Reference Check Completed by Joanne Shawcross..Date

Size: px
Start display at page:

Download "Reference Check Completed by Joanne Shawcross..Date"

Transcription

1 Document Type: Procedure Document Title: Prevention and Management of Pressure Ulcers Scope: All UHMBT staff and volunteers Author / Title: Joanne Gaffing, Lead Tissue Viability Nurse, UHMBT Kieron McCracken, Tissue Viability Nurse, UHMBT Replaces: Version 4.1, Prevention and Management of Pressure Ulcers, Corp/Proc/035 Validated By: Infection Prevention Control Committee Ratified By: Procedural Document and Information Leaflet Group Unique Identifier: CORP/PROC/035 Version Number: 4.2 Status: Ratified Classification: Organisational Responsibility: Nursing Head of Department: Angela Richards, Matron Infection Prevention Date: 28/04/2016 Date: 15/06/2019 Review dates may alter if any significant changes Review Date: are made 01/06/2019 Which Principles of the NHS Constitution Which Staff Pledges of the NHS Apply? Constitution Apply? Please list from principles 1-7 which apply Please list from staff pledges 1-7 which apply 3, 4, 5 1, 2, 3, 4 Does this document meet the requirements of the Equality Act 2010 in relation to Race, Religion and Belief, Age, Disability, Gender, Sexual Orientation, Gender Identity, Pregnancy & Maternity, Marriage and Civil Partnership, Carers, Human Rights and Social Economic Deprivation discrimination? Yes Document for Public Display: Yes Reference Check Completed by Joanne Shawcross..Date To be completed by Library and Knowledge Services Staff

2 CONTENTS Page Behavioural Standards Framework 4 1 SUMMARY 5 2 PURPOSE 6 3 SCOPE 6 4 PROCEDURE Duties Duties of staff within Operating Theatres Pressure Ulcer Grading Pressure Ulcer Assessment When to Risk Assess How to Risk Assess Adults Only Skin Assessment High Risk / Very High Risk Neonates, Infants, Children and Young People Only - Skin 9 Assessment High Risk / Very High Risk 4.4 Pressure Ulcer Prevention Care Plan Beds Mattresses Pressure Redistributing Surface Seating Intentional Rounding Repositioning - At Risk Patients Repositioning High Risk / Very High Risk Patients Barrier Creams Patient and Carer Information Refusal of Care Skin Massage Nutrition and Hydration Wound Care Plan Patient Centred Individualised Holistic Care Off Load Pressure Gauze Negative Pressure Wound Therapy Hyperbaric Oxygen Therapy and Electrotherapy Debridement Systemic Antibiotics and Antiseptics Topical Antimicrobials and Antiseptics Reporting and Monitoring Pressure Ulcers Pressure Ulcers Safeguarding Triggers UHMB Resources for pressure ulcer prevention and management Training Top tips to help remember pressure ulcer prevention and 18 management 4.9 Monitoring Standards / KPIs 19 5 ATTACHMENTS 19 6 OTHER RELEVANT / ASSOCIATED DOCUMENTS 19 7 SUPPORTING REFERENCES / EVIDENCE BASED DOCUMENTS 20 Page 2 of 33

3 8 DEFINITIONS / GLOSSARY OF TERMS 20 9 CONSULTATION WITH STAFF AND PATIENTS DISTRIBUTION PLAN TRAINING AMENDMENT HISTORY 22 Appendix 1 North West Tissue Viability Nurses: Guidelines for 23 Classification of Pressure Ulcers Appendix 2 Guidelines to Generic Wound Care 24 Appendix 3 Guidelines for taking photographs and uploading to medical 25 image manager system Appendix 4 Equality & Diversity Impact Assessment Tool 33 Page 3 of 33

4 BEHAVIOURAL STANDARDS FRAMEWORK To help create a great place to work and a great place to be cared for, it is essential that our Trust policies, procedures and processes support our values and behaviours. This document, when used effectively, can help promote a workplace culture that values the contribution of everyone, shows support for staff as well as patients, recognises and celebrates the diversity of our staff, shows respect for everyone and ensures all our actions contribute to safe care and a safe working environment - all of which are principles of our Behavioural Standards Framework. Behavioural Standards Framework Expectations at a glance Introduce yourself with #hello my name is... Value the contribution of everyone Share learning with others Be friendly and welcoming Team working across all areas Recognise diversity and celebrate this Respect shown to everyone Seek out and act on feedback Ensure all our actions contribute to safe care and a safe working environment Put patients at the centre of all we do Be open and honest For those who supervise / manage teams: ensure consistency and fairness in your approach Show support to both staff and patients Communicate effectively: listen to others and seek clarity when needed Be proud of the role you do and how this contributes to patient care Page 4 of 33

5 1. SUMMARY What is a pressure ulcer? A pressure ulcer is an area of localised damage to the skin and underlying tissue caused by pressure or shear and or a combination of these. They are sometimes referred to as 'bedsores', or 'pressure sores'. They usually occur over a bony prominence, but can occur anywhere that blood supply is compromised to the tissue by pressure i.e. by medical devices such as catheter tubing, oxygen masks, faecal collectors, nasogastric tubes, plaster of Paris, splints, endotracheal tubes, external fixators, hard collars or ill-fitting shoes. Who is at risk of developing a pressure ulcer? All patients are potentially at risk of developing a pressure ulcer. They are more likely to occur in people who are seriously ill, have a neurological condition, impaired mobility, impaired nutrition, poor posture or a deformity. Patients who have peripheral vascular disease or arterial disease are at high risk due to the blood supply to/from the lower limbs already being compromised. In addition, conditions which can affect nerves i.e. diabetes, can also increase the risk of pressure ulcers due to the person not being prompted by the nervous system to move position to relieve pressure. This therefore increases the risk of compromising blood supply to the tissue. Are pressure ulcers preventable? Pressure ulcers are often preventable Avoidable Pressure Ulcer: Avoidable means that the person receiving care developed a pressure ulcer and the provider of care did not do one of the following: evaluate the person s clinical condition and pressure ulcer risk factors; plan and implement interventions that are consistent with the persons needs and goals, and recognised standards of practice; monitor and evaluate the impact of the interventions; or revise the interventions as appropriate (The Department of Health/National Patient Safety Agency). Unavoidable Pressure Ulcer: Unavoidable means that the person receiving care developed a pressure ulcer even though the provider of the care had evaluated the person s clinical condition and pressure ulcer risk factors; planned and implemented interventions that are consistent with the persons needs and goals; and recognised standards of practice; monitors and evaluated the impact of the interventions and revised the approaches as appropriate; or the individuals person refused to adhere to prevention strategies in spite of education of the consequences of non-adherence (The Department of Health/National Patient Safety Agency). Documentation is vital to prove that a pressure ulcer was unavoidable. This procedure covers people of all ages in the prevention and management of pressure ulcer and are referred to as follows: Neonates: under 4 weeks Infants: between 4 weeks and 1 year Children: 1 year to under 13 years Young people: 13 to 17 years Page 5 of 33

6 Adults: 18 years or older Unless specified for a certain age group, the information within this procedure is for all ages. 2. PURPOSE To eradicate avoidable pressure ulcers and avoidable deterioration of pressure ulcers by providing staff with guidelines on how to prevent and manage pressure ulcers. 3. SCOPE All UHMBT staff including volunteers. This procedure should be read in conjunction with other UHMBT Policies, Procedures and Guidelines, where relevant.including ; ANTT procedure Hand Hygiene Procedure Personal Protecive Equipment for clinical staff 4. PROCEDURE 4.1 Duties Nursing and Midwifery Strategy Group is responsible for approval of this procedure, which is then ratified by the Trust Procedural Documents Group and uploaded to Heritage. Chief Executive/Executive Chief Nurse has an overall responsibility to ensure that there are sound systems of internal control in relation to pressure ulcers and ensuring the development and implementation of this procedure. Deputy Chief Nurse/Assistant Chief Nurses/Matrons/Ward Managers are responsible for ensuring this procedure is operational for all inpatients. They must ensure that all their clinical staff are aware of this procedure and have read and understood its content. Tissue Viability Nurses (TVN s) are responsible for providing advice, support and training on pressure ulcer prevention and management in line with this procedure. Tissue Viability Link Nurses (TVLN s) must ensure they are adequately trained in the prevention and treatment of pressure ulcers and comply with this procedure. They must provide advice, support and training in their ward/department areas regarding pressure ulcers and refer onto the TVN where appropriate. Medical Staff/Allied Health Professionals/Registered Nurse/Clinical Support Workers must ensure they are adequately trained in the prevention and treatment of pressure ulcers and comply with this procedure Duties of staff within Operating Theatres 1. Patient escort (either theatre or ward) to ensure the Pre-operative Checklist is brought with the patient to theatre and that it is correctly filled in, including the Page 6 of 33

