10885 Compliance Q7. Is there Yes can only be selected if pressure injury Yes documentation of prevention plan is present in the medical No an appropriate record. pressure injury Check the care plan, the eMR, progress notes prevention plan or clinical notes for this information. for the person? 22982 Compliance Q8. Is there Check the patient’s records for the last month Yes documentation in Select No if there is no skin assessment and No the healthcare risk assessment documented in that month. N/A record of fully completed If the initial risk assessment is within the last comprehensive month answer Yes. risk reassessment Select N/A if the patient is not currently (using a validated identified as ‘at risk’ of pressure injury. tool and comprehensive skin assessment) within the last month? 10385 Compliance Q9. Is there Yes can only be selected if documented in the Yes documentation of clinical record/care plan that information has No information on been provided. the prevention of pressure injury being provided to the person or their carer?
10885 Compliance Q7. Is there documentation of an appropriate pressure injury prevention plan for the person? Yes No Yes can only be selected if pressure injury prevention plan is present in the medical record. Check the care plan, the eMR, progress notes or clinical notes for this information. 22982 Compliance Q8. Is there documentation in the healthcare record of fully completed comprehensive risk reassessment (using a validated tool and comprehensive skin assessment) within the last month? Yes No N/A Check the patient’s records for the last month Select No if there is no skin assessment and risk assessment documented in that month. If the initial risk assessment is within the last month answer Yes. Select N/A if the patient is not currently identified as ‘at risk’ of pressure injury. 10385 Compliance Q9. Is there documentation of information on the prevention of pressure injury being provided to the person or their carer? Yes No Yes can only be selected if documented in the clinical record/care plan that information has been provided.
Pressure-Injury-Point-Prevalence-Survey-Guide-Updated-October-2017.docx