Unit Code: PH55CY006
Level:
Five
Credit Value: 6
Unit ID: CCZ830
learndirect: PH5
Sector: 1.2 Nursing and Subjects and Vocations Allied to Medicine Last registration date: 31/07/2017
Purpose and Aim:
To provide registered nurses with the knowledge and skills to prevent and manage pressure damage.
LEARNING OUTCOMES
ASSESSMENT CRITERIA
Method
Assessor
Evidence
Date
Signature
The learner will:
The learner can:
Assessment method
Who will assess?
Evidence which will be available for verification
Date achieved
1.
Understand how to complete a pressure ulcer risk assessment.
1.1
Describe the anatomy and physiology of healthy skin.
1.2
Identify anatomical sites where pressure damage might occur.
1.3
Explain the changes that occur when damage caused by pressure develops.
1.4
Summarise intrinsic and extrinsic factors which raise the risk of skin breakdown and pressure damage.
1.5
Explain how to conduct pressure ulcer risk assessments.
1.6
Justify the findings of risk assessments to prevent and manage pressure damage.
1.7
Give examples of the impact of pressure ulcers on quality of life.
2.
Understand how to prevent pressure damage.
2.1
Evaluate strategies for the prevention of pressure damage using international guidelines.
3.
Understand how pressure damage is managed.
3.1
Evaluate strategies for the management of pressure damage using international guidelines.
4.
Be able to prevent pressure damage.
4.1
Conduct a minimum of three patient assessments to include:
Confirming the individual's identity
Supporting the patient's language preference
Answering the patient's questions or referring them to other healthcare professionals for clarification
Obtaining consent
Explaining the procedure
Respecting the indivuduals dignity and privacy
Maintaining the comfort of the patient throughout the procedure
Complying with current policies for infection control, record keeping and data protection, safeguarding, health and safety and manual handling
Inspecting the skin
Classifying and recording skin damage
Identifying the pressure ulceration risk assessment score
Recording the risk assessment
Ensuring pressure redistributing equipment is sourced to comply with individual's needs
Supporting the patient with follow up care and advice
4.2
Produce a minimum of 3 care plans to prevent pressure damage.
5.
Be able to manage the care of individuals with pressure damage.
5.1
Manage the care of individuals with pressure damage to include:
Complying with current policies for infection control, record keeping and data protection, safeguarding, health and safety and manual handling
Investigating root causes of pressure damage
Collecting data about the incidence of pressure damage in an area of work
Justifying wound management regimes
Identifying when and how to assess support from the multidisciplinary team
Delegating to and supervising colleagues in the prevention and management of pressure damage
Providing information and advice about pressure damage to patients, carers and colleagues
Recording findings and actions on SKIN bundle documentation
6.
Be able to delegate damage care to others.
6.1
Delegate responsibility for pressure damage care to colleagues to include:
Explaining the care plan
Establishing lines of support and communication
Arranging handover
Informing the patient and/or their carers
Reviewing outcomes of pressure damage care undertaken by others
Assessment Information: International Guidelines are the NPUAP/EPUAP Pressure Ulcer Prevention and Management Guidelines 2009
SKIN Bundle will include either of the following, depending on local policies
Surface Keep moving Incontinence and Nutrition
Or
Skin Inspection Surface Keep moving Incontinence and Nutrition
Collecting data may include:
Clinical incident reporting
Prevalence audit
Nursing metrics
ESDGC
The following key themes can be integrated into this unit
Health
Other Mappings:
NOS: CHS4
KSF: HWB1 Level 3, HWB2 Level 3
Assessor Requirements:
Assessment of this unit must be undertaken by an occupationally knowledgeable and competent registered nurse in current employment.
