Skin Assessment
Assess all vulnerable areas of patients on ADMISSION,
TRANSFER, NEW SHIFT and DISCHARGE  
 
  • LOOK and FEEL for any skin changes including any pain or discomfort,
  • colour changes
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  • Visible skin changes may be difficult to identify in darker pigmented skin
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  • Document grade of pressure ulcer on Adult body mapping, other wounds
  • can be recorded on body map
    •  
  • Report datix for pressure ulcers only on admission, acquired or
  • deteriorated
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  • Consider medical photography
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  • A separate Wound Assessment Chart is required for each grade 2 -4
  • pressure ulcer or open wound identified