7 safety bundle check. 2. In anaesthetic room: Anaesthetic Practitioner signs to say they have read the Pre-operative Checklist/received handover from ward nurse, including the safety bundle check. 3. Anaesthetic Practitioner assesses patient, taking into account the ward s/admission s lounge assessment, protects all vulnerable areas with appropriate devices and positions the patient appropriately within the confines of the surgical procedure. If it is not possible to inspect the identified pressure areas because the patient is in too much pain i.e. fractured neck of femur, then this inspection can be made after the patient has been anaesthetised and whilst the patient is being transferred to the operating table. 4. This assessment and intervention should be documented in ORMIS, in Positioning under other. Any signs of redness should be made note of in this section. Any interventions that could not be undertaken, and the reasons why, should also be documented here. Any existing pressure ulcers should be mapped using wound care grid and dressed appropriately. Any other pressure area dressing should remain undisturbed. 5. In theatre: At Time Out reference is to be made of any concerns re patient s pressure areas, including existing pressure ulcers, risk status of patient, length of surgery, type of anaesthetic used, patient position and any patient positioning devices that are being used. A decision should be made as to whether a pressure mattress will be needed post operatively. This should be arranged with the accepting ward. 6. All pressure area related care to be documented in ORMIS: in patient details under complexity. Theatre practitioners must also continue to fill in the patient s safety bundle as prescribed by the ward. 7. At Sign Out reference is to be made that a further inspection of patient must occur when they are transferred from operating table back to trolley/bed. Any patient s that remain on an operating trolley are to be assessed as thoroughly as possible. Any new pressure ulcers should be mapped using wound care grid and dressed appropriately. Any other pressure area dressing should remain undisturbed. 8. At handover from theatre to recovery room, the scrub practitioner will make reference to the risk status of the patient and any interventions and observations undertaken including the length of surgery, type of anaesthetic used and if a pressure area mattress is in place or is needed. 9. In recovery: Observations should be continued and documented during the course of the patient s recovery as prescribed on the patient s safety bundle or as amended after further assessment following surgery and anaesthesia. This should be recorded on a) patient safety bundle and b) recovery care plan. Any new pressure ulcers should be mapped using wound care grid and dressed appropriately. Any other pressure area dressing should remain undisturbed. 10. At handover from recovery to ward, the recovery practitioner will hand over the risk status of the patient and any interventions and observations undertaken. Page 7 of 33

8 On the occasion of a transfer direct from theatre to ICU, the handover will be from scrub practitioner to ICU. All incidences of Pressure Ulcers should be reported as a clinical incident report. A wound care grid report should be filled in and stapled to the patient safety bundle. 4.2 Pressure Ulcer Grading The NPUAP/EPUAP (2009) 1 classification should be used to describe a pressure ulcer, which includes Grade 1,Grade 2, Grade 3, Grade 4, potential deep tissue injury and ungradable. All wards/departments should have a laminated poster of the North West Tissue Viability Nurses Guidelines for classification of pressure ulcers (Adapted from EPUAP 2009) 1 and the poster is also available on the Intranet - clinical services nursing and midwifery - tissue viability section or in Appendix 1 of this document. 4.3 Pressure Ulcer Assessment (i.e. Braden Q for Children, Waterlow for 14 years and above) When to risk assess The appropriate age related pressure ulcer risk assessment must be completed: Within 4 hours of admission to hospital, When the patient condition changes (i.e. after surgery, on worsening of an underlying condition or with a change in mobility) and At least weekly for longer stay patients. In addition, the Emergency Departments should also complete an appropriate age related pressure ulcer risk assessment if they are not being admitted to hospital wards/departments but have a risk factor, for example: Significantly limited mobility (for example, people with a spinal cord injury) Significant loss of sensation A previous or current pressure ulcer Nutritional deficiency The inability to reposition themselves Significant cognitive impairment How to risk assess The pressure ulcer risk assessment (i.e. Waterlow) 2 should be used to support clinical judgement when assessing pressure ulcer risk. At risk of pressure ulcer - All UHMB patients will be at least at risk of developing a pressure ulcer. At high risk/very high risk of pressure ulcer the patient will usually have multiple risk factors i.e. significantly limited mobility, nutritional deficiency, inability to reposition themselves, significant cognitive impairment, history of pressure ulcers or a current pressure ulcers. This will be discovered using the appropriate age related pressure ulcer risk assessment tool and/or clinical judgement. Page 8 of 33

9 4.3.3 Adults only Skin assessment high risk/very high risk Adults who have been assessed as being at high risk/very high risk of developing a pressure ulcer must be offered a skin assessment by a trained healthcare professional. This adult skin assessment should include: Any pain or discomfort reported by the patient Skin checked for integrity in areas of pressure (i.e. using finger palpation or diascopy to determine whether erythema or discolouration is blanchable), colour changes or discolouration, variation in heat, firmness and moisture (for example, because of incontinence, oedema, dry and inflamed skin). Start appropriate preventative action If non-blanchable erythema is present consider repeating the skin assessment at least every 2 hours until resolved Neonates, infants, children and young people only Skin assessment high risk/very high risk Neonate, infants, children and young people who have been assessed as being at high risk/very high risk of developing a pressure ulcer must be offered a skin assessment by a trained healthcare professional. The neonate, infants, children and young people skin assessment should take into account: Skin changes in the occipital area Skin temperature The present of blanchable erythema or discoloured areas of skin. 4.4 Pressure Ulcer Prevention Care Plan Patients at high risk/very high risk of developing a pressure ulcer require an individualised care plan taking into account: The outcome of risk and skin assessment The need for additional pressure relief at specific at risk sites Their mobility and ability to reposition themselves. Other comorbidities Patient preference. Based on the outcome of the risk assessment, their mobility and ability to reposition themselves and other comorbidities, document the equipment in use in the risk assessment bundle using the pressure ulcer prevention care plan. In addition document ordering/cancelling of equipment and patient preference. This will support the development and documentation of the patients individualised care plan. Ensure that the patient s weight is appropriate to the working load of any equipment used Beds All UHMB beds are electronic profiling beds, which can be utilised to support patient repositioning. Page 9 of 33

10 4.4.2 Mattresses All UHMB foam mattresses (i.e. on hospital beds, cots, trolleys) must be a high specification foam mattress i.e. Huntleigh s Pentaflex Mattress or Direct Healthcare s Dyna-Form Mercury Fire Evacuation mattress. Consider using specialist support surfaces i.e. dynamic support surface when a high specification foam mattress and repositioning is not sufficient to redistribute pressure, taking into account their current pressure ulcer risk and mobility and preference/tolerance. Adults undergoing surgery - Consider a high-specification foam theatre mattress or an equivalent pressure redistributing surface for all adults who are undergoing surgery Pressure Redistributing Surface Neonates, infants, children and young people only - offer patients at risk of developing an occipital pressure ulcer an appropriate pressure redistributing surface (for example, a suitable pillow or pressure redistributing pad). Neonates, infants, children and young people - Tailor the support surface to the location and cause of the pressure ulcer Seating Consider the seating needs of people at risk of developing or who have a pressure ulcer and who are sitting for prolonged periods. Adults only - Consider a high-specification foam or equivalent pressure redistributing cushion for adults who use a wheelchair or who sit for prolonged periods and who have a pressure ulcer. Infants, children and young people only offer patients who are long term wheelchair users, regular wheelchair assessments and provide pressure relief or redistribution Intentional Rounding Repositioning At risk patients Neonates and Infants only - Ensure Neonates and infants who are at risk of developing a pressure ulcer are repositioned at least every 4 hours. Children and young people only - Encourage children and young people who are at risk of developing a pressure ulcer to change their position at least every 4 hours. If they are unable to reposition themselves, offer help to do so, using appropriate equipment if needed. Neonates, infants, children and young people only - Relieve pressure on the scalp and head when repositioning neonates, infants, children and young people at risk of developing a pressure ulcer. Adults only - Encourage adults who have been assessed as being at risk of developing a pressure ulcer to change their position frequently and at least every 6 hours. If they are unable to reposition themselves, offer help to do so, using Page 10 of 33

11 appropriate equipment if needed. Document the frequency of repositioning required Repositioning High risk/very high risk patients Neonates and Infants only - Consider more frequent repositioning than every 4 hours for neonates and infants who have been assessed as being at high risk/very high risk of developing a pressure ulcer. Document the frequency of repositioning required. Children and young people only - Encourage children and young people who have been assessed as being at high risk/very high risk of developing a pressure ulcer to change their position more frequently than every 4 hours. If they are unable to reposition themselves, offer help to do so, using equipment if needed. Document the frequency of repositioning required. Adults only Encourage adults who have been assessed as being at high risk/very high risk of developing a pressure ulcer to change their position frequently and at least every 4 hours. If they are unable to reposition themselves, offer help to do so, using appropriate equipment if needed. Document the frequency of repositioning required. Children, young people and adults - Discuss with children, young people and adults at high risk/very high risk of developing a heel pressure ulcer and, where appropriate, their family, parents or carers, a strategy to offload heel pressure, as part of their individualised care plan Barrier Creams Neonates, infants, children and young people only use barrier preparations to help prevent skin damage, such as moisture lesions, when the patient is incontinent. Adults only consider using a barrier preparation to prevent skin damage in adults who are at high risk of developing a moisture lesion or incontinence- associated dermatitis, as identified by skin assessment (such as those with incontinence, oedema, dry or inflamed skin) Patient and carer information Offer timely, tailored information to people who have been assessed as being at high risk/very high risk of developing a pressure ulcer and their family and carers. The information should be delivered by a trained or experienced healthcare professional and include: The causes of a pressure ulcer The early signs of a pressure ulcer Ways to prevent a pressure ulcer The implications of having a pressure ulcer (i.e. for general health, treatment options and the risk of developing pressure ulcers in the future) Demonstrate techniques and equipment used to prevent a pressure ulcer. Take into account individual needs when supplying information to people with: Degenerative conditions Impaired mobility Neurological impairment Cognitive impairment Page 11 of 33

