- BRADEN scoring
- Nutrition factors
- Patient positioning
The key to preventing pressure injuries is prompt recognition of risk factors and early initiation of prevention measures. Key factors in assessing risk include:
- Nutrition, and
- Skin condition
Patient positioning must be monitored constantly to ensure proper offloading of bony prominences, especially for patients with a
BRADEN score ≤18.
Nutrition is often overlooked as a major factor inpressure injuries, whereas NPO (nothing by mouth) status, TPN (total parenteral nutrition) or tube feeds, and restricted diets increase the risk of pressure injuries for vulnerable patients and decrease their ability to heal.
Skin condition is often under-assessed during nursing’s head-to-toe exams—a thorough examination of the skin is a critical step in the recognition and prevention of pressure injuries.
This course will examine risk assessment and the implementation of effective prevention strategies.
Did you know…
- Each year, 2.5 million patients are affected by pressure injuries at a cost of about $12 billion
- The cost of individual cases ranges from $20,000 to $150,000
- About 60,000 patients die as a direct result of pressure injuries each year
- Skin condition is often under-assessed during nursing’s head-to-toe exams—a thorough examination of the skin is a critical step in the recognition and prevention of pressure injuries. This course will examine risk assessment and the implementation of effective prevention strategies.
Course at a Glance
Target Audience: Nurses
Time to Complete: 25 Minutes
Course development guided by the expertise of
- Victoria J. Hays, RN, MN, CNS, APRN-BC
- Erica Hamrick MSN, RN, CWON, CFCN
- Holly Tiemann, RN, BSN, CWOCN, BS
- Danielle Schloffman, RN, MSN, NE-BC
- Kelly Bookman, MD, FACEP
- Bonnie Adrian, PhD, RN
- Brittany Cyriaks, RN, BSN, CMSRN
- Jacob Knarr, RN, BSN, PCCN, CWOCN
Danielle Schloffman, MS, RN, NE-BC is the Director of Nursing Innovation and Outcomes at the University of Colorado Hospital, UCHealth. As a board certified nurse executive, she helps drive innovative practices to improve staff and patient outcomes.
Kelly Bookman has been the Director of the EMR for the University of Colorado SOM Emergency Department (ED) for 6 years from implementation through optimization. She is also the Medical Director for the University of Colorado Hospital ED and Senior Medical Director for the UCHealth Emergency Medicine service line. She is board certified in Clinical Informatics and a certified Epic physician builder including the new analytics and orders certifications. These roles come together to make her a subject matter expert in operations, process improvement, change management, and informatics.
Bonnie Adrian serves as Clinical Informatics Research Nurse Scientist for UCHealth. She holds a BSN in Nursing from the University of Colorado and a PhD in Anthropology from Yale University, and has completed the Institute for Healthcare Improvement’s Patient Safety Executive Development training program.
Brittany Cyriacks RN, BSN, CMSRN is the Pulmonary Clinical Nurse Educator at UCHealth. She started her nursing career in 2008 at UCHealth as a new graduate staff nurse on the Pulmonary unit through their accredited nurse residency program. She moved on to be permanent charge nurse in 2013 and has held the clinical nurse educator role for the past 4 years. She received her CMSRN certification in May 2012. She supports orientation for all new employees hired to the Pulmonary unit and fosters the continuous learning of over 100 staff members. Her expertise in the prevention of pressure injuries has come from multiple years of working on a skin steering committee designed to reduce HAPI and through the completion of a retrospective chart review and root cause analysis on every HAPI occurrence. This allows for tracking trends in knowledge or practice gaps and application of sustainable improvements for this nursing sensitive indicator.
Jacob Knarr is a registered nurse, a wound, ostomy, continence nurse (WOCN), and a member of the inpatient wound care team at University of Colorado Hospital. Jacob has been at University of Colorado Hospital for over 4 years. He is certified in Wound, Ostomy, and Continence, and is a Progressive Care Certified Nurse. His work at the bedside and with the wound care team has allowed him a unique perspective when assisting with the development of the Prevention of Pressure Injuries module.