MISC Pressure Injury
A nursing assessment mandated in EPIC for all patients.
What is the Braden Scale?
This condition includes intact, reddened, nonblanchable skin over a bony prominence.
What is Stage I pressure injury?
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What is Stage IV?
Activity expectation of nurse drive PI protocol for any patient with decreased mobility.
What is turn every 2 hours?
The first step when caring for a patient with an existing ostomy.
What is assess the patient?
A condition caused by prolonged exposure to urine or stool or perspiration.
What is Moisture Associated Skin Damage or Maceration?
When skin is described as flaky, peeling, scaly.
What is dry skin?
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What is Deep Tissue Injury?
If this is not done, it is not done.
What is Documentation?
A type of ostomy in which loose stool is expected.
What is ileostomy?
Expectation of full skin assessment upon admission at HFWB.
What is 4 eyes within 4 hours (by 2 RNs)?
Skin loss involving dermis or epidermis; superficial ulcer presenting as fluid filled blister, abrasion, or shallow crater.
What is Stage II pressure injury.?
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What is Stage I?
Initial nurse driven preventative care for feet for any patient with decreased mobility.
What is Float Heels?
How the nurse knows what supplies are needed for a patient with an existing ostomy.
What is ask the patient/family or look at the ostomy?
An online resource for the day/night shifts for PI and Wound Care.
What is One Henry Quick Reference or Clinical Toolkit?
Often caused by tape or friction or shearing.
What are tears or blisters?
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What is Stage II?
Positioning prop for a bed bound patient with decreased mobility.
What are Wedges or TAP system?
An ostomy typically created with an ileoconduit and draining urine.
What is a urostomy?
Where to get supplies when WOCN orders a treatment plan.
What is Service Response (25-0000) or Wound Care Closet (2 Acorn)?
Two questions to ask a patient admitted with an existing ostomy.
What are type of ostomy, supplies needed, anything else I should know?
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What is Unstageable?
Important consult (other than Wound Care) for a patient with a PI or Braden less than 15.
What is Nutrition?
The best time of day to change a leaking ostomy appliance.
What is at the time of leakage?