12 Impaired tissue perfusion (for example, caused by peripheral arterial disease) Ensure patients, parents and carers understand the reasons for repositioning Refusal of care If patients decline repositioning, document and discuss their reasons for declining. Children only - Consider involving a play expert to encourage children who have difficulty with, or have declined repositioning Skin Massage Do not offer skin massage or rubbing to patients to prevent a pressure ulcer Nutrition and Hydration Offer an age related nutritional assessment to all patient with a pressure ulcer. This must be completed by an age specific trained dietician or other healthcare professional with the necessary skills and competencies. Neonates, infants, children and young people only Nutrition and Hydration: Do not offer nutritional supplements specifically to PREVENT a pressure ulcer when they have adequate nutritional status for their development stage and clinical condition. Do not offer subcutaneous or intravenous fluids specifically to PREVENT a pressure ulcer that have adequate hydration status for their development stage and clinical condition. Discuss with a paediatric dietician (or other healthcare professional with the necessary skills and competencies) whether to offer nutritional supplements specifically to TREAT a pressure ulcer that have adequate nutritional intake. Offer advice on a diet that provides adequate nutrition for growth and healing when they have a pressure ulcer. Discuss with a paediatric dietitian whether to offer nutritional supplements to correct nutritional deficiency when they have a pressure ulcer. Assess fluid balance when they have a pressure ulcer. Ensure there is adequate hydration for age, growth and healing. If there is any doubt, seek further medical advice. Adults only Nutrition and Hydration Do not offer nutritional supplements specifically to prevent or treat a pressure ulcer in adults whose nutritional intake is adequate Offer nutritional supplements to adults with a pressure ulcer who have a nutritional deficiency Provide information and advice to adults with a pressure ulcer and where appropriate, their family or carers on how to follow a balanced diet to maintain an adequate nutritional status, taking into account energy, protein and micronutrients. Do not offer subcutaneous or intravenous fluids specifically to prevent or treat a pressure ulcer in adults whose hydration status is adequate. Page 12 of 33

13 4.5 Wound Care Plan All patients who have a pressure ulcer must have a UHMB wound care plan. Individual holistic assessment is vital in wound care/prevention of wounds Patient underlying conditions, concordance, preference, priorities, allergies Wound size, exudate, odour, wound bed cover, pain, wound margins skin, position of wound. Continuously assessing, planning, implementing and evaluating care is vital as wound care objectives change over time. Document the surface area of the pressure ulcer. If possible transparency tracing and/or a photograph can be used to help this: Transparency tracing i.e. Coloplast wound mapping grid NHS Supply ordering code: ELZ090. Photography must be done in line with the medical illustrations policy. Consent forms for photography are available from UHMB Intranet Clinical Services Medical Illustrations Photography request and consent form. Contact RLI medical illustrations ext.: to take photos of pressure ulcers. Alternatively, the Trust has two cameras that are located in the site coordinators offices at RLI and FGH. Members of staff who have been appropriately trained in the use of the camera and in line with UHMB Clinical Imaging Policy, can take photographs of pressure ulcers and upload to the Medical Image Manager. Please see appendix 3. Document an estimate of the depth of all pressure ulcers and the presence of undermining, but do not routinely measure the volume of a pressure ulcer. The NPUAP/EPUAP (2009) 1 classification should be used to describe a pressure ulcer, which includes Grade 1,Grade 2, Grade 3, Grade 4, potential deep tissue injury and ungradable. Repeat and document each time the ulcer is assessed Patient centred individualised holistic care Consider using dressings that promotes a warm, moist wound healing environment to treat grade 2, 3, 4 and ungradable pressure ulcer. See Appendix 2 for a poster of Guidelines to Generic Wound Care. UHMB wound care formulary should be used to aid selection of wound care dressings and advice should be sought where required. Discuss with patients with a pressure ulcer and if appropriate, their family or carers, what type of dressing should be used, taking into account: Pain and patient tolerance Position of the ulcer Amount of exudate Page 13 of 33

14 Frequency of dressing changes Off load pressure Heel pressure ulcers discuss with patient and parents or carers if appropriate a strategy to off load heel pressure as part of their individualised care plan. Deep tissue damage pressure ulcers may be recoverable with effective offloading of the affected area Gauze Do not offer gauze dressings to treat a pressure ulcer. These dressings do not provide the optimum environment for wound healing and can adhere to the wound bed Negative pressure wound therapy Do not routinely offer negative pressure wound therapy to treat a pressure ulcer (Adults only - unless it is necessary to reduce the number of dressing changes, i.e. in a wound with a large amount of exudate) Hyperbaric oxygen therapy and electrotherapy Do not offer the following to treat a pressure ulcer: Electrotherapy hyperbaric oxygen therapy Both therapies are in the research phase of development and have not as yet, been adopted for pressure ulcer management Debridement Neonates, infants, children and young people only consider autolytic debridement with appropriate dressings for dead tissue. Consider sharp and surgical debridement by trained staff if autolytic debridement is unsuccessful. Adults only assess the need to debride a pressure ulcer in adults, taking into consideration: the amount of necrotic tissue the grade, size and extent of the pressure ulcer patient tolerance Any co morbidities Adults only - Offer debridement to adults if identified as needed in the assessment: Use autolytic debridement, using an appropriate dressing to support it Consider using sharp debridement by a trained healthcare professional in sharp debridement if autolytic debridement is likely to take longer and prolong healing time. Do not routinely offer adults with a pressure ulcer larval (maggot) therapy and enzymatic debridement. Consider larval therapy if debridement is needed but sharp debridement is contraindicated or if there is associated vascular insufficiency Systemic antibiotics and antiseptics Do not offer systemic antibiotics specifically to heal a pressure ulcer. Page 14 of 33

15 Do not offer systemic antibiotics based only on a positive would cultures without clinical evidence of infection. If there are clinical signs of infection discuss with the microbiologist which antibiotics to offer patients to ensure that the chosen systemic antibiotic is effective against local strains of infection. Neonates, infants, children and young people only - CONSIDER systemic antibiotics if the patient has a pressure ulcer with clinical evidence of local or systemic infection. Adults only OFFER systemic antibiotics if the patient has a pressure ulcer with clinical evidence of systemic sepsis, spreading cellulitis and/or underlying osteomyelitis Topical antimicrobials and antiseptics Do not routinely use topical antiseptics or antimicrobials to treat a pressure ulcer. These should only be used in conjunction with definite clinical evidence of local or systemic infection. Neonates, Infants, children and young people only consider using topical antimicrobial dressings to treat a pressure ulcer where clinical indicated, for example, spreading cellulitis. Neonates only do not use iodine to treat a pressure ulcer in neonates Reporting and Monitoring Pressure Ulcers All pressure ulcers hospital or community acquired must be reported via the patient safety incident reporting system using grade 1, 2, 3, 4, ungradable and deep tissue injury (NPUAP/EPUAP, 2009) 1. Hospital acquired = a pressure ulcer is reported after 72 hours of admission to hospital. Community acquired = a pressure ulcer is reported within 72 hours of admission to hospital. Skin damage caused by a combination of pressure and moisture must be reported as a pressure ulcer. Skin damage caused by incontinence/moisture alone should not be reported as a pressure ulcer. Hospital acquired grade 2 and deep tissue damage pressure ulcers are subject to a concise RCA questionnaire. This should be completed by the reporter of the pressure ulcer and checked by the ward manager. Hospital acquired grade 3, 4 and ungradable hospital acquired pressure ulcers are subject to an RCA. This RCA is to be led by the ward manager. Individuals completing the RCA process and associated documentation should be competent to do so and should seek training and support where necessary. Hospital acquired grade 3 and 4 pressure ulcers are reported via STEIS and Page 15 of 33

16 presented at SIRI panel. Avoidable hospital acquired grade 3 and 4 pressure ulcers will result in a meeting with at least the ward manager, matron and tissue viability nurse to ensure improvement strategies have been implemented. Three or more hospital acquired grade 2 or above pressure ulcers within a month will trigger an investigation of that ward/department which will be led by a divisional chief nurse and the Tissue Viability Nurse Pressure Ulcers Safeguarding Triggers UHMB To determine if the identification of a pressure ulcer on an individual who is receiving care (either professional or informal support) should be reported as a safeguard alert, the following triggers should be considered: N.B. if making a safeguard alert to Adult Social Care please take note of the appropriate Leading Local Authority, if in doubt call the Safeguarding Team on : What is the severity (Grade) of the pressure ulcer? 2: Does the individual have capacity, and have they been compliant with treatment? Has a capacity assessment been completed? 3: Full assessment completed and care plan developed in a timely manner and care plan implemented? Grade 2 or deep tissue damage Has capacity and has refused treatment Capacity assessment is recorded Documentation and equipment available to demonstrate full assessment completed. Care plan developed and implemented? Support sough from GP, DN or TVN Grade 3 or an ungradeable pressure ulcer and one or more of the factors below Does not have capacity or capacity has not been assessed Documentation and equipment not fully available to demonstrate full assessment completed or care plan developed and implemented. But, general care regime not of concern i.e. nutrition/hydration All grade 4 pressure ulcers are reportable to the Leading Local Authority of where the pressure ulcers occurred. Information required prior to making a referral; Does the patient have capacity, and have they been compliant with treatment? What is the patient s usual place of residence? Do they have a full assessment and care plan completed? Or evidence not clear 4:This incident is Evidence suggests There have been Have there been Page 16 of 33

