At our facility, our D.O.N. requires us to fill out and investigation on all facility aquired pressure ulcers. We have to determine whether or not the pressure ulcer was avoidable or unavoidable. Its more of an internal Q.I. more than anything. We keep a log of all facility aquired pressure ulcers and whether or not it was avoidable or not. We also keep a log of the audits so when state comes and they have questions about resident's pressure ulcers, we can pull this data and it has helped us out of a deficiency or two.
Heidi Ebertowski,R.N. MDS Care Coordinator Valley Memorial Homes Grand Forks, ND (701)787-7937 fax (701)787-7901 Confidentiality Statement: This message is intended for the sole use of the individual and entity to whom it is addressed, and may contain information that is privileged,confidential and exempt from disclosure under applicable law. If you are not the intended addressee,nor authorized to receive for the intended addressee,you are hereby notified that you may not use,copy,disclose or distribute to anyone the message or any information contained in the message. If you have received this message in error,please immediately advise the sender by reply email and delete the message. Thank you. -----Original Message----- From: Holly McGran [mailto:[EMAIL PROTECTED] Sent: Wednesday, November 19, 2003 7:49 AM To: [EMAIL PROTECTED] Subject: RE: AVOIDABLE? This "Unavoidable Pressure Ulcer" assessment/classification is a new concept for me. What are you using this for? Any information on this particular documentation would be appreciated. Thank you in advance. Holly QI in CT > -----Original Message----- > From: Corey [SMTP:[EMAIL PROTECTED] > Sent: Tuesday, November 18, 2003 8:27 PM > To: [EMAIL PROTECTED] > Subject: Re: AVOIDABLE? > > It was attached to the original message from Mike. I am copying it into this email from Word, and I will attach a copy as well, just in case you can't get attachments. > > Resident> '> s Name: _________________________________ > > UNAVOIDABLE PRESSURE ULCER > > RISK ASSESSMENT CRITERIA > > Clinical conditions that are PRIMARY RISK FACTORS for developing pressure > > sores include, but are not limited to immobility and: > > The resident has two or more of the following diagnoses: > > ____ Continuous Urinary Incontinence or Chronic Voiding Dysfunction > > ____ Severe Peripheral Vascular Disease > > ____ Diabetes > > ____ Severe Chronic Bowel Incontinence > > ____ Paraplegia > > ____ Quadriplegia > > ____ Sepsis > > ____ Terminal Cancer > > ____ Chronic or End Stage Renal, Liver and/or Heart Disease > > ____ Disease or Drug related Immunosuppression > > ____ Full Body Cast > > ____ Semi-comatose or Comatose > > The resident receives 2 or more of the following treatments: > > ____ Steroid Therapy > > ____ Radiation Therapy > > ____ Chemotherapy > > ____ Renal Dialysis > > ____ Head of Bed elevated the majority of the day due to medical necessity. > > Malnutrition/dehydration whether secondary to poor appetite or another disease > > Process, places resident at risk for poor healing and may be indicated by the > > Following lab values: > > ____ Serum Albumin below 3.4 g/dl > > ____ Weight Loss of more than 10% during the last 30 days > > ____ Serum Transferrin level below 180 mg/dl > > ____ Hgb less than 12 mg/dl > > Use these values in conjunction with an evaluation of the resident> '> s clinical > > condition. If lab data are not available, clinical signs and symptoms of > > Malnutrition, dehydration may be: > > ____ pale skin > > ____ red, swollen lips > > ____ swollen and/or dry tongue with scarlet or magenta base > > ____ cachexia > > ____ bilateral edema > > ____ muscle wasting > > Cont> '> d > > ____ calf tenderness > > ____ Sunken eyes and/or cracked lips > > ____ reduced urinary output > > PREVENTIVE MEASURE IMPLEMENTED > > Pressure relief surface: ___________________________________________________ > > Additional protective equipment: ____________________________________________ > > Nutritional Supplements: __________________________________________________ > > Vitamin/mineral supplements: _______________________________________________ > > History of healed pressure ulcer(s): __________________________________________ > > Mental Status: ________________________ Mobility: _________________________ > > Resident> '> s compliance with treatment plan: ____________________________________ > > Resident> '> s Name: _____________________________________ Braden Scale: ______ > > Date: __________________ > > Physician> '> s Signature: ________________________________ Date: ______________ > > ----- Original Message ----- > From: Colleen Wolf <mailto:[EMAIL PROTECTED]> > To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > Sent: Tuesday, November 18, 2003 6:03 PM > Subject: Re: AVOIDABLE? > > > May I also get that? Please fax to (605)338-2351. Colleen-RN, MDS Coordinator > > > > > > ----- Original Message ----- > From: Mike Muniz <mailto:[EMAIL PROTECTED]> > To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > Sent: Tuesday, November 18, 2003 11:23 AM > Subject: Re: AVOIDABLE? > > try this one > > -------Original Message------- > > From: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > Date: Tuesday, November 18, 2003 10:33:54 > To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > Subject:> AVOIDABLE? > > Does anyone have an investigation form for avoidable vs. unavoidable pressure areas that they may be willing to share? > > You can email it to me or fax @410-689-2771 > > Thanks in advance, > > Glenn Barnes RAC-C > > > ____________________________________________________ > <http://www.incredimail.com/redir.asp?ad_id=309&lang=9> IncrediMail - Email has finally evolved - Click Here <http://www.incredimail.com/redir.asp?ad_id=309&lang=9> > > > << File: unavoidable pressure ulce assessment.doc >> /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
