NSQHSS 8 Preventing and managing pressure injuries

Department

Personnel

8.1.1 Policies, procedures and/or protocols are in use that are consistent with best practice guidelines and incorporate screening and assessment tools

8.1.2 The use of policies, procedures and/or protocols are regularly monitored

8.2.1 An organisation-wide system for reporting pressure injuries is in use

8.2.2 Administrative and clinical data are used to regularly monitor and investigate the frequency and severity of pressure injuries

8.2.3 Information on pressure injuries is regularly reported to the highest level of governance in the health service organisation

8.2.4 Action is taken to reduce the frequency and severity of pressure injuries

8.3.1 Quality improvement activities are undertaken to prevent pressure injuries and/or improve the management of pressure injuries

8.4.1 Equipment and devices are available to effectively implement prevention strategies for patients at risk and plans for the management of patients with pressure injurie

8.5.1 An agreed tool to screen for pressure injury risk is used by the clinical workforce to identify patients at risk of a pressure injury

8.5.2 The use of the screening tool is monitored to identify the proportion of at-risk patients that are screened for pressure injuries on presentation

8.5.3 Action is taken to maximise the proportion of patients who are screened for pressure injury on presentation

8.6.1 Comprehensive skin inspections are undertaken using an agreed assessment tool and documented in the patient clinical record for patients at risk of pressure injuries

8.6.2 Patient clinical records, transfer and discharge documentation are periodically audited to identify at-risk patients with documented skin assessments

8.6.3 Action is taken to increase the proportion of skin assessments documented on patients at risk of pressure injuries

8.7.1 Prevention plans for all patients at risk of a pressure injury are consistent with best practice guidelines and are documented in the patient clinical record

8.7.2 The effectiveness and appropriateness of pressure injury prevention plans are regularly reviewed

8.7.3 (D) Patient clinical records are monitored to determine the proportion of at-risk patients that have an implemented pressure injury prevention plan

8.7.4 (D) Action is taken to increase the proportion of patients at risk of pressure injuries who have an implemented prevention plan

8.8.1 An evidence-based wound management system is in place within the health service organisation

8.8.2 Management plans for patients with pressure injuries are consistent with best practice and documented in the patient clinical record

8.8.3 Patient clinical records are monitored to determine compliance with evidence-based pressure injury management plans

8.8.4 Action is taken to increase compliance with evidence-based pressure injury management plans

8.9.1 (D) Patient information on prevention and management of pressure injuries is provided to patients and carers in a format that is understood and is meaningful

8.10.1 (D) Pressure injury management plans are developed in partnership with patients and carers