4.docx - Pressure Ulcer Prevention Toolkit Module 4 Tools...

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Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B: Staff Roles 4C: Assessing Staff Education and Training Action Plan for Staff Education and Training Tool AHRQ Pressure Ulcer Prevention Program Module 4 Tools 1
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2G: Pieper Pressure Ulcer Knowledge Test Background: This tool can be used to assess staff knowledge on pressure ulcer prevention. The 47-item test was developed by Pieper and Mott in 1995 to examine the knowledge of nurses on pressure ulcer prevention, staging, and wound description. Questions 1, 3, 15, 29, 33, and 40 have been modified from the original to make it more specific to hospital care. Reference: Pieper B, Mott M. Nurses’ knowledge of pressure ulcer prevention, staging, and description. Adv Wound Care 1995;8:34-48. Instructions: 1. Administer the test to nursing and other clinical staff members. 2. It is generally recommended that responses be anonymous, but some staff might appreciate the opportunity to receive individual feedback. Find out what people on your unit want to do. 3. Use the answer key to evaluate the responses. Note that some questions may need to be modified for your hospital. Use: Mean scores on this test are usually analyzed. Analyze the test results. If you find gaps of knowledge, work with your education department to develop and tailor educational programs that address these items. AHRQ Pressure Ulcer Prevention Program Module 4 Tools 2
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Pieper Pressure Ulcer Knowledge Test For each question, mark the box for True, False, or Don’t Know. True False Don’t Know 1. Stage I pressure ulcers are defined as intact skin with nonblanchable erythema in lightly pigmented persons. 2. Risk factors for development of pressure ulcers are immobility, incontinence, impaired nutrition, and altered level of consciousness. 3. All hospitalized individuals at risk for pressure ulcers should have a systematic skin inspection at least daily and those in long-term care at least once a week. 4. Hot water and soap may dry the skin and increase the risk for pressure ulcers. 5. It is important to massage bony prominences. 6. A Stage III pressure ulcer is a partial thickness skin loss involving the epidermis and/or dermis. 7. All individuals should be assessed on admission to a hospital for risk of pressure ulcer development. 8. Cornstarch, creams, transparent dressings (e.g., Tegaderm, Opsite), and hydrocolloid dressings (e.g., DuoDerm, Restore) do not protect against the effects of friction. 9. A Stage IV pressure ulcer is a full thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structure.
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