Skin Integrity Admission Assessment

Head-to-toe skin assessment completed within 24 hours of admission to document existing wounds, scars, bruising, and Braden score for care planning.

Assessment Overview

• Patient Identifier
  Enter the facility medical record number or other internal identifier. Do not enter SSN.
• Admission Date
• Assessment Date
• Assessment Time
• Assessor Name
• Completed within 24 hours of admission?

Baseline Skin Findings

• Is the skin intact overall?
• Baseline Skin Condition Notes
  Briefly describe any notable findings such as dryness, redness, edema, bruising, scars, rash, or pressure-related changes.
• Are there any existing wounds, bruising, scars, or other skin concerns?
• Type of Existing Finding
• Location Summary
  List the body location(s) for each finding, using clear anatomical terms.

Detailed Wound Documentation

• Number of Wounds Requiring Detailed Documentation
• Wound Details

Braden Risk Screening

• Braden Score
  Enter the total Braden score from the facility-approved screening tool.
• Pressure Injury Risk Level
• Contributing Risk Factors

Care Plan Actions

• Preventive Measures Initiated
• Specialty Consult Requested?
• Consult Type
• Follow-up Notes
  Include any escalation, patient education, or reassessment plan.

Consent and Submission

• I understand this form collects limited clinical PII for treatment and care planning.
• What happens after I submit
  After submission, the assessment will be saved to the patient record, routed to the care team for review, and used to support preventive skin care planning and audit trail documentation.