Pressure Injury Prevention Survey
Help us assess and improve our pressure injury prevention practices by completing this survey.
Your Full Name
*
First Name
Last Name
Your Role/Position
*
Please Select
Nurse
Nursing Assistant
Physician
Physical Therapist
Wound Care Specialist
Other
Department/Unit
*
Please Select
Intensive Care Unit (ICU)
Medical/Surgical Ward
Rehabilitation
Long-term Care
Other
How often do you perform skin assessments for pressure injury risk?
*
Every shift
Daily
Weekly
Only on admission
Rarely
Which risk assessment tool(s) do you use for pressure injury prevention?
*
Braden Scale
Norton Scale
Waterlow Scale
No formal tool used
Other
Please rate your knowledge of pressure injury risk factors.
*
Very Low
1
2
3
4
Very High
5
1 is Very Low, 5 is Very High
Indicate how often you use the following interventions for pressure injury prevention.
*
Rows
Always
Often
Sometimes
Rarely
Never
Regular repositioning of patients
1
2
3
4
5
Use of pressure-relieving mattresses/cushions
6
7
8
9
10
Skin moisturization
11
12
13
14
15
Routine skin inspections
16
17
18
19
20
Nutritional support
21
22
23
24
25
Have you received formal training in pressure injury prevention in the past 12 months?
*
Yes
No
What barriers do you encounter in implementing pressure injury prevention measures? (Select all that apply)
*
Lack of time/staff
Insufficient equipment
Limited knowledge/training
Patient non-compliance
Other
How confident are you in your ability to prevent pressure injuries in your patients?
*
Not Confident
1
2
3
4
Very Confident
5
1 is Not Confident, 5 is Very Confident
Additional comments or suggestions regarding pressure injury prevention:
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