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Hospital Acquired Pressure Injuries (HAPI) - ✔✔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 - ✔✔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
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,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 - ✔✔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 - ✔✔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 - ✔✔Braden Scale scores range
from 6 to 23
Norton Scale scores range from 5 to 20
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, 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 - ✔✔Skin Status
Existing pressure injuries
History of pressure injuries
General skin status
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