Numeric value for 6 risk factors related to impaired skin integrity- sensory perception, moisture, activity, mobilty, nutrition and friction and shearing
What is the Braden Scale
100
Number of times hands should be washed for a dressing change
What is 3 times (before, after removing the old dressing, and at completion of dressing change)
100
A partial or full thickness wound in which a flap may or may not be present
What is a skin tear
200
A shallow open area, over a bony prominence, involving the epidermis and dermis. The area may appear as an abrasion, blister or shallow crater.
What is a Stage II pressure ulcer
200
Promotes moist environment, protective layer against friction/caustic agents
What is a Hydrocolloid
200
S-K-I-N
What is UPMC skin risk assessment form
200
CBC, Albumin, ESR, glucose, thryoid and iron levels, coagulation studies, and wound cultures
What are common labs for wound assessment
200
Most accurate method to diagnose a chronic or pressure ulceration
What is biopsy
300
Numeric value of 5 risk factors: physical and mental coniditons, activity, mobility, and continence
What is a Norton Scale
300
Provides moist environemnt, occlusive with oxygen permeability
What is transparent film
300
Documentation of these must occur on admission if present
What are community accquired pressure ulcerations
300
Patient assessment of 0-10
What is a pain scale
300
Can be foam, gel or air-filled
What is a mattress overlay
400
Full thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone or support structures.
What is a Stage IV Pressure Ulcer
400
Absorbency, packing, cleaning and protecting
What is guaze
400
Includes location, size, appearance, drainage, redness and swelling
What is a wound assessment
400
The rate of hospital-acquired pressure ulcers measured at a specific point in time
What is prevalence
400
Increases rate of epithelailization, decreases amount of scar tissue, keeps surface moist wit wound fuid
What is a moist wound healing environment
500
Accurate staging of a wound cannot be conducted until this is removed.
What is Eschar
500
Sharp, mechanical, enzymatic, autolysis and biotherapy