J u l y 2 0 1 8 • O U T PA T I E N TS U R G E R Y. N E T • 6 1
I created the Scott
Triggers assess-
ment tool to help
you identify
patients who are
at increased risk
of suffering pres-
sure injuries.
Here's how to use
it:
1. Review
patients' records to complete the information in the left column.
2. Place a check in the right column if the answer to the ques-
tion in the middle column is yES.
3. Two or more yES answers indicate an increased risk of pres-
sure injury.
This form provides real-time identification of a patient's risk for
pressure injury and lets your staff know when to implement addi-
tional preventative measures.
— Suzy Scott, BSN, MSN, RN, WOC Nurse
Scott Triggers
Does it meet
these qualifications?
If YES, place
a check here
Age __________ Age 62 or older
Serum Albumin _______ g/l or BMI Albumin level < 3.5 g/l or BMI < 19 or > 40
ASA Score (circle) 1 2 3 4 5 ASA score 3 or greater
Estimated surgery time in
hours/minutes __________
Surgery time over 3 hours or 180 minutes
• TOOL TIME Make sure your staff has easy access to positioning devices that match your case mix and number of the
high-risk patients you host.
Look for These 3 Pressure Injury Risk Factors
Pamela
Bevelhymer,
RN,
BSN,
CNOR
