NNI QT-HASL Audit Tool

• Conducted on

  Date

• Auditor Sashah Rajkumar

• Location

  Select

Staff are knowledgeable about prevention of Skin lesions (interview)

• 1. Risk Assessment scales <br>2. 2 hourly positioning turning<br>3. Use of barrier cream <br>4. Skin lesion pathway<br>

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are knowledgeable about what is a Skin lesion? (interview)

• 1. Diabetic Foot ulcers, <br>2. Disease related Skin lesions<br>3. Gangrenous<br>4. Moisture Associated Skin damage<br>5. Blister Not due to Pressure <br>6. Hematoma

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are knowledgeable about the exclusion criteria noted for Skin lesion /Pressure ulcers. (interview)

• 1. Old Scars <br>2. Moles<br>3. Hematoma below 10mm x 10mm<br>4. Skin Tags <br>5. Birth marks <br>6. Healing wounds that does not require treatment and Management plan

  Fully Met

  Partially Met

  Not Met

  N/A

Observation -Show evidence of documentation of Skin assessment of the following : (EMR)

• 1. 2hour Admission skin assessment if community acquired or hospital acquired<br>2. SSKIN BUNDLE<br>3. BRADEN SCALE <br>4. Nursing Notes <br>5. DATIX Reporting (If applicable) 10mm criteria

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are able to state risks and comorbidities of Skin lesion (interview)

• 1.Diabetes Mellitus , <br> 2.Neurology , <br>3.E.S .R.D <br>4.Immunocompromised

  Fully Met

  Partially Met

  Not Met

  N/A

Assessment Round: Observe if there is a patient with a Skin lesion

• 1.High Risk Assessment and treatment plan (EMR)<br>2.Use of barrier cream –Cavillon spray or cream<br>3.Which pressure ulcer device used –eg. Ziflow or positioning devices, Air Mattress<br>4.Patient /Watcher interview <br>5.When and how often was turned <br>6.Description of skin <br>7.Size: ____________<br>8.Color: Blanchable/Non Blanchable: <br>9.Actions Taken to reduce the <br>10.H.A.S.L (EMR)<br>11.Did the Patient receive health education pamphlets?

  Fully Met

  Partially Met

  Not Met

  N/A

Shift leader demonstrates knowledge of the SKIN lesion (interview)

• Does the Shift leader know if there is a patient with a H.A.S L?

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are knowledgeable about prevention of Skin lesions (interview)

• 1. Risk Assessment scales <br>2. 2 hourly positioning turning<br>3. Use of barrier cream <br>4. Skin lesion pathway<br>

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are knowledgeable about what is a Skin lesion? (interview)

• 1. Diabetic Foot ulcers, <br>2. Disease related Skin lesions<br>3. Gangrenous<br>4. Moisture Associated Skin damage<br>5. Blister Not due to Pressure <br>6. Hematoma

  Fully Met

  Partially Met

  Not Met

  N/A

• Yes

  No

  N/A

Staff are knowledgeable about the exclusion criteria noted for Skin lesion /Pressure ulcers. (interview)

• 1. Old Scars <br>2. Moles<br>3. Hematoma below 10mm x 10mm<br>4. Skin Tags <br>5. Birth marks <br>6. Healing wounds that does not require treatment and Management plan

  Fully Met

  Partially Met

  Not Met

  N/A

Observation -Show evidence of documentation of Skin assessment of the following : (EMR)

• 1. 2hour Admission skin assessment if community acquired or hospital acquired<br>2. SSKIN BUNDLE<br>3. BRADEN SCALE <br>4. Nursing Notes <br>5. DATIX Reporting (If applicable) 10mm criteria

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Staff are able to state risks and comorbidities of Skin lesion (interview)

• 1.Diabetes Mellitus , <br> 2.Neurology , <br>3.E.S .R.D <br>4.Immunocompromised

  Fully Met

  Partially Met

  Not Met

  N/A

Assessment Round: Observe if there is a patient with a Skin lesion

• 1.High Risk Assessment and treatment plan (EMR)<br>2.Use of barrier cream –Cavillon spray or cream<br>3.Which pressure ulcer device used –eg. Ziflow or positioning devices, Air Mattress<br>4.Patient /Watcher interview <br>5.When and how often was turned <br>6.Description of skin <br>7.Size: ____________<br>8.Color: Blanchable/Non Blanchable: <br>9.Actions Taken to reduce the <br>10.H.A.S.L (EMR)<br>11.Did the Patient receive health education pamphlets?

  Fully Met

  Partially Met

  Not Met

  N/A

Shift leader demonstrates knowledge of the SKIN lesion (interview)

• Does the Shift leader know if there is a patient with a H.A.S L?

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are knowledgeable about prevention of Skin lesions (interview)

• 1. Risk Assessment scales <br>2. 2 hourly positioning turning<br>3. Use of barrier cream <br>4. Skin lesion pathway<br>

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Staff are knowledgeable about what is a Skin lesion? (interview)

• 1. Diabetic Foot ulcers, <br>2. Disease related Skin lesions<br>3. Gangrenous<br>4. Moisture Associated Skin damage<br>5. Blister Not due to Pressure <br>6. Hematoma

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Staff are knowledgeable about the exclusion criteria noted for Skin lesion /Pressure ulcers. (interview)

• 1. Old Scars <br>2. Moles<br>3. Hematoma below 10mm x 10mm<br>4. Skin Tags <br>5. Birth marks <br>6. Healing wounds that does not require treatment and Management plan

  Fully Met

  Partially Met

  Not Met

  N/A

Observation -Show evidence of documentation of Skin assessment of the following : (EMR)

