A skin assessment form is a document that healthcare professionals use to record the condition of a patient's skin. This form can be used to track any changes in the skin, as well as identify any potential issues or concerns. By keeping track of a patient's skin health, professionals can provide better care and treatment. The form is also useful for patients, as they can use it to keep track of their own skin health and report any changes. There are many different types of skin assessment forms, so it is important to choose one that is specific to your needs.
Here, you will discover some specifics of skin assessment form PDF. There, you'll obtain the information regarding the PDF you intend to fill in, like the likely time required to complete it as well as other data.
|Form Name||Skin Assessment Form|
|Form Length||1 pages|
|Avg. time to fill out||15 sec|
|Other names||weekly skin assessment form, skin assessment blank printable sheets, skin assessment form printable, skin assessment form|
Licensed Nurse Weekly Skin Assessment
RESIDENT: ______________________________________________________________ DATE:____________________ ROOM #:_________________
his form should be completed weekly on all residents per facility policy. Any areas of skin requiring treatment should have a thorough record of documentation in addition to this form located elsewhere in the chart per facility protocol. Check “Yes” or “No” if the item relects the resident’s assessment. If the answer is “yes” to 3 or more of the items listed below, consider implementation of the “Skin Tear Prevention Protocol.” Review the care plan to ensure skin care is included as necessary.
If any questions are answered “yes,” indicate location on body outline with number of question.
Weekly Skin Assessment
Any reddened areas that remain after 30 minutes of
1pressure reduction? COMMENTS: __________________
Any rashes? COMMENTS: ________________________
Any bruises? COMMENTS:________________________
Any open lesions, cuts, lacerations, or skin tears?
o o o o
4(Indicate even if being treated.) COMMENTS: ________
Any blisters? COMMENTS:________________________
Any open ulcers (indicate even if being treated.)
Excessively dry or laky skin? COMMENTS:___________
Any edema? LOCATION:__________________________
o o o o
Licensed Nurse Signature: _________________________________________________ Date: __________________
Document available at www.primaris.org