| ï
I think the info in the draft protocol regarding documentation expectations
is very comprehensive and a good idea for lots of reasons. However trying to get
the info consistently can be a challenge. Below is a format I am recommending to
address the need. Negative responses would require a narrative explanation.
Remember, we want consistency, easy oversight for compliance , and focused
notes where indicated.
|
Stage for
Pressure Ulcer
Only |
Presents as
Stage ______
|
|
Nurse
Initials |
|
|
Size |
Length |
|
|
Width |
|
|
Depth |
|
|
Weight Stable / Fluid intake
adequate |
ï Yes ï No |
|
Cooperates with care
interventions |
ï Yes ï No |
|
Sinus tract |
ï Yes ï No |
|
Undermining |
ï Yes ï No |
|
Tunneling |
ï Yes ï No |
|
Exudate/drainage |
ï Yes ï No |
|
Necrotic tissue |
ï Yes ï No |
|
Granulation tissue |
ï Present ï Absent |
|
Appearance of wound
bed |
ï Clean, pink ï
Inflamed |
|
Wound Edges and surrounding
tissues |
ï Clean, pink ï
Inflamed |
|
Experiences Pain Related to
pressure ulcer |
ï Yes ï No ï
Controlled |
|
Experiences Pain during RX or
dressing changes |
ï Yes ï No |
|
Healing |
ï Yes ï
No |
c Ohl & Associates www.greatcareplans.com
----- Original Message -----
Sent: Monday, January 19, 2004 4:54
PM
Subject: Pressure ulce requirements (Tag
F314) & Catheters/Urinary Incontinence (F315/316
Now that the comment period for
the second draft of guidance to surveyors for the pressure ulcer requirements
(Tag F314) & Catheters/Urinary Incontinence (Tag F 315/316) is over, does
anyone know if they have been finalized yet?
I have already added pain
management to my skin intergrity management program and I am thinking about
adding the risk assessment to be completed weekly during the first four week
of the resident's stay (still thinking on this one).
Any comments on this or has it
already been discussed?
Thanks in
advance
|
