PRESSURE INJURY
Hospital Acquired Pressure Injuries (HAPI) - ANSWERS-hospital-
acquired pressure injuries (HAPI) allows organizations to assess the
quality of their prevention care, evaluate quality improvement
initiatives, and examine institutional structures and processes that may
influence their occurrence. The measurement can be accomplished
during a survey to identify pressure injury presence and origin
Head Team Leader - ANSWERS-Be the hospital expert in skin and
pressure injury risk assessment
Be able to accurately stage pressure injuries using the NPUAP
pressure injury staging system
Be able to differentiate pressure injuries from other wound types and
skin injuries
For NDNQI, the Head Team Leader must be familiar with NDNQI®
Guidelines for Data Collection and Submission on Pressure Injuries
located on the member website
Adult Patient Pressure Injury Risk Assessment tools - ANSWERS-
The Braden Scale, and the Norton Scale, have been validated for adult
use in research studies. These are the two scales most commonly used
in the United States
, Pediatric/Neonate Pressure Injury Risk Assessment tools -
ANSWERS-The Braden Q was tested in PICU patients age 21 days to
8 years
The Glamogram Scale was tested in pediatric patients age 1 day to 18
years
The Neonatal Skin Risk Assessment Scale (NSRAS) was tested in
Neonatal Intensive Care Unit patients age 26-40 weeks gestation
Pressure Injury Risk Assessment Scores - ANSWERS-Braden Scale
scores range from 6 to 23
Norton Scale scores range from 5 to 20
Braden Q scores range from 7 to 28
NSRAS scores range from 6 to 24
For the Braden Scale, a score of 18 or less indicates that the patient is
at risk for pressure injuries
For the Norton Scale, a score of 15-16 or less indicates the patient is
at risk for pressure injuries
For the Braden Q, a score of 16 or less indicates the patient is at risk
for pressure injuries
For the NSRAS, a score of 13 or higher indicates the neonate is at risk
for skin injury
Risk for Pressure Injury - ANSWERS-Skin Status
Existing pressure injuries
History of pressure injuries