Skin Assessment
Skin assessment in ED and within 2-6 hours of admission to
the acute trust and document in the Skin Bundle/Pressure
Ulcer Daily Care Plan.
  • Identify any skin changes
  • Identify and grade any existing or new pressure ulcers
  • using European Pressure Ulcer Advisory
  • Panel (EPUAP) classification tool
  • Identify wounds which are not pressure related
    On-going skin checks when repositioning and document any
    new changes