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quality

Pressure Injury Prevention Audit

Track pressure injury prevention practices in one audit workflow. Verify risk scoring, repositioning, device checks, and offloading so gaps are caught before skin damage occurs.

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Built for: Healthcare ยท Long Term Care ยท Hospitals ยท Skilled Nursing

What's inside this template

Risk Assessment and Documentation

  • Braden score completed within required timeframe (critical ยท weight 10.0)
  • Braden score documented accurately in the patient record (critical ยท weight 8.0)
  • High-risk patients have a documented prevention plan (critical ยท weight 7.0)
  • Skin assessment completed and documented on admission and per policy (critical ยท weight 5.0)

Turning and Repositioning

  • Turning schedule is ordered and visible in the care plan (critical ยท weight 8.0)
  • Patient repositioned according to scheduled intervals (critical ยท weight 10.0)
  • Repositioning events are documented in the chart (weight 4.0)
  • Patient tolerance to repositioning is assessed and addressed (weight 3.0)

Device-Related Skin Assessment

  • Skin under and around medical devices assessed per shift (critical ยท weight 8.0)
  • Device fit is appropriate and not causing pressure or friction (critical ยท weight 6.0)
  • Protective padding or barriers used when indicated (weight 3.0)
  • Any device-related redness, breakdown, or injury escalated promptly (critical ยท weight 3.0)

Offloading and Support Surfaces

  • Heels are offloaded when indicated (critical ยท weight 7.0)
  • Pressure-redistributing mattress or cushion is in use when indicated (critical ยท weight 6.0)
  • Bony prominences are protected with appropriate positioning aids (weight 4.0)
  • Offloading interventions are reassessed after condition changes (weight 3.0)

Patient and Care Team Education

  • Patient or caregiver educated on pressure injury prevention (weight 2.0)
  • Care team aware of high-risk status and prevention measures (weight 2.0)
  • Barriers to adherence documented and addressed (weight 1.0)

Common use cases

Inpatient nursing unit audits
Wound care quality reviews
Long-term care skin integrity checks
Post-fall or high-risk patient chart audits
Medical device pressure injury prevention rounds

Frequently asked questions

What does this audit template help evaluate?

It helps teams review the core steps that reduce pressure injury risk, including Braden scoring, skin assessment, repositioning, device checks, and offloading. It also captures whether education and escalation steps are documented.

Who should use this template?

It is a good fit for nursing leaders, quality teams, wound care specialists, and unit managers who need a repeatable way to check prevention practices. It can be used on any unit caring for patients at risk of skin breakdown.

Can this be adapted to our facility policy?

Yes. The checklist items can be edited to match your documentation standards, timing requirements, and escalation rules. You can also add unit-specific measures for specialty beds, cushions, or turning protocols.

How does this support compliance reviews?

The template creates a clear record of whether required prevention actions were completed and documented. That makes it easier to spot missed steps, coach staff, and show trends during quality reviews.

Does this template cover device-related pressure injuries?

Yes. It includes checks for skin under and around medical devices, device fit, protective padding, and prompt escalation of redness or breakdown. This helps teams catch injuries that can be missed during routine skin checks.

Related templates

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