17 part of a pattern. There have been similar incidents with this individual or others? 5: Carer raised concerns and sought support at an appropriate time? Conclusion that this is an isolated incident Evidence indicates that concerns raised and support sought from GP, DN or TVN Complete a PSI, however no safeguarding alert at this stage other similar incidents Evidence not clear that concerns were raised and support sought in a timely manner Raise a safeguard referral to the appropriate Adult Social Care if meets above criteria. And complete a PSI other similar incidents (if from a nursing home or residential home?) Support sought GP, DN or TVN Raise a safeguard referral to the appropriate Adult Social Care, and complete a PSI 4.6 Resources for pressure ulcer prevention and management Ward Managers must ensure: Repositioning equipment is available to aid repositioning of patients Wound care plans and wound mapping grids are available for pressure ulcer wound assessments. Ensure that the wound care dressings available within their departments are in line with the UHMB wound formulary and that the stock level is appropriate for the demands of the ward Ensure the ordering of additional dressings as required to meet the needs of their patients Discuss with a member of the supply s department if advice is required to amend/change their top up system/supply of dressings Discuss with the tissue viability link nurse and/or the tissue viability nurse if pressure ulcer prevention and/or management advice is required Registered Nurses must ensure: They use repositioning equipment correctly and are trained in the use of them. Report to the ward manager if repositioning equipment is not available. Assess pressure ulcers and document on wound care plans. One wound care plan to one wound. Ensure they undertake appropriate wound care and report lack of stock to the ward manager/nurse in charge. Discuss with the tissue viability link nurse and/or the tissue viability nurse if pressure ulcer prevention and/or management advice is required. 4.7 Training Awareness is raised on pressure ulcers during Patient manual Handling practical Induction training for new starters. An E learning package on pressure ulcers is available on the TMS and it is recommended that all clinical staff complete triennially. This training includes: Who is most likely to be at risk of developing a pressure ulcer Page 17 of 33

18 How to identify pressure damage What steps to take to prevent new or further pressure damage. Who to contact for further information and for further action if required. Tissue Viability Workshops are available to healthcare professionals who have contact with anyone who has been assessed as being at high risk of developing a pressure ulcer. This workshop is led by the Tissue Viability Nurse. This training includes: How to carry out a risk and skin assessment How to reposition Information on pressure redistributing devices Discussion of pressure ulcer prevention with patients and their carers Details of sources of advice and support. 4.8 Top tips to help remember pressure ulcer prevention and management 1. The best dressing is skin, prevention is better than cure risk assessment and intentional rounding. 2. Treat the whole patient not just the hole in the patient - Holistic assessment is vital in pressure ulcer management. 3. Reassess - Clinical effectiveness is about doing the right thing, in the right way, for the right patient, at the right time. 4. Ask. If advice required regards pressure ulcer prevention and/or management contact a Tissue Viability Link Nurse and/or a Tissue Viability Nurse. Useful resources/information can also be found on the stop the pressure ulcer campaign website 4 or the website Monitoring It is essential to monitor the incidence and severity of pressure ulcers within the Trust. It is the responsibly of each Ward Manager to ensure that the information required for their ward is recorded accurately, that pressure ulcers are recorded on the PSI system and that any requested RCAs are produced in a timely manner. Requireme nt Monitor number of incidents Snap shot Trust wide Snap shot Trust wide Method Frequency Lead Monitorin g Group Analyser review Point Prevalenc e Point Prevalenc e Monthly Carol Park & Kieron Mccracke n Harm free Care working Group Action plan lead Carol Park & Kieron Mccracke n Annual Huntleigh NMSG Carol Park & Joann Morse Monthly safety thermomet er All ward manager s with inpatients NMSG Carol Park & Joann Morse Committee/gro up overseeing Action Plan Harm free Care Steering Group NMSG NMSG Page 18 of 33

19 4.10 Standards / KPIs Monthly Safety Thermometer by ward staff Monthly reports of PSIs from risk safeguard to the wards Quarterly mattress and chair audits by ward staff Annual pressure ulcer point prevalence by Huntleigh Adherence to the procedure may also be periodically audited by the internal audit department as part of the review of internal controls. 5. ATTACHMENTS Number Title 1 North West Tissue Viability Nurses: Guidelines for Classification of Pressure Ulcers 2 Guidelines to Generic Wound Care 3 Guidelines for taking photographs and uploading to medical image manager system 4 Equality & Diversity Impact Assessment Tool 6. OTHER RELEVANT / ASSOCIATED DOCUMENTS Unique Title and web links from the document library Identifier Corp/Proc/0 Aseptic Technique Procedure 67 Corp/Proc/0 Hand Hygiene Procedure 08 Corp/Pol/068 Personal Protective Equipment (PPE) MED26 Clinical Imaging Policy PIL040 PIL040 Preventing Pressure Ulcers 40%20-%20Preventing%20Pressure%20Ulcers.pdf Page 19 of 33

20 7. SUPPORTING REFERENCES / EVIDENCE BASED DOCUMENTS References in full Number References 1 European Pressure Ulcer Advisory Panel (EPUAP) (2009) EPUAP- NPUAP Guidelines. Pressure Ulcer Prevention Quick Reference Guide. Available at: (accessed ) 2 Waterlow J (2005) The Waterlow Pressure Ulcer Prevention Manual. Available from: (accessed ) Bibliography NICE Guidelines (CG179) (2014) Pressure Ulcers: prevention and management. [Online] Available at: (accessed ) Tissue Viability Society. (2012) Achieving Consensus in Pressure Ulcer Reporting. [Online] Available at: (accessed ) Your turn: Campaigning to prevent pressure ulcers. Pressure ulcers: prevention is better than cure. [Online] Available at: (accessed ) NHS. Stop the pressure. Helping to prevent pressure ulcers. Available at: (accessed ) Cumbria Safeguarding Adults Board. (2015) Safeguarding adults at risk a Cumbria partnership. Guidance paper 5. Pressure Ulcers. [Online] Available at: (accessed ) National Pressure Ulcer Advisory Panel (NPUAP) (2014) Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. Available from: (accessed ) 8. DEFINITIONS / GLOSSARY OF TERMS Abbreviation Definition or Term ORMIS Operating Room Management Information System PSI Patient Safety Incident RCA Root Cause Analysis SIRI Serious Incident Requiring Investigation STEIS Strategic Executive Information System TVN Tissue Viability Nurse TVLN Tissue Viability Link Nurse Page 20 of 33

21 9. CONSULTATION WITH STAFF AND PATIENTS Enter the names and job titles of staff and stakeholders that have contributed to the document Name Job Title Joanne Gaffing Tissue Viability Nurse Kieron McCracken Tissue Viability Nurse Carol Park Assistant Chief Nurse Medicine Angela Richards Matron Infection Prevention Claire Rawes Ward Manager ICU RLI Helga Walker Sister and Tissue Viability Link Nurse Ward 34 RLI Monika Pasztor Consultant Microbiologist Anna Smith Health and Safety Manager Jim Collins Head of Procurement and Supplies Abbey Tierney Senior Buyer Russell Stephenson Fire Safety Advisor Kelly Short Safeguard Adults Lead Sue Smith Executive Chief Nurse Joann Morse Deputy Chief Nurse Paula Beazley Senior Medical Photographer Medical Illustrations Katie Gillespie Clinical Services Manager - Dietetics Geoff Hind Head of Clinical Governance Elisabeth Teasdale Patient Safety Manager Emma Chatfield Patient Safety Officer Colette Whelan Clinical Theatre Manager Daniel Bakey Matron - Theatres Dorothy Helmsley Paula Witter Practice Educator FGH Dawn Willan Practice Educator - RLI Susan Westbury Manual Handling Trainer 10. DISTRIBUTION PLAN Dissemination lead: Previous document already being used? If yes, in what format and where? Proposed action to retrieve out-of-date copies of the document: To be disseminated to: Document Library Proposed actions to communicate the document contents to staff: Joanne Gaffing, Lead Tissue Viability Nurse Yes Include in the UHMB Weekly News New documents uploaded to the Document Library Page 21 of 33

