Braden scale at 18 or more, I MUST do an intervention?

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Specializes in pacu.

I am a new nurse and I work for agency at an LTACH and the nurses/ mgrs don't follow an established protocol in place for addressing a high Braden Scale rating.

Other facilities have a benchmark for a rating that is at 18 or more. If it's 18 then the RN has to DO something. I'm hoping I get feedback about the following so I can be proactive:

1. What should I do when the facility does not address potential problems?

I documented it but they don't seem to pay atttention. I went straight to the Nurse Manager and she told me they would take care of it but really they did not when I went back a few days later.

2. What is the protocol at your LTACH?

I appreciate your comments and feedback!!

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I thought the Braden Scale was now considered 'old news', and one from this place was coming into vogue?:

National Pressure Ulcer Advisory Panel (NPUAP)

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Specializes in Oncology, Med-Surg.

The guidelines I am familiar with are 18 for dark colored skin and 16 for light colored skin. Check these out - the first one our company put on the back of the braden scale so we'd know what to add to the care plan. Show these to your manager, maybe she will decide to use them. Come up with a solution, otherwise your manager may just get annoyed. But you bring a valid point, I would think they would end up getting dinged on this at survey.

woundostomycontinence.com/BradenSubscales.pdf

www.bradenscale.com/images/protocols_by_level_of_risk.pdf

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