AUDIT - COMPLIANCE OF ACCURACY in Pressure Ulcer RISK ASSESSMENT

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• On admission, Pressure Ulcer risk assessment done<br>

  Yes

  No

  N/A

• Does the patient skin assessed thoroughly<br>

  Yes

  No

  N/A

• Patient assessed on admission using Braden scale for the risk of developing pressure ulcer?<br>

  Yes

  No

  N/A

• Any outside pressure sore/skin injury present <br>

  Yes

  No

  N/A

• If yes, is it described the location, size, stage and wound details (margin, pus, discharge etc)<br>

  Yes

  No

  N/A

• If yes, was it documented and acknowledged by the patient attender?<br>

  Yes

  No

  N/A

• Patient reassessed and documented in every shift ?<br>

  Yes

  No

  N/A

• Each shift Handover: back has been seen & assessed by taken over staff<br>

  Yes

  No

  N/A

• Pressure Ulcer prevention measures taken<br>

  Yes

  No

  N/A

Accuracy of Checking in :

• Shear & Friction <br>

  Yes

  No

  N/A

• Tissue Perfusion & Oxygenation<br>

  Yes

  No

  N/A

• Degree of Activity <br>

  Yes

  No

  N/A

• Nutrition<br>

  Yes

  No

  N/A

• Mobility <br>

  Yes

  No

  N/A

• Sensory Perception

  Yes

  No

  N/A

Defined the RISK -

• Low risk, Moderate Risk, High Risk, Very High risk.<br>

  Yes

  No

  N/A

• On Admission Assessment done By S/N<br>

  Yes

  No

  N/A

• Counter signed By I/C<br>

  Yes

  No

  N/A

• Is it Accuracy attained in admission Assessment.<br>

  Yes

  No

  N/A

• Is it Accuracy attained in Each Assessment.<br>

  Yes

  No

  N/A

• Number of staffs involved. & Their Names<br><br>

  Yes

  No

  N/A

• Findings: <br><br>

  Yes

  No

  N/A

• Details of Spot Teaching <br>

  Yes

  No

  N/A

• Name & Sign of Staff who attined Non Compliance <br>

  Yes

  No

  N/A

• Name & Sign of Incharge.<br>

  Yes

  No

  N/A

• SIGNATURE OF AUDITOR<br>

  Yes

  No

  N/A

• On Admission Assessment done By S/N<br>

  Yes

  No

  N/A

• Counter signed By I/C<br>

  Yes

  No

  N/A

• Is it Accuracy attained in admission Assessment.<br>

  Yes

  No

  N/A

• Is it Accuracy attained in Each Assessment.<br>

  Yes

  No

  N/A

• Number of staffs involved. & Their Names<br><br>

  Yes

  No

  N/A

• Findings: <br><br>

  Yes

  No

  N/A

• Details of Spot Teaching <br>

  Yes

  No

  N/A

• Name & Sign of Staff who attined Non Compliance <br>

  Yes

  No

  N/A

• Name & Sign of Incharge.<br>

  Yes

  No

  N/A

• NAME & SIGNATURE OF AUDITOR<br>

  Yes

  No

  N/A

• Counter signed By I/C<br>

  Yes

  No

  N/A

• Is it Accuracy attained in admission Assessment.<br>

  Yes

  No

  N/A

• Is it Accuracy attained in Each Assessment.<br>

  Yes

  No

  N/A

• Number of staffs involved. & Their Names<br><br>

  Yes

  No

  N/A

• Findings: <br><br>

  Yes

  No

  N/A

• Details of Spot Teaching <br>

  Yes

  No

  N/A

• Name & Sign of Staff who attained Non Compliance <br>

  Yes

  No

  N/A

• Name & Sign of Incharge.<br>

  Yes

  No

  N/A

• NAME & SIGNATURE OF AUDITOR<br>

  Yes

  No

  N/A