22 11. TRAINING Is training required to be given due to the introduction of this procedure? No Action by Action required Implementation Date 12. AMENDMENT HISTORY Please complete if version 2 or higher Revision Date of Page/Selection Description of Review Date No. Issue Changed Change Included definition of avoidable and unavoidable pressure ulcers SOP for theatre staff 6 The addition of Deep Tissue Injury as a pressure ulcer grade, as per EUPAP guidelines (2009) 10 Skin Massage advice, as per NICE guidelines 11 Addition of information regarding camera use 12 Hyperbaric Oxygen therapy advice, as per NICE guidelines 22 Appendix 3 in relation to camera usage /08/2016 Section 6 Added reference to Preventing Pressure Ulcers leaflet /10/2017 Page 3 BSF page added 01/06/2019 Page 22 of 33

23 Appendix 1 Page 23 of 33

24 Appendix 2 Page 24 of 33

25 Appendix 3 Guidelines for taking photographs and uploading to medical image manager system Before taking patient photographs: 1. From the homepage on the UHMB Intranet choose Clinical Services, then Medical Illustration from the menu on the left hand side. 2. Double click on Clinical Images taken by Staff other than M.I. Request form found at the bottom of the Medical Illustration page. Print the form off. 3. Complete the form, making sure you record the appropriate consent level once agreed with the patient (usually record only ). If the patient does not have capacity to give consent you will need to complete a consent form 4. Once complete, you can now access the camera, filling out the Camera Log Book (kept with the camera) with your name and where you are taking the camera, and the date and time you took it. Page 25 of 33

26 Now, take the photographs. Photograph the completed form (above) to signify the start of the patient s photographs. Photograph the wound. Photograph the floor to signify the end of that patient s photographs. Before uploading the images to Medical Image Manager it is important that you know which photographs you are going to upload. To check the photographs you have just taken: Plug the connecting cable into the camera and the other end into a usb port on the computer. Switch the camera on. Now go to My computer, your camera will come up as either Removable disc or Device with Removable Storage or it may even give your camera name. Click on it and then click open. Open the folder called DCIM. You can then open each file and check to make sure these are the correct photographs. (Please note that it is best practice to delete all photographs after uploading so the only photographs on the camera should be the ones you have just taken). At this point, you may find it useful to make a note of the file names that you want to upload. Page 26 of 33

27 Uploading the images: 1. Double click Internet Explorer to open the UHMB Intranet front page. Select Favourites and drop down to Medical Image Manager and select. 2. The log in page of Medical Image Manager will open. Log in by using your usual login for s. Remember to click on the tick box underneath which verifies that you have read the clinical imaging policy as requested, and then log in. 3. The front page of Medical Image Manager will open. Click on the box which says use all images 4. Along the top bar of the page click on upload Page 27 of 33

28 5. On this page you need to click on create job on the left hand side 6. On this page you need to enter the patient s unit number and then click on search. 7. This will bring up a screen containing the patient s details. Check that you have the correct patient and, if it is, click on select Check that these details (especially the d.o.b.) are the correct patient 8. This will bring up a screen like this. A number will have been generated on the first line, followed by that day s date. Page 28 of 33

29 Fill in the site from the drop down box, and you have to click on tissue viability (which will go blue) to activate the software. You must also chose the agreed consent level from the drop down box usually record only. Then click create on the right hand side The next page will summarise the details and if they are correct click on upload on the left hand side, (next to the job number). 11. On this page you just have to click on continue 12. On this page you have to click on upload using browser on the left Page 29 of 33

30 13. This page will now come up, which is going to enable you to find your pictures. Click on the top browse button 14. This will show the panel which is going to enable you to find the images you need to upload. In the list find my computer, and click on it or click open. 15. This will show everything on your computer, and your camera will come up as either Removable disc or Device with Removable Storage or it may even give your camera name. Click on it and then click open. 16. Open the folder called DCIM. Page 30 of 33

31 17. The next pane will show a folder called 101MSDCF which you need to double click The next pane will show any images on your camera, and (hopefully) there should only be the ones of your patient. Click on one of the images and then click on open. BEWARE if someone else has used the camera and not deleted the images. The upload pane will then reappear, with the file name of the first of your images (the signed consent form) in the first box. Click on the next browse button below and repeat steps until you have uploaded all the images for your patient. Please do not upload the image of the floor! Once all the images for your patient have been found, and are listed in the boxes, click on upload on the left Page 31 of 33

32 21. This pane will confirm that you have uploaded your images successfully. You can then check the images you have uploaded by clicking the Browse Uploaded Images instruction on the left. Once images have been uploaded: 1. Once you have viewed the images and are happy that all the images you require, including the image of the signed consent form are on the database, you must log out of Medical Image Manager. 2. Disconnect the camera from the computer. Delete the images from the camera card by using the delete button on the camera. 3. Return the camera and log the date and time that you have done so in the Camera Log book. 4. The signed consent form (and consent form 4 if used) can be retained in the patient s notes. Page 32 of 33

Pressure ulcers: prevention and management of pressure ulcers

Pressure ulcers: prevention and management of pressure ulcers Pressure : prevention and management of pressure Issued: April 2014 guidance.nice.org.uk/cg NICE has accredited the process used by the Centre for Clinical Practice at NICE to produce guidelines. Accreditation

More information

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see: Managing pressure ulcers in neonates, infants, children and young people bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They

More information

Clinical guideline Published: 23 April 2014 nice.org.uk/guidance/cg179

Clinical guideline Published: 23 April 2014 nice.org.uk/guidance/cg179 Pressure ulcers: prevention ention and management Clinical guideline Published: 23 April 2014 nice.org.uk/guidance/cg179 NICE 2017. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).

More information

Pressure Injuries. Care for Patients in All Settings

Pressure Injuries. Care for Patients in All Settings Pressure Injuries Care for Patients in All Settings Summary This quality standard focuses on care for people who have developed or are at risk of developing a pressure injury. The scope of the standard

More information

Root Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted.

Root Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted. Root Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted. What is this for? This root cause analysis (RCA) tool is used when a patient acquires

More information

PRESSURE ULCER PREVENTION SIMPLIFIED

PRESSURE ULCER PREVENTION SIMPLIFIED 10 PRESSURE ULCER PREVENTION SIMPLIFIED This simplified leaflet is intended to give you information about pressure ulcer and aid your clinical practice PRESSURE ULCER PREVENTION SIMPLIFIED Pressure ulcer

More information

Pressure Ulcer Policy - Tissue Viability Top Ten

Pressure Ulcer Policy - Tissue Viability Top Ten Pressure Ulcer Policy - Tissue Viability Top Ten This procedural document supersedes: PAT/T 3 v.2 Pressure Ulcer Prevention and Management Policy and incorporates PAT/T 4 Guidelines for the Prevention

More information

Eliminating Avoidable Pressure Ulcers. Professor Gerard Stansby

Eliminating Avoidable Pressure Ulcers. Professor Gerard Stansby Eliminating Avoidable Pressure Ulcers Professor Gerard Stansby gerard.stansby@nuth.nhs.uk Why is this important? Important patient safety issue Pressure ulcers can be prevented (?All) Pressure ulcers are

More information

Guidelines for the Prevention of Pressure Ulcers

Guidelines for the Prevention of Pressure Ulcers Guidelines for the Prevention of Pressure Ulcers (Adapted from EPUAP & NPUAP 2009 1. Introduction Most pressure ulcers are avoidable. Avoidable means that the person receiving care developed a pressure

More information

IQC/2013/48 Improvement and Quality Committee October 2013

IQC/2013/48 Improvement and Quality Committee October 2013 Item 9.4 IQC/2013/48 Improvement and Quality Committee October 2013 Pressure Ulcer Prevalence Improvement Plan 1. SITUATION AND BACKGROUND This paper is to update the Improvement and Quality Committee

More information

Tissue Viability Referral Pathway. April 2017

Tissue Viability Referral Pathway. April 2017 Tissue Viability Referral Pathway V4 April 2017 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities...

More information

Document Author: Tissue Viability Nurse Date 15/02/2017

Document Author: Tissue Viability Nurse Date 15/02/2017 Guideline Title: Ref No: 1820 Version: 2 Document Author: Tissue Viability Nurse Date 15/02/2017 Ratified by: Care and Clinical Policies Group Date: 15/02/2017 Review date: 10 March 2019 Links to policies:

More information

Information For Patients

Information For Patients Information For Patients Pressure Ulcers (A test to examine the arteries that supply blood to the heart) Liverpool Heart and Chest Hospital NHS Foundation Trust Thomas Drive Liverpool Merseyside L14 3PE

More information

Standard Operating Procedure

Standard Operating Procedure Standard Operating Procedure Title of Standard Operation Procedure (SOP): The Prevention and Management of pressure ulcers in Special Needs Schools. Reference No: SS6 Version No: 1 Issue Date: March 2017

More information

Open and Honest Care in your Local Hospital

Open and Honest Care in your Local Hospital Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience

More information

Appendix 5. Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to the Safeguarding Adults Procedures

Appendix 5. Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to the Safeguarding Adults Procedures Appendix 5 Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to the Safeguarding Adults Procedures Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to

More information

Care Bundle Wound Care Guidance

Care Bundle Wound Care Guidance Care Bundle Wound Care Guidance A wound may be defined as a break in the structure of an organ or tissue caused by an external agent; for example, a bruise, cut, or burn (Oxford Living Dictionaries, 2017).

