SKIN TEARS
PRESSURE ULCER PRECAUTIONS
BRADEN
SKIN ASSESSMENT
SPECIALTY BEDS
100
Epidermal skin loss.
What is a skin tear?
100
Non blanching erythema.
What is a stage one pressure ulcer.
100
Banner web site: tools, skin resources, Braden tool.
Where would I find information on the Braden tool?
100
On admission and every shift.
When should a skin assessment be done?
100
WOCN and Physician or AC
Who can order a specialty bed?
200
Banner web site: tools, skin resources, skin tear protocol
Where would I find skin tear information or orders?
200
Frequent and documented turns, heel elevation, skin assessment.
What is pressure ulcer precautions?
200
Barbara Braden
Who is responsible for creating the Braden.
200
Physically looking at ALL bony prominences and all the skin.
What is a skin assessment?
200
Hill Rom
Who is the manufacturer of the beds we use?
300
Wound gel, adaptic, allevyn thin white
What are the different dressings for skin tears?
300
Banner web site: tools, skin resources, pressure ulcer precautions.
Where would I find information on pressure ulcer precautions?
300
6 and 23
What is the lowest and highest Braden scale.
300
Banner web site: tools, skin resources, skin assessment.
Where would I find information on skin assessment?
300
Moisture, pressure ulcer, paraplegic, quadraplegic.
What is the qualification for a low air loss mattress?
400
Protocols are in place.
Why do you not need to consult WOCN with a skin tear?
400
Heels and coccyx.
What is the most frequent areas for pressure ulcers?
400
On admission and every shift.
How often do you do a Braden scale.
400
Assess, measure, chart and then consult.
During a skin assessment you find an open area, what do you do?
400
Banner web site: tools, skin resources, specialty beds.
Where would I find information on specialty beds?
500
Wound gel, adaptic, gauze and rolled gauze daily.
What is skin tear protocol?
500
We own it.
If a pressure ulcer is not documented on admission.
500
To identify at risk patients.
Why was the Braden scale developed?
500
Multiple chux, towels in groins, diapers in bed.
What increases the risk of pressure ulcers?
500
EHOB overlay.
The patient refuses to turn, which mattress or bed should you order?
M
e
n
u