skin assessment) Check the eMR, progress notes, clinical notes within 8 hours of or other nursing discharge summary’s for this presentation to information. your facility? The time of admission should be available from the eMR, admission summary sheet or similar. 21351 Single Q5. Is there A fully completed comprehensive skin assessment within 8 hours of presentation Select The person received neither of the to your facility Choice documentation of above when neither a fully completed A fully completed risk assessment using a validated tool within 8 hours of the person validated pressure injury risk assessment tool presentation to your facility receiving one has been documented NOR a fully completed The person received neither of the above element of the skin assessment that is based on visual comprehensive inspection has been documented. risk assessment? If The person received neither of the above, jump to question no: 8 If one or the other has been completed select the appropriate answer 22697 Single Q6. At the initial Not at risk of pressure injury If the person received a comprehensive risk Choice risk assessment assessment within 8 hours of presentation At risk of pressure injury (within 8 hours of select Not at risk or at no risk of pressure An initial risk assessment is not documented for this person presentation to injury or At risk of pressure injury. the facility) was If the person did not receive an initial risk if Not at risk of pressure injury, jump to question no: 12; if An initial risk assessment is not the person? assessment within 8 hours of presentation to documented for this person, jump to question no: 8 the facility choose An initial risk assessment is not documented for this person. 11540 Matrix Q7. At the initial See the table below Select one of the risk category answer options risk assessment for the risk assessment tool used during the (within 8 hours of initial risk assessment. presentation to Indicate the risk assessment tool used and the the organisation) person’s level of risk identified using that tool. which tool was used and what was the risk category?
skin assessment) within 8 hours of presentation to your facility? Check the eMR, progress notes, clinical notes or other nursing discharge summary’s for this information. The time of admission should be available from the eMR, admission summary sheet or similar. 21351 Single Choice Q5. Is there documentation of the person receiving one element of the comprehensive risk assessment? A fully completed comprehensive skin assessment within 8 hours of presentation to your facility A fully completed risk assessment using a validated tool within 8 hours of presentation to your facility The person received neither of the above If The person received neither of the above, jump to question no: 8 Select The person received neither of the above when neither a fully completed validated pressure injury risk assessment tool has been documented NOR a fully completed skin assessment that is based on visual inspection has been documented. If one or the other has been completed select the appropriate answer 22697 Single Choice Q6. At the initial risk assessment (within 8 hours of presentation to the facility) was the person? Not at risk of pressure injury At risk of pressure injury An initial risk assessment is not documented for this person if Not at risk of pressure injury, jump to question no: 12; if An initial risk assessment is not documented for this person, jump to question no: 8 If the person received a comprehensive risk assessment within 8 hours of presentation select Not at risk or at no risk of pressure injury or At risk of pressure injury. If the person did not receive an initial risk assessment within 8 hours of presentation to the facility choose An initial risk assessment is not documented for this person. 11540 Matrix Q7. At the initial risk assessment (within 8 hours of presentation to the organisation) which tool was used and what was the risk category? See the table below Select one of the risk category answer options for the risk assessment tool used during the initial risk assessment. Indicate the risk assessment tool used and the person’s level of risk identified using that tool.
Pressure-Injury-Point-Prevalence-Survey-Guide-2018.docx