A 69 Y/O female with a right hip fracture was admitted to the orthopedic unit from the
emergency department shortly after falling in her yard. Thirty-two hours later she
underwent surgery to repair the hip and returned to the orthopedic unit post operatively.
The pressure injury survey was condu...
NDNQI IV CASE STUDIES
A 69 Y/O female with a right hip fracture was admitted to the orthopedic unit from the
emergency department shortly after falling in her yard. Thirty-two hours later she
underwent surgery to repair the hip and returned to the orthopedic unit post operatively.
The pressure injury survey was conducted on day 4 of hospitalization and the survey
team saw a Stage 2 pressure injury over the coccyx.Review of her hospital admission
assessment record revealed incomplete assessment of this area due to difficulty turning
the patient related to her level of pain and large size. Documentation during her 8 hour
stay in the emergency department record was also incomplete. Initial documentation of
the pressure injury on the coccyx was found in the patient's operating room record. For
the pressure injury survey, this would be reported as: - ✔️✔️A Hospital Acquired
Pressure Injury Only.
A 72 Y/O male was admitted with pancreatitis to the surgical unit from home. His
condition worsened after 24 hours and he was transferred to the ICU. The pressure
injury survey was conducted on day three of hospitalization and the survey team saw a
Stage 2 pressure injury over the sacrum. Review of his hospital admission assessment
record revealed his skin was warm and dry with abrasions over both lower arms.The
skin assessment documented on transfer to the ICU indicated a Stage 1 non blanchable
area of redness at this site. For the pressure injury survey, this would be reported as: -
✔️✔️A Hospital Acquired Pressure Injury Only
A 45 Y/O male patient is admitted to the trauma unit following a serious motor vehicle
crash. Five days later he undergoes an 18 hour surgical procedure and is returned to
the trauma unit postoperatively. The pressure injury survey was conducted on day
seven of hospitalization and the survey team saw a Stage 4 pressure injury over his left
malleolus.Review of his hospital admission assessment record revealed numerous
abrasions, contusions and an 8 cm sutured laceration on his forehead, but no
documentation of skin problems on the left malleolus. On day four of hospitalization, a
Stage 1 pressure injury is documented on the left malleolus. For the pressure injury
survey, this would be reported as: - ✔️✔️A Hospital Acquired and Unit Acquired
Pressure Injury
An 81 Y/O female was admitted to the oncology unit with metastatic cancer for pain
control. On day 4 of hospitalization, she suffered circulatory complications and she was
transferred to the step down unit. The pressure injury survey was conducted on day 5 of
hospitalization and her family verbally consented to have her included in the pressure
injury survey. The survey team found a large Stage 1 area of nonbankable redness over
her right ischial tuberosity.Review of her hospital admission assessment record
revealed her skin was warm, dry, and intact. The skin assessment documented on
arrival to the step down unit noted a small Stage 1 pressure injury at this site. For the
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
