What time frame must a preexisting pressure injury be documented by bedside Nursing
What is 24 hours
what area can be visualize for pressure when cleaning a patient up from incontinence
the sacrum/coccyx
does a skin assessment need to be done if a patient is in the ER for over 24 hours
Yes
do bedside RN's stage a pressure injury
no
who are your wound care nurses 3 names
Haley, Virginia (Gin), Kathy
if a patient transfers units what should be done
skin assessment x4 eyes
this area may be affected by wearing a C-pap
Bridge of the nose
patient with a BMI of 18 or less would be at higher or lower risk for pressure
higher
where do you chart the skin assessment
under the skin tab then the Integumentary portion of the flow sheet
Who is the director of wound here at south
Mary Brown
when is the best time to do a quick skin assessment
during shift change because you have 2 RN's to visualize skin
this area can have pressure relieved by use of heel boots
Heels
What condition that a patient was found initially in would be a cause for concern related to pressure
found down
what scale helps to predict risk for pressure injuries
Braden score
what is the secure chat group for wound care
HHS IP Wound care
what is the minimum number of skin assessments that should be done for each patient in a 24 hour period
2 one per shift
The area is often affected when patient attempt to scooch themselves up in the bed
elbows
What can you do to the skin to better visualize for pressure on patient with darker toned skin
moisten the skin
poor nutrition is a risk factor for skin breakdown. What is considered adequate intake for a meal
eats over half of most meals with a total of 4 servings of protein a day
What is the phone number for wound care
918-218-7171
when would you do a skin assessment more than once a shift
they went for surgery and returned
had a change in condition
after every fall
This location is often affected by oxygen tubing
behind the ears
what is the name for the recommended meal supplement for wound healing
Juven
if a patient has neuropathy in both legs what score would you give them on the sensory portion of the Braden
3 limited in 2 extremities
what is the office number of the new OP wound center
in the MOB
Office 100