Peds Skin Assessment

[Vicki_RN]

Hi. We are revising our pediatric skin care guidelines and would appreciate hearing what others are doing. The adult area of the hospital requires a 2 person check for every single admission, regardless of the skin risk assessment score (adults use the Braden, Peds uses the Braden Q).

I am wondering how many facilities do a 2 person check on every pediatric patient at admission, and if not, what is the policy for assessing pediatric patients?

Thanks!

[Double-Helix, BSN, RN]

We use the Braden Q. Never heard of a 2 person check, but then, you don't see as many POA pressure ulcers or skin injuries in peds as you would in adults (aside from chronic CP/physically disabled kids). Full skin assessment is done on admission and q shift thereafter or more frequently when warranted. Repositioning q2 hours for all patients, just like adults.

[~PedsRN~, BSN, RN]

Braden for kids above the age of 7, Braden Q for our youngsters. Assessed once a shift by the nurse unless the score shifts in which case tasks are fired to assess more frequently and initiate skin care protocols.