Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Has the pressure injury risk assessment tool been completed
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Gender completed
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Age completed
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Build/Weight for height completed
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Skin type and visual risk completed
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Continence completed
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Mobility completed
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Appetite completed
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Tissue malnutrition completed
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Neurological deficit completed
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Surgery/Trauma completed
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Medication therapy completed
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Risk actions completed
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Recommended strategies completed
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Name signature, initial & date completed