• 1. 2hour Admission skin assessment if community acquired or hospital acquired<br>2. SSKIN BUNDLE<br>3. BRADEN SCALE <br>4. Nursing Notes <br>5. DATIX Reporting (If applicable) 10mm criteria

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Staff are able to state risks and comorbidities of Skin lesion (interview)

• 1.Diabetes Mellitus , <br> 2.Neurology , <br>3.E.S .R.D <br>4.Immunocompromised

  Fully Met

  Partially Met

  Not Met

  N/A

Assessment Round: Observe if there is a patient with a Skin lesion

• 1.High Risk Assessment and treatment plan (EMR)<br>2.Use of barrier cream –Cavillon spray or cream<br>3.Which pressure ulcer device used –eg. Ziflow or positioning devices, Air Mattress<br>4.Patient /Watcher interview <br>5.When and how often was turned <br>6.Description of skin <br>7.Size: ____________<br>8.Color: Blanchable/Non Blanchable: <br>9.Actions Taken to reduce the <br>10.H.A.S.L (EMR)<br>11.Did the Patient receive health education pamphlets?

  Fully Met

  Partially Met

  Not Met

  N/A

Shift leader demonstrates knowledge of the SKIN lesion (interview)

• Does the Shift leader know if there is a patient with a H.A.S L?

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are knowledgeable about prevention of Skin lesions (interview)

• 1. Risk Assessment scales <br>2. 2 hourly positioning turning<br>3. Use of barrier cream <br>4. Skin lesion pathway<br>

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are knowledgeable about what is a Skin lesion? (interview)

• 1. Diabetic Foot ulcers, <br>2. Disease related Skin lesions<br>3. Gangrenous<br>4. Moisture Associated Skin damage<br>5. Blister Not due to Pressure <br>6. Hematoma

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are knowledgeable about the exclusion criteria noted for Skin lesion /Pressure ulcers. (interview)

• 1. Old Scars <br>2. Moles<br>3. Hematoma below 10mm x 10mm<br>4. Skin Tags <br>5. Birth marks <br>6. Healing wounds that does not require treatment and Management plan

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Observation -Show evidence of documentation of Skin assessment of the following : (EMR)

• 1. 2hour Admission skin assessment if community acquired or hospital acquired<br>2. SSKIN BUNDLE<br>3. BRADEN SCALE <br>4. Nursing Notes <br>5. DATIX Reporting (If applicable) 10mm criteria

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Staff are able to state risks and comorbidities of Skin lesion (interview)

• 1.Diabetes Mellitus , <br> 2.Neurology , <br>3.E.S .R.D <br>4.Immunocompromised

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Assessment Round: Observe if there is a patient with a Skin lesion

• 1.High Risk Assessment and treatment plan (EMR)<br>2.Use of barrier cream –Cavillon spray or cream<br>3.Which pressure ulcer device used –eg. Ziflow or positioning devices, Air Mattress<br>4.Patient /Watcher interview <br>5.When and how often was turned <br>6.Description of skin <br>7.Size: ____________<br>8.Color: Blanchable/Non Blanchable: <br>9.Actions Taken to reduce the <br>10.H.A.S.L (EMR)<br>11.Did the Patient receive health education pamphlets?

  Fully Met

  Partially Met

  Not Met

  N/A

Shift leader demonstrates knowledge of the SKIN lesion (interview)

• Does the Shift leader know if there is a patient with a H.A.S L?

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are knowledgeable about prevention of Skin lesions (interview)

• 1. Risk Assessment scales <br>2. 2 hourly positioning turning<br>3. Use of barrier cream <br>4. Skin lesion pathway<br>

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Staff are knowledgeable about what is a Skin lesion? (interview)

• 1. Diabetic Foot ulcers, <br>2. Disease related Skin lesions<br>3. Gangrenous<br>4. Moisture Associated Skin damage<br>5. Blister Not due to Pressure <br>6. Hematoma

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Staff are knowledgeable about the exclusion criteria noted for Skin lesion /Pressure ulcers. (interview)

• 1. Old Scars <br>2. Moles<br>3. Hematoma below 10mm x 10mm<br>4. Skin Tags <br>5. Birth marks <br>6. Healing wounds that does not require treatment and Management plan

  Fully Met

  Partially Met

  Not Met

  N/A

undefined

Observation -Show evidence of documentation of Skin assessment of the following : (EMR)

• 1. 2hour Admission skin assessment if community acquired or hospital acquired<br>2. SSKIN BUNDLE<br>3. BRADEN SCALE <br>4. Nursing Notes <br>5. DATIX Reporting (If applicable) 10mm criteria

  Fully Met

  Partially Met

  Not Met

  N/A

Staff are able to state risks and comorbidities of Skin lesion (interview)

• 1.Diabetes Mellitus , <br> 2.Neurology , <br>3.E.S .R.D <br>4.Immunocompromised

  Fully Met

  Partially Met

  Not Met

  N/A

Assessment Round: Observe if there is a patient with a Skin lesion

• 1.High Risk Assessment and treatment plan (EMR)<br>2.Use of barrier cream –Cavillon spray or cream<br>3.Which pressure ulcer device used –eg. Ziflow or positioning devices, Air Mattress<br>4.Patient /Watcher interview <br>5.When and how often was turned <br>6.Description of skin <br>7.Size: ____________<br>8.Color: Blanchable/Non Blanchable: <br>9.Actions Taken to reduce the <br>10.H.A.S.L (EMR)<br>11.Did the Patient receive health education pamphlets?

  Fully Met

  Partially Met

  Not Met

  N/A

Shift leader demonstrates knowledge of the SKIN lesion (interview)

• Does the Shift leader know if there is a patient with a H.A.S L?

  Fully Met

  Partially Met

  Not Met

  N/A

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