Wound Care Inpatient Audit

• Site conducted

  Select

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• LOCATION/UNIT:

• WHICH SHIFT

• DEPT MANAGER/LEADER:

• INSPECTOR(S):

• DATE:

  Date

HAPI/CAPI Assessment

• Patient Visit Number and Initials

• Wound Care assessment within 24 hrs of admission

  Yes

  No

  N/A

• Skin Intact?

  Yes

  No

  N/A

• Wound assessment completed?

  Yes

  No

  N/A

• Type of skin injury indicated, or wound staged?

  Yes

  No

  N/A

HAPI REPORTING

• Skin Injury Hospital Acquired

  Yes

  No

  N/A

• Skin Injury Community Acquired

  Yes

  No

  N/A

• Skin Injury - HAPI

  Yes

  No

  N/A

• Report to attending Physician

  Yes

  No

  N/A

• Patient/Family Education

  Yes

  No

  N/A

• Q2Hr turns and documented pressure care done

  Yes

  No

  N/A

• Wound Care RN assess patient

  Yes

  No

  N/A

• Date wound care assessed patient

HAPI Assessment

• High Risk HAPI areas indicated

  Yes

  No

  N/A

• Skin risk nursing interventions indicated

  Yes

  No

  N/A

• For CAPI: was primary care physician notified of CAPI

  Yes

  No

  N/A

• Documentation that patient is being seen by Nutritionist?

  Yes

  No

  N/A

• Documentation that patient is being seen by Rehab?

  Yes

  No

  N/A

OVERALL SCORE: