Has the pressure injury risk assessment tool been completed

Gender completed

Age completed

Build/Weight for height completed

Skin type and visual risk completed

Continence completed

Mobility completed

Appetite completed

Tissue malnutrition completed

Neurological deficit completed

Surgery/Trauma completed

Medication therapy completed

Risk actions completed

Recommended strategies completed

Name signature, initial & date completed

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.