Prevention
The Name of the skin risk tool
What is Braden
Two RN skin assessment is preformed
What is on admission and on transfer
This dressing is used as preventive and treatment
What is a Mepilex Sacral foam dressing
Attached to the LAL Isoflex mattress and aids in managing moisture
What is low air loss pump
Location of the wound and skin reference guides and product guides on your unit
Clean utility room
How often should a skin risk pt be turning while in bed?
What is every 2 hours.
Skin assessments are completed
What is with in 8 hours of admission and BID
Hospital acquired pressure injury is discovered what steps are implemented
What is Enter Pressure injury LDA, measure, input Riskonnect, and consult wound nurse
The place to categorize and document all wounds and pressure injuries
What is an LDA
This product is placed in between skin folds and helps wick away moisture
What is Interdry
Pressure redistribution cushion for all skin risk pt.
What is a waffle cushion
Wounds are measured
What is on Admission, with discovery, and weekly, and with in 3 days of discharge
Only a wound nurse can in put a per protocol wound care order
What is No all RNs are able to put in per protocol wound care orders
Traps moisture and heat, should be limited to dignity purpose only
What is a brief
A 3 in one spray that treats and prevent incontinence and moisture issues
What is Remedy Clinical Cleansing lotion
How often should a skin risk pt be turned/repositioned while in a chair?
What is every 1 hour
A skin risk Braden score
What is 18 or below, nursing judgement
If the pt is deemed a skin risk what Clinical Practice Guideline should be added
What is Skin risk CPG
A female external incontinence device
What is Purewick
An ointment that helps protect skin from moisture and other irritants
What is Clear Zinc Ointment
The S*K*I*N acronym stand for
What is Surface, Keep turning, Incontinence, and Nutrition
Initiate (input per protocol order) Skin Injury Prevention and Treatment and Turn Q2H
What is Braden 18 or below, nursing judgement deemed skin risk, present Pressure Injury
Manages incontinence by wicking way excess moisture
What is disposable under-pads
What is 24 hours
What is Santyl