Page 217 - CHHA Binder 2.3.20

1/10/2020

Risk of Developing Pressure Ulcers -

Braden Scale for Predicting Pressure Sore Risk

• Very High Risk: Total Score 9 or less
• High Risk: Total Score 10-12
• Moderate Risk: Total Score 13-14
• Mild Risk: Total Score 15-18
• No Risk: Total Score 19-23

 If patient develops a pressure ulcer under our care, it is
considered an adverse event

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Surgical Wound - M1340

Surgical Wounds (Only Integumentary System)
 All wound with drains even after drain removed
 Central lines, implanted infusion, implanted venous access devices
 Surgically repaired trauma wounds (repair of ruptured organs, muscle, fractures)
 Sites from:
• Arthroscopy, mammosite incision,
• Muscle flap, skin graft donor site,
• Biopsy site, LVAD exit site,
• Orthopedic pin sites,
• Peritoneal dialysis catheter exit site

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