More information

Pressure Ulcer Prevention

Pressure Ulcer Prevention Information for patients This leaflet can be made available in other formats including large print, CD and Braille and in languages other than English, upon request. This leaflet has been adapted from

More information

Pressure Ulcers (pressure sores)

Pressure Ulcers (pressure sores) Pressure Ulcers (pressure sores) How to reduce the risk of acquiring pressure sores in hospital Other formats If you need this information in another format such as audio tape or computer disk, Braille,

More information

Appendix Five Decision Pathway Pressure Ulcers and safeguarding Adults (A3 format)

Appendix Five Decision Pathway Pressure Ulcers and safeguarding Adults (A3 format) Appendix Five Decision Pathway Pressure Ulcers and safeguarding Adults (A3 format) Pressure ulcer is observed. Concern is raised that a person has significant skin damage. Category / Grade 3 and 4 or Multiple

More information

Reference Check Completed by.joanne Shawcross. Date.16/8/16.

Reference Check Completed by.joanne Shawcross. Date.16/8/16. Document Type: Standard Operating Procedure Unique Identifier: CORP/SOP/011 Document Title: Using Bedrails Safely and Effectively (hospital Scope: Specifies how bedrails and the training around them are

More information

Information on How to Prevent Pressure Ulcers ( Bedsores ) for Patients, Relatives and Carers in Hospital and in the Community

Information on How to Prevent Pressure Ulcers ( Bedsores ) for Patients, Relatives and Carers in Hospital and in the Community Information on How to Prevent Pressure Ulcers ( Bedsores ) for Patients, Relatives and Carers in Hospital and in the Community Tissue Viability Team Community & Therapy Services This leaflet has been designed

More information

Evidence Search Completed by..joanne Phizacklea.Date

Evidence Search Completed by..joanne Phizacklea.Date Document Type: Procedure Unique Identifier: CORP/PROC/073 Document Title: Mortality Review Process Scope: Consultants, Nursing Staff, Clinical Coding Staff, Clinical Audit & Effectiveness Staff, Quality

More information

Achieving Consensus in Pressure Ulcer Reporting

Achieving Consensus in Pressure Ulcer Reporting Achieving Consensus in Pressure Ulcer Reporting Tina Chambers Chair of Tissue Viability Society 2013-2015 Co-Chair TVS Pressure Ulcer Reporting Group Purpose of Document This document is for all organisations

More information

PLASTER CASTS, APPLIANCES OR BRACES

PLASTER CASTS, APPLIANCES OR BRACES PRESSURE DAMAGE: POLICY FOR PREVENTION IN PATIENTS WITH PLASTER CASTS, APPLIANCES OR BRACES To be read in conjunction with the Pressure Ulceration Policy and DVT and PE Policy Version: 2 Ratified by: Date

More information

How to Prevent Pressure Ulcers. Advice for Patients and Carers

How to Prevent Pressure Ulcers. Advice for Patients and Carers How to Prevent Pressure Ulcers Advice for Patients and Carers This booklet contains the best advice currently available to help people avoid getting a pressure ulcer. It is for people who are at risk

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Queen Elizabeth Medical Centre Edgbaston, Birmingham, B15 2TH

More information

NHS HIGHLAND. Significant Event Report

NHS HIGHLAND. Significant Event Report ` NHS HIGHLAND Significant Event Report Report to - Quality & Patient Safety Raigmore Management Team of Findings from Significant Event Review Meeting QPS040 26/10/2011 1.0 Outline of Significant Event

More information

A Patient s Guide to Pressure Ulcer Prevention

A Patient s Guide to Pressure Ulcer Prevention A Patient s Guide to Pressure Ulcer Prevention This leaflet has been written to give you information, which may help you to understand the care delivered, to prevent pressure ulcer development during your

More information

Reduce the Pressure Assess the Risk. Ian Bickerton International Manager Posture and Pressure Care Product Specialist

Reduce the Pressure Assess the Risk. Ian Bickerton International Manager Posture and Pressure Care Product Specialist Reduce the Pressure Assess the Risk Ian Bickerton International Manager Posture and Pressure Care Product Specialist INVACARE UK & MSS Manufacturing facility Pencoed, near Cardiff, Wales Estimate

More information

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT Agenda item A5(iv) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT EXECUTIVE SUMMARY The Tissue Viability Team assists wards and departments to reduce

More information

Competency Statement: Pressure Ulcer Management Competency Indicators 1 st Level

Competency Statement: Pressure Ulcer Management Competency Indicators 1 st Level Competency Statement: Pressure Ulcer Management 1 st Level 2 nd Level 3 rd level 4 th level. Risk Assessment a) Explain the principles of prevention. b) Discuss the importance of skin assessments on admission.

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Protected Mealtime Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Protected Mealtime Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Protected Mealtime Policy Version No 3 Effective From 12 February 2018 Expiry date 12 February 2021 Date Ratified 01 November 2017 Ratified By Nutritional

More information

Prevention and Management of Pressure Ulcers

Prevention and Management of Pressure Ulcers EWMA Educational Development Programme Curriculum Development Project Education Module: Prevention and Management of Pressure Ulcers Latest revision: October 2015 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT

More information

Policies, Procedures, Guidelines and Protocols

Policies, Procedures, Guidelines and Protocols Title Policies, Procedures, Guidelines and Protocols Trust Ref No 969-31643 Local Ref (optional) Main points the document covers Who is the document aimed at? Author Approved by (Committee/Director) Approval

More information

Pressure Ulcers The BHTA guide to prevention and cash releasing savings

Pressure Ulcers The BHTA guide to prevention and cash releasing savings Pressure Ulcers The BHTA guide to prevention and cash releasing savings Pressure Ulcers: The BHTA guide to prevention and cash releasing savings In the UK, around 400,000 individuals develop a new Pressure

More information

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PRESSURE INJURY PREVENTION POLICY EFFECTIVE DATE: REVISED DATE: 126.251(Patient care) 4/18 Job Title of Responsible Owner: Director, Education

More information

Announced Inspection Report care for older people in acute hospitals

Announced Inspection Report care for older people in acute hospitals Announced Inspection Report care for older people in acute hospitals Hairmyres Hospital NHS Lanarkshire Healthcare Improvement Scotland is committed to equality. We have assessed the inspection function

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust Pressure Ulcer and Moisture Lesion Prevention and Treatment Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust Pressure Ulcer and Moisture Lesion Prevention and Treatment Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Pressure Ulcer and Moisture Lesion Prevention and Treatment Policy Version No: 1.2 Effective from: 27 December 2017 Expiry Date 01 August 2020 Date

More information

PREVENTION AND MANAGEMENT OF PRESSURE ULCERS POLICY

PREVENTION AND MANAGEMENT OF PRESSURE ULCERS POLICY A member of: Association of UK University Hospitals PREVENTION AND MANAGEMENT OF PRESSURE ULCERS POLICY POLICY NUMBER POLICY VERSION V.1 TPCL/030 RATIFYING COMMITTEE Clinical Policy Forum DATE OF EQUALITY

More information

CLINICAL PROCEDURE CONSERVATIVE SHARP DEBRIDEMENT FOR COMMUNITY PODIATRISTS

CLINICAL PROCEDURE CONSERVATIVE SHARP DEBRIDEMENT FOR COMMUNITY PODIATRISTS CLINICAL PROCEDURE CONSERVATIVE SHARP DEBRIDEMENT FOR COMMUNITY PODIATRISTS Issue History Issue Version Purpose of Issue/Description of Change Planned Review Date 1 To provide Podiatrists with the fundamental

More information

PROCEDURE FOR CONSERVATIVE DEBRIDEMENT

PROCEDURE FOR CONSERVATIVE DEBRIDEMENT CLINICAL PROCEDURE PROCEDURE FOR CONSERVATIVE DEBRIDEMENT Issue History Issue Version One Purpose of Issue/Description of Change To promote safe and effective sharp debridement by Tissue Viability Specialists

More information

Pressure Ulcer scope SH subgroup feedback (Groups 1-7) Date: 10 th October 2011, 10am 1pm

Pressure Ulcer scope SH subgroup feedback (Groups 1-7) Date: 10 th October 2011, 10am 1pm Pressure Ulcer scope SH subgroup feedback (Groups 1-7) Date: 10 th October 2011, 10am 1pm 3.1 Population: 3.1.1 Groups that will be covered: 3.1.2 Groups that will not be covered: Is the population appropriate?

