Basic Skin Care
The number one intervention to prevent Pressure Injury
What is turning
intact skin with non-blanchable redness of a localized area
what is a stage 1 pressure injury
What is a secondary skin assessment
The device used to prevent heel pressure injuries
What is waffle boots?
The body's largest organ
What is the skin
How many layers are recommended on a patient bed?
3
Classification of tissue that is open, pink and painful
What is a stage 2
A patient with a Braden score of 18 need to be repositioned this often.
What is every 2 hours
positioning, pressure redistribution, skin care, nutrition and hydration
What is pressure prevention strategies
What are 3 items required to be discussed in Handoff from Nurse to Nurse
What is Braden Score, Risk Factors, Wounds, Prevention Plan, Nutrition, Mobility, IPOC
The use of which absorption product is discouraged in the bed/hospital due to increased risk of pressure and moisture related injuries
What is diapers or briefs
What does HAPI stand for?
What is hospital acquired pressure injury
Are turns required to be documented?
What is yes
The most common type of surface use when a patient has or is at risk for skin breakdown
What is Waffle Mattress
What are 3 items required to be discussed in handoff from Nurse to CNA?
What is precautions, Code Status, Allergies, Mental Status, Language, Vitals, Diet, Skin Interventions, Mobility, Urinary/Fecal Management, Hygiene, Safety, Lines
4 anatomical sites that are most common for pressure injuries
What are the head, shoulder blades, sacrum and heels
Classification when intact or non-intact skin with a localized area of persistent non-blanchable deep red, purple, or maroon discoloration
What is a stage DTI
What is the patient's skin?
3 CNA interventions for wound prevention
cleaning and drying the skin after episodes of incontinence, relieve pressure from the heels when in bed by use of pillows or other devices for that purpose, reporting any observations or changes in skin status to the patient's nurse
A patient is at increased risk for developing a pressure injury at the site of a healed pressure injury. T o F
What scale scores a patient's risk for pressure injury based on Sensory, Moisture, Activity, Mobility, Nutrition, Friction and Shear
What is the Braden Scale
Classification of pressure injury caused by nasal cannula to the nare
What is a medical device related pressure injury or medical device related mucosal membrane injury
Is checked on a waffle mattress at least once per shift
what is inflation
The item used to wick moisture away from the skin as part of pressure injury prevention plan for open continence that is not vacuum related (Verset)
What is Dry Flow Pad (the CHUK)
Name 2 non-pressure injury related wounds
what is Incontinent Dermatitis, Skin tears, MASD