Resource Manual For Quality Indicators In - Department of Health
Resource Manual For Quality Indicators In - Department of Health
Resource Manual For Quality Indicators In - Department of Health
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<strong>In</strong>dicator 1: Prevalence <strong>of</strong> stage 1 - 4 pressure ulcers<br />
Data Recording Sheet<br />
Name <strong>of</strong> service:<br />
Reporting quarter end date:<br />
Survey period or date:<br />
Table - Number and stage <strong>of</strong> pressure ulcers at survey<br />
Stage<br />
1<br />
Stage<br />
2<br />
Stage<br />
3<br />
Stage<br />
4 Total<br />
Number <strong>of</strong> pressure ulcers<br />
Comments:<br />
• Required if applicable - Only for residents admitted in this quarter -<br />
note any pressure ulcers reported above that have been present since<br />
admission<br />
<strong>For</strong> example, 1 x stage 4 and 1x stage 3 present on admission<br />
• Required if applicable - Number pressure ulcers reported above that<br />
developed while the resident was away from the PSRACS, for example, in<br />
hospital or on holiday<br />
<strong>For</strong> example, 1 x stage 2 ulcer developed while resident away on holiday/in<br />
hospital<br />
• Required if applicable - Number pressure ulcers reported above that relate to<br />
residents in end-stage palliative care<br />
<strong>For</strong> example, 3 x stage 2 and 1 x stage 3 relate to people in end-stage<br />
palliative care<br />
• Optional – any other relevant comments<br />
7
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