More information

Board Sponsor: Helen Blanchard, Director of Nursing and Midwifery Michaela Arrowsmith Lead Tissue Viability Nurse Specialist Appendices None

Board Sponsor: Helen Blanchard, Director of Nursing and Midwifery Michaela Arrowsmith Lead Tissue Viability Nurse Specialist Appendices None Report to: Public Board of Directors Agenda item: 6 Date of Meeting: 26 July 207 Title of Report: Annual Tissue Viability Report 206/7 Status: To Note Board Sponsor: Helen Blanchard, Director of Nursing

More information

Reducing Avoidable Heel Pressure Ulcers through education/active monitoring

Reducing Avoidable Heel Pressure Ulcers through education/active monitoring Reducing Avoidable Heel Pressure Ulcers through education/active monitoring United Lincolnshire Hospitals NHS Trust Mark Collier, Lead Nurse - Tissue Viability United Lincolnshire Hospitals NHS Trust mark.collier@ulh.nhs.uk

More information

Open and Honest Care in your Local Hospital

Open and Honest Care in your Local Hospital Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience

More information

BEST PRACTICE. Pressure ulcers. A guide to eliminating all avoidable grade 2, 3, and 4 pressure ulcers

BEST PRACTICE. Pressure ulcers. A guide to eliminating all avoidable grade 2, 3, and 4 pressure ulcers BEST PRACTICE Pressure ulcers A guide to eliminating all avoidable grade 2, 3, and 4 pressure ulcers Paul Vaughan Regional director RCN West Midlands Ruth May Regional chief nurse, NHS England (Midlands

More information

Safeguarding Adults. Annual Report

Safeguarding Adults. Annual Report APPENDIX I Safeguarding Adults Annual Report 2009 2010 Authors Neil Boyland Sue Leathers 1. Definition All persons have the right to live their lives free from violence and abuse. This right is underpinned

More information

Pressure Ulcers ecourse

Pressure Ulcers ecourse Pressure Ulcers ecourse Module 5.8: Pressure Ulcer Surgery Handout College of Licensed Practical Nurses of Alberta (Canada) CLPNA.com and StudywithCLPNA.com CLPNA Pressure Ulcers ecourse Module 5.8: Pressure

More information

EXPERIENCE OF THE ERADICATION OF PRESSURE ULCERS IN PRIMARY CARE

EXPERIENCE OF THE ERADICATION OF PRESSURE ULCERS IN PRIMARY CARE EXPERIENCE OF THE ERADICATION OF PRESSURE ULCERS IN PRIMARY CARE HAMISH LAING Consultant plastic and reconstructive surgeon ABM University Health Board, Wales UK Terminology 2 Pressure sores Bed sores

More information

CLINICAL PROTOCOL FOR COMMUNITY PODIATRY PATIENTS WITH TYPE II DIABETES

CLINICAL PROTOCOL FOR COMMUNITY PODIATRY PATIENTS WITH TYPE II DIABETES CLINICAL PROTOCOL FOR COMMUNITY PODIATRY PATIENTS WITH TYPE II DIABETES RATIONALE Access to Community Podiatry services and treatment intervals for Diabetic patients, will generally be determined by the

More information

Open and Honest Care in your Local Hospital

Open and Honest Care in your Local Hospital Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience

More information

Pressure Ulcers ecourse

Pressure Ulcers ecourse Pressure Ulcers ecourse Module 1: Introduction Handout College of Licensed Practical Nurses of Alberta (Canada) CLPNA.com and StudywithCLPNA.com CLPNA Pressure Ulcers ecourse Module 1: Introduction Page

More information

Understand nurse aide skills needed to promote skin integrity.

Understand nurse aide skills needed to promote skin integrity. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide s role in providing residents hygiene, grooming, and skin care. Indicator Understand nurse aide skills needed to promote skin

More information

Certified Skin & Wound Specialist Examination

Certified Skin & Wound Specialist Examination Certified Skin & Wound Specialist Examination INSTRUCTIONS Please submit the following documents to the American Board of Wound Healing: 1. Signed Attestation Statement (See attached PDF) Confirming the

More information

POLICY FOR PREVENTION, MANAGEMENT AND REPORTING OF PRESSURE UILCERS

POLICY FOR PREVENTION, MANAGEMENT AND REPORTING OF PRESSURE UILCERS POLICY FOR PREVENTION, MANAGEMENT AND REPORTING OF PRESSURE UILCERS Guideline Reference: 1692 Version: 2.3 Status: Adopted Type: Clinical Policy Guideline applies to (Staff Group) All West Suffolk Hospital

More information

Action Plan for Kingfisher Lodge

Action Plan for Kingfisher Lodge Action Plan for Kingfisher Lodge Dear Sir or Madam, We thought it might be useful to residents, potential residents, their relatives and friends to summarise our response to the Care Quality Commission

More information

Scope of Practice for Student Nurses - Undergraduate & Entry to Professional Practice

Scope of Practice for Student Nurses - Undergraduate & Entry to Professional Practice Scope of Practice for Student Nurses - Undergraduate & Entry to Professional Practice March 2017 2 nd edition The Royal Children's Hospital (RCH) Scope of Practice for Student Nurses. This scope of practice

More information

Adult Practice Review Report

Adult Practice Review Report Adult Practice Review Report North Wales Safeguarding Adults Board (NWSAB) Concise Adult Practice Review Re: APR2/2016/Conwy 1. Brief outline of circumstances resulting in the Review 1.1 Patient A died

More information

RBCH Actions to meet CQC Essential Standards

RBCH Actions to meet CQC Essential Standards RBCH Actions to meet CQC Essential Standards REGULATION 17 How the regulation was not being met Patients, their relatives, and staff told us about incidents where people had not been treated with dignity

More information

Unannounced Inspection Report. Aberdeen Maternity Hospital NHS Grampian. 9 October 2013

Unannounced Inspection Report. Aberdeen Maternity Hospital NHS Grampian. 9 October 2013 Unannounced Inspection Report Aberdeen Maternity Hospital NHS Grampian 9 October 2013 The Healthcare Environment Inspectorate is a part of Healthcare Improvement Scotland Healthcare Improvement Scotland

More information

Prevention of Skin Breakdown Bundle

Prevention of Skin Breakdown Bundle Prevention of Skin Breakdown Bundle Skin breakdown is almost always preventable, if the right steps are taken. The wound care team is implementing a prevention bundle to outline the steps that can make

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 6 Ayrshire and Arran NHS Board Monday 11 December 2017 SPSP Update: Acute Adult Programme Author: Laura Harvey, QI Lead for Acute Services, Person Centred & Customer Care Sponsoring Director: Liz

More information

See the Pressure you re up against...

See the Pressure you re up against... How effective is your pressure reducing surface? SEE THE PRESSURE DON T GUESS THE PRESSURE! Sidhil introduces M.A.P - the very first Continuous Bedside Pressure Monitoring System, which can be used on

More information

Introduction. Pressure Ulcers. EPUAP, NPUAP Pressure Ulcer Categories. Current Clinical and Political background CLINICAL CASE STUDY

Introduction. Pressure Ulcers. EPUAP, NPUAP Pressure Ulcer Categories. Current Clinical and Political background CLINICAL CASE STUDY Dyna-Form Mercury Advance: A Revolutionary Step Up, Step Down Approach. The clinical impact on a very high risk patient with pre-existing category 4 pressure ulceration. Sue Mason, Clinical Nurse Specialist

More information

METICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (M.R.S.A.) DECOLONISATION GUIDANCE PRIMARY CARE. Purpose of Issue/Description of Change

METICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (M.R.S.A.) DECOLONISATION GUIDANCE PRIMARY CARE. Purpose of Issue/Description of Change METICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (M.R.S.A.) DECOLONISATION GUIDANCE PRIMARY CARE First Issued by/date Issue Version Purpose of Issue/Description of Change Planned Review Date 10/2008 1 Guidance

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Safe and Effective Use of Bedrails

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Safe and Effective Use of Bedrails The Newcastle upon Tyne Hospitals NHS Foundation Trust Safe and Effective Use of Bedrails Version No.: 2.0 Effective From: 31 October 2017 Expiry Date: 31 October 2020 Date Ratified: 24 July 2017 Ratified

More information

Patient & Wound Assessment

Patient & Wound Assessment EWMA Educational Development Programme Curriculum Development Project Education Module: Patient & Wound Assessment Latest revision: February 2014 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT PROGRAMME The Programme

More information

JOB DESCRIPTION. Deputy Director of Nursing - Tissue Viability. Director of Nursing. Tissue Viability Support Tissue Viability Nurse

JOB DESCRIPTION. Deputy Director of Nursing - Tissue Viability. Director of Nursing. Tissue Viability Support Tissue Viability Nurse JOB DESCRIPTION Job Title: Reporting to (title): Tissue Viability Nurse Specialist Deputy Director of Nursing - Tissue Viability Professionally Accountable to (title): Responsible for Supervising (if appropriate):

More information

ENCLOSURE: J. Date of Trust Board 29 February Pressure Ulcer Clinical Improvement Programme. Purpose of Report

ENCLOSURE: J. Date of Trust Board 29 February Pressure Ulcer Clinical Improvement Programme. Purpose of Report ENCLOSURE: J Date of Trust Board 29 February 2012 Title of Report Purpose of Report Abstract Pressure Ulcer Clinical Improvement Programme This paper provides a progress report on our work in support of

More information

Care of the Older Person s. Key recommendations from the best practice statement on the care of the older person s skin

Care of the Older Person s. Key recommendations from the best practice statement on the care of the older person s skin Key recommendations from the best practice statement on the care of the older person s skin This article presents two perspectives (hospital and community) on the key recommendations from the best practice

