May 10, 2021
Overview
Comprehensive patient care involves the assessment of the skin & risk of pressure injuries on arrival to the Emergency Department.
Alignment to Western Health Best Care Framework
Right Care & Person-Centred Care
Why is this important:
Pressure injuries take a long time to heal, which has consequences for patients’ quality of life, as such injuries can cause severe pain, and can involve sleep and mood disturbance as well as susceptibility to infection. They also adversely affect rehabilitation, mobility and long-term quality of life.
What does this look like in practice?
- Daily skin & risk assessment on nursing chart and EMR.
- Regular pressure area care.
- Monitor nutrition and hydration.
- ACE review.
- Promote independence.
- Air mattress.
- Wound charts & Riskman.
Performance
Riskmans on pressure injuries.
QRGs
Skin assessment & Pressure Injuries Quick Reference Guide.
Clinical Practice Links
https://www.safetyandquality.gov.au/sites/default/files/migrated/Pressure-injury-short-clinician-fact-sheet.pdf
Appendix:
EMR Skin and Pressure Injury Assessment
ED Adult Observation Chart – Skin Assessment Section:
Stage of Pressure Injury Picture
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