CE: How to Predict Pediatric Pressure Injury Risk with the Braden QD Scale.

Am J Nurs

Tracy B. Chamblee is a clinical nurse specialist and senior director of quality and patient safety at Children's Health, Dallas, TX. Tracy A. Pasek is a clinical nurse specialist and systems analyst in the Information Services Division at UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA. Catherine N. Caillouette is a pediatric NP in the Department of Plastic Surgery at Boston Children's Hospital. Sandy M. Quigley is a clinical specialist in the Departments of Nursing and General Surgery at Boston Children's Hospital. Judith J. Stellar is a wound, ostomy, continence NP in the Departments of Nursing and General Surgery at the Children's Hospital of Philadelphia. Martha A. Q. Curley is the Ruth M. Colket Endowed Chair in Pediatric Nursing at the Children's Hospital of Philadelphia, and a professor at the University of Pennsylvania School of Nursing, Philadelphia. Contact author: Martha A. Q. Curley, For the original research project that produced the Braden QD Scale, Martha A. Q. Curley and Sandy M. Quigley received unrestricted grants from the American Association of Critical-Care Nurses and the Wound, Ostomy, and Continence Nurses Society Foundation, respectively. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

Published: November 2018

: The Braden QD Scale is a conceptually based, pediatric-specific, risk assessment instrument that reliably predicts both immobility-related and medical device-related pressure injuries in the pediatric acute care environment. A revision and simplification of the commonly used Braden Q Scale, the Braden QD Scale can be used to assess risk among the wide range of infants, children, and adolescents commonly treated in acute care environments. As part of a comprehensive program to prevent hospital-acquired pressure injuries, the Braden QD Scale promotes patient safety, quality of care and care monitoring, and effective resource use in pediatric hospitalized patients. The authors provide guidance on using the Braden QD Scale to assess pediatric patients and score their risk of pressure-related injury in numerous scenarios frequently encountered in acute care practice.

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