Pressure Ulcer Survey Guide

Pressure Ulcer Survey Team Training

Initial Training

New team leaders and members should receive training on:

  • Guidelines and procedures required by the organization for which the data are being collected
    • For NDNQI, new team leaders and members must be familiar with NDNQI® Guidelines for Data Collection and Submission on Pressure Ulcers
    • These guidelines provide specific directions for data collection on pressure ulcers and pressure ulcer prevention that will be submitted to NDNQI
  • Skin assessment for pressure ulcers
  • Pressure ulcer risk assessment
  • NPUAP pressure ulcer staging system
    • Definition of Stage I-IV pressure ulcers
    • Definition of Unstageable pressure ulcers and (Suspected) Deep Tissue Injury (DTI)
  • Pressure ulcer appearance
    • Review schematic drawings and example pictures of pressure ulcers by category/stage
    • Bedside observation of pressure ulcers by category/stage
  • Other wound types and skin injuries for differentiation from pressure ulcers
  • Differentiation among community-, hospital-, and unit-acquired pressure ulcers
  • Data for extraction from the patient record

New team leaders and members should participate in a practice survey (pilot test) of data collection procedures. Acceptable inter-rater reliability of pressure ulcer identification and staging should be established. NDNQI hospitals can access inter-rater reliability forms on the member web site.