Pressure Ulcer Prevention

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PUP Policy Information Session

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News

React to Red

We have launched a new initiative for all of our District Nursing staff to React to RED.  What this means is that if you see any of the following, you should report this immediately to your Nurse Team Leader (NTL): 

• Grade 1 Pressure Damage
• Red / Discoloured skin (especially around boney prominences)
• Moisture Damage (or concerns)
• Any patients with vulnerable areas of skin you feel are of concern

What your NTL will then do is have a discussion with the DN Caseload holder, and take a look at current care plans and actions, and make suggestions on additional measures that should be put in place or considered. 

The aim is to have a Multidisciplinary approach to patient care, reduce any unintentional patient harm, distress or stress.  

Remember – preventing pressure ulcers is everyone’s business Let’s all work together to improve patient care!

Preventing and Managing Skin Damage Cause by Pressure and Moisture

New Presentations now available to our Pressure Ulcer Prevention awareness session

Important assessment information for first visits to a Community Patient

At first you must do the following:

• SKIN CHECK – At first visit patients skin must be observed and assessment documented in notes.
• Assessment – Nursing assessment to be completed including condition of skin and level of risk and Pain.
• Waterlow – Must be completed on first visit and again as patient condition changes
• SSKINS – To be commenced if Waterlow is 10 or above (Good Practice can be to do SSKINS for all patients with exception on once only visits.)You will need to be explicit in your skin checking instructions i.e. document who will be observing the skin and how often. Examples – the nurse will check at each visit, or weekly, or carers will check daily and report to DN.
• Skin Care plan – commenced if nursing need identified. Clearly document planned wound care including frequency of planned visits. Patient Pressure Ulcer prevention leaflet –Verbal instructions as well as written instructions to be provided to patients at risk. This must be documented on the SSKINS (Good prevention to provide all patients with leaflet.)

Further Information