Waterlow & Pressure Risk WATERLOW / PRESSURE AREA RISK (QMS-F078) Contact Document Ref: QMS-F078 (Waterlow / Pressure Area Risk) Version: 1.0 Confidentiality Level: HIGH (Medical Records) CQC Alignment: Safe (Mitigating Risk) Service User Full NameService User ID NumberOperating Local Authority- Select -HaringeyIslingtonWaltham ForestBarnetOtherCare Funding & Financial Arrangements- Select -Local Authority Managed (Direct Commissioning)NHS Funded (Continuing Healthcare - CHC)Direct Payments (Personal Budgets)Self-Funded (Full Cost)OtherSECTION 1 - Skin Integrity BaselineCurrent Skin Visual Assessment (Select all that apply in risk areas like sacrum, heels, elbows)- Select -Healthy / IntactTissue Paper / FragileDry / FlakyOedematous (Swollen / Fluid retention)Clammy / WarmRedness / Discoloured (Does not blanch when pressed)Broken Skin / Open Wound (Immediate DN involvement required)Are there currently any pressure ulcers or open wounds present?- Select -YesNoDetail location, size, and current District Nurse involvementSECTION 2 - Waterlow Scoring VariablesBuild / Weight for Height- Select -AverageAbove AverageObeseBelow AverageContinence Status- Select -Complete / CatheterisedOccasional IncontinenceCath / Incontinent of FaecesDoubly IncontinentMobility Status- Select -Fully MobileRestless / FidgetyApatheticRestrictedInert / TractionChairboundSECTION 3 - Overall Waterlow