As a minimum, all patients must undergo initial risk screening to inform the clinical risk assessment decision making process. Risk assessment of patients using a validated tool is recommended and does not require a separate screening process.
The pressure injury risk assessment consists of two parts
- Use a validated pressure injury risk assessment tool/ process appropriate for the patient population in accordance with best practice guidelines, and
- Skin assessment that is based on visual inspection.
Pressure injury risk assessment tools are available in the appendices of the Pan Pacific Guideline for the Prevention and Management of Pressure Injury (2012) from page 114.
- Risk assessment requirements PDF ~192KB
- Flow Chart for Inpatients PDF ~199KB
- Flow Chart for MPS, Long Stay and Residential Aged PDF ~199KB
- Flow Chart for Community Nursing Service, Ambulatory or Clinics PDF ~199KB
Best Practice Principles for Incontinence Associated Dermatitis (IAD) and information to assist clinicians distinguish between IAD and pressure injury.
- Incontinence Associated Dermatitis Best Practice Principles PDF ~1.9MB
- Distinguishing between Incontinence Associated Dermatitis & Pressure Injury PDF ~1.9MB
All LHDs/Networks must take reasonable steps to have systems in place so that both adequate expertise and resources, products and equipment, are readily available and accessible to provide best practice in pressure injury prevention and wound management.