NUMBERS
RISK
PREVENTION
RESPONSIBILITY
DOCUMENTATION
100
$5,000 - $40,000
On average, how much does it cost to treat ONE pressure ulcer?
100
Braden Scale
What is the name of the tool used to determine the risk of pressure ulcer development?
100
The easiest, least expensive ways to prevent the development of pressure ulcers.
Keep skin clean and dry by using the appropriate incontinence products Change position every two hours, Use pillows and other pressure relieving devices
100
Discription/appearance of the wound and treatment objectives
What characteristics of the wound should be defined when determining the appropriate treatment options?
100
Due every 7 days and as needed
What is Skin and Wound documentation?
200
45%
What what percentage of nursing home litigation involves pressure ulcers?
200
Reduced activity, Decreased mobility, Altered sense of perception, Presence of moisture Excess friction caused during repositioning Poor nutrition
What factors increase the risk of pressure ulcer development?
200
When subjected to pressure, the amount of time it takes to create irreversible damage to tissues.
How long is 2 hours?
200
As soon as practicably possible following the identification of, a worsening or non-healing wound
When should the nurse notify the residents physician and DPOA concerning a wound?
200
Centimeters
What is the acceptable measurement used for wounds?
300
Approximately 750,000
How many nursing home residents, nationwide, were reported as having at least one pressure ulcer in 2011?
300
Polypharmacy, or taking more than 8 medications
What Pharmacological issue is related to a greater prevalence of pressure ulcers?
300
Three types of injuries proper positioning aims to eliminate
What are skin shearing, pressure ulcers, and nerve damage?
300
Treatment recommendations based on the Clinical Practice Quick Reference Guide
What should be communicated to the physician when notifying him about a pressure ulcer?
300
Wound characteristics that should be included in a wound discription.
Measurement of length X width, Exudate amount, Tissue type
400
90%
What percentage of cases involving pressure ulcers are won by the plaintiff?
400
Results in an imbalance of the body's chemistry and a reduction of blood volume thus increasing the risk of pressure ulcer development
Why does inadequate fluid consumption (dehydration) increase a residents risk for pressure ulcer development?
400
Types of events Medicare and Medicaid will not pay for anymore
What are falls, pressure ulcers, and catheter associated UTI's?
400
Percentage of patients who receive harmful care due to nursing staff not implementing evidence-based practice
What is 20-25%
400
To monitor the changing status of the wound as it progresses through the healing processes
What is the purpose of a weekly wound assessment?
500
$312 MILLION!!!
What is the largest monetary award given, to date in a single litigation, involving pressure ulcers?
500
The name and value of a lab test that would indicate the need for a consultation with the CDM
What is serum albumin less than 3.5 g/dl
500
Nutritional intervention needed if resident is at high risk for pressure ulcers
What is additional protein?
500
Ulcer fails to show progress in healing in any 3-week period, ulcer shows signs of increased bio-burden as evidenced by increased redness to peri-wound edges, increased drainage, or presence of odor
When should the nurse notify the residents physician, the Neighborhood Nurse Leader, and the Community Nurse Leader?
500
Communication with the physician, including orders received, Communication/education with resident and DPOA regarding wound care assessment/treatment
What documentation, regarding wounds, should be placed in a progress note each time changes are noted?
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