More information

Pressure Ulcer Prevention and Management Best Practice Guidelines for Adults

Pressure Ulcer Prevention and Management Best Practice Guidelines for Adults Pressure Ulcer Prevention and Management Best Practice Guidelines for Adults Pressure Ulcer Prevention and Management Best Practice Guidelines for Adults Document Type Clinical Guideline Unique Identifier

More information

and colonisation suppression POLICIES REPLACING N/A

and colonisation suppression POLICIES REPLACING N/A TITLE: UNIQUE IDENTIFIER Assigned by Sharepoint VERSION No 1.2 LEAD AUTHOR S NAME Allison Charlesworth LEAD AUTHOR JOB TITLE Matron Infection Prevention ACCOUNTABLE DIRECTOR Rob Dearden, Director of Nursing

More information

Level 3 Diploma in Healthcare and Social Care Support Skills (QCF)

Level 3 Diploma in Healthcare and Social Care Support Skills (QCF) Level 3 Diploma in Healthcare and Social Care Support Skills (QCF) Qualification Specification ProQual 2015 Contents Page Introduction 3 The Qualifications and Credit Framework (QCF) 3 Qualification profile

More information

Pressure ulcer to zero: newsletter June 2014 (issue 2)

Pressure ulcer to zero: newsletter June 2014 (issue 2) Pressure ulcer to zero: newsletter June 2014 (issue 2) Item type Authors Publisher Patient Information Leaflet Health Service Executive (HSE) Quality and Patient Safety Directorate Health Service Executive

More information

CLINICALRESEARCH & DEVELOPMENT

CLINICALRESEARCH & DEVELOPMENT CLINICALRESEARCH & DEVELOPMENT Improving policy and practice in the prevention of pressure ulcers Ayello, E.A. (3) Predicting pressure ulcer sore risk. National Association of Directors of Nursing Administration

More information

Best Practice Guidelines BPG 2 Enteral Feeding

Best Practice Guidelines BPG 2 Enteral Feeding Best Practice Guidelines BPG 2 Enteral Feeding Wolverhampton Clinical Commissioning Group Best Practice Guideline BPG 2 - Enteral Feeding 1 DOCUMENT STATUS: Approved DATE ISSUED: 10 th November 2015 DATE

More information

TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013

TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013 TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013 1. EXECUTIVE SUMMARY As reported to the Board last month, the reporting on safety and quality to the Trust Board has changed. Each month a summary

More information

The School Of Nursing And Midwifery. CLINICAL SKILLS PASSPORT

The School Of Nursing And Midwifery. CLINICAL SKILLS PASSPORT The School Of Nursing And Midwifery. BMedSci Nursing (Adult) CLINICAL SKILLS PASSPORT Student Details NAME: COHORT: I understand that this booklet may be reviewed by my mentor, the programme leader, my

More information

Pressure Ulcer/Pressure Injury Road Map

Pressure Ulcer/Pressure Injury Road Map Pressure Ulcer/Pressure Injury Road Map MHA s roadmaps provide hospitals and health systems with evidence-based recommendations and standards for the development of topic-specific prevention and quality

More information

Topical Negative Pressure

Topical Negative Pressure Accessible, Responsive Community Healthcare South Birmingham Community Health Adults and Community Division Topical Negative Pressure Wound Assessment and Plan of Care Document Topical Negative Pressure

More information

Announced Inspection Report care for older people in acute hospitals

Announced Inspection Report care for older people in acute hospitals Announced Inspection Report care for older people in acute hospitals Glasgow Royal Infirmary NHS Greater Glasgow and Clyde Healthcare Improvement Scotland is committed to equality. We have assessed the

More information

Pressure ulcers: revised definition and measurement. Summary and recommendations

Pressure ulcers: revised definition and measurement. Summary and recommendations Pressure ulcers: revised definition and measurement Summary and recommendations June 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that are

More information

Management of Negative Pressure Wound Therapy (NPWT) Guideline

Management of Negative Pressure Wound Therapy (NPWT) Guideline Management of Negative Pressure Wound Therapy (NPWT) Guideline Contents Management of Negative Pressure Wound Therapy Guideline... 1 Purpose... 1 Scope/Audience... 2 Associated documents... 2 Definitions...

More information

Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth

Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth NHS number Informed by Five Priorities for Care: Recognise, Communicate, Involve, Support,

More information

Effective Date: August 31, 2006 SUBJECT: PRESSURE SORE (DECUBITUS ULCER), PREVENTION AND TREATMENT

Effective Date: August 31, 2006 SUBJECT: PRESSURE SORE (DECUBITUS ULCER), PREVENTION AND TREATMENT COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION - Treatments POLICY NUMBER: 420 Effective Date: August 31, 2006 SUBJECT: PRESSURE SORE (DECUBITUS ULCER), PREVENTION AND TREATMENT 1.

More information

Guideline for the Referral of Patients to the Tissue Viability Service

Guideline for the Referral of Patients to the Tissue Viability Service Guideline for the Referral of Patients to the Tissue Viability Service Guideline for the Referral of Patients to the Tissue Viability Service Document Type Unique Identifier Document Purpose Document Author

More information

Wound Assessment and Product Selection

Wound Assessment and Product Selection Wound Assessment and Product Selection Made Easy Denise Barton, BSN, RN, CWON Objectives Patient and Wound assessment. Tools to use when assessing a wound Documentation needed to direct treatment and supplies

More information

About your PICC line. Information for patients Weston Park Hospital

About your PICC line. Information for patients Weston Park Hospital About your PICC line Information for patients Weston Park Hospital This booklet explains what a PICC line is, how it is inserted and some general advice on its use and care. What is a PICC line? A Peripherally

More information

Patient story. Pressure injury risk assessment vital to patient safety. Reducing harm from pressure injuries. June 2017

Patient story. Pressure injury risk assessment vital to patient safety. Reducing harm from pressure injuries. June 2017 June 2017 Patient story Pressure injury risk assessment vital to patient safety Pressure injuries, also known as pressure ulcers or bed sores, are a major cause of preventable harm for patients using health

More information

GUIDELINES FOR THE USE OF TOPICAL NEGATIVE PRESSURE (TNP) THERAPY IN WOUND MANAGEMENT

GUIDELINES FOR THE USE OF TOPICAL NEGATIVE PRESSURE (TNP) THERAPY IN WOUND MANAGEMENT GUIDELINES FOR THE USE OF TOPICAL NEGATIVE PRESSURE (TNP) THERAPY IN WOUND MANAGEMENT Aim To provide evidence based principles in the use of Topical Negative Pressure therapy and management of patients

More information

Section G - Aseptic Technique. Version 5

Section G - Aseptic Technique. Version 5 Section G - Aseptic Technique Version 5 Important: This document can only be considered valid when viewed on the Trust s Intranet. If this document has been printed or saved to another location, you must

More information

PROCEDURE FOR TAKING A WOUND SWAB

PROCEDURE FOR TAKING A WOUND SWAB CLINICAL PROCEDURE PROCEDURE FOR TAKING A WOUND SWAB Issue History Issue Version Purpose of Issue/Description of Change Planned Review Date 2 To provide a standardised process of the fundamental principles

More information

Promotion of continence and management of bowel dysfunction. Template policy for adult services

Promotion of continence and management of bowel dysfunction. Template policy for adult services Promotion of continence and management of bowel dysfunction Template policy for adult services person-centred care embracing good practice building on strength enable improving health and wellbeing collaboration

More information

South Tyneside NHS Foundation Trust. Clinical Policy. Chaperoning Policy. Review Date June 2011

South Tyneside NHS Foundation Trust. Clinical Policy. Chaperoning Policy. Review Date June 2011 South Tyneside NHS Foundation Trust Clinical Policy Chaperoning Policy Date Approved by Version Issue Date June 2009 2 June Executive 2009 Director of Nursing & Clinical Services Procedure /Policy number

More information

Pressure Ulcer Prevention and Management Policy

Pressure Ulcer Prevention and Management Policy Pressure Ulcer Prevention and Management Policy This policy provides the over arching principles for all health care professionals with responsibility for the prevention and management of pressure ulcers

More information

Pressure ulcers (bedsores)

Pressure ulcers (bedsores) Pressure ulcers (bedsores) Factsheet 512LP September 2016 Pressure ulcers also called pressure sores or bedsores can develop if someone spends too long sitting or lying in one position. They are a particular

More information

AWMA MODULE ACCREDITATION. Module Two: Pressure Injury Prevention and Management

AWMA MODULE ACCREDITATION. Module Two: Pressure Injury Prevention and Management AWMA MODULE ACCREDITATION Module Two: Pressure Injury Prevention and Management Introduction - The Australian Wound Management Association Education & Professional Development Sub Committee-(AWMA EPDSC)

More information

Older Person's Assessment Form. Name: Contact details: Provide detail: Detail: Detail: Detail: Detail:

Older Person's Assessment Form. Name: Contact details: Provide detail: Detail: Detail: Detail: Detail: BASELINE: COGNITION REVIEW: COGNITION Residents details Resident name: Gender: NHS No: Age: Religion, Spirituality: Older Person's Assessment Form Care Home details Phone number: Address: Date of admission:

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Fitzwilliam Hospital Milton Way, South Bretton, Peterborough,

More information