies, procedures and/or protocols for screening consumers for pressure injury risk. Relevant documentation from committees and other meetings where pressure injury risk screening processes are discussed, agreed and monitored. Orientation manuals, education resources and records of attendance at training by the workforce on assessment processes including conducting pressure injury risk screening. Audit of consumer clinical records to demonstrate compliance with the screening process and use of agreed screening tool, where applicable.
Guide-to-the-NSQHS-Standards-for-community-health-services-February-2016.docx