Pressure Injury Prevention
This tool can be used to detect deep tissue changes that may not be visible on the skin surface.
What is a Scout?
This Braden Skin Assessment subscale level assess the patient's ability to respond and communicate pressure-related discomfort.
What is sensory perception?
Nurses should refrain from using this offloading device with patients who ambulate.
What is a heel boot/Zflex?
This assessment should be performed within 4 hours of admission.
What is a skin assessment?
This Braden Skin Assessment subscale level assess the patient's degree of physical activity.
What is the activity subscale level?
This device can be used to position the patient right or left lateral or elevate the heel.
What is a pillow?
This offloading device can be use to offload the heels.
What are heel boots or Zflex boots?
As the nurse documents the subscale levels of the Braden Risk Assessment, these flowsheet rows appear below the assessment.
What are the Braden interventions?
This device has must be molded and shaped to offload the patient.
What is a fluidized positioner?
This device can be placed above the sacrum when repositioning a patient left or right lateral.
What is a Wedge or Pillow?
If the Braden Risk Assessment is 16, the nurse should expect this best practice to appear.
What is pressure injury order set?
This tool is used for pressure redistribution?
What is the support surface/bed?
This product can be applied to protect the skin from moisture?
What is Zinc Oxide?
If the nurse has to provide peri care every 2 hours, the moisture subscale level is ______.
What is a 1?
The offloading boot has three straps. The SCD hose tubing should be placed between these straps to prevent a pressure injury.
What is the second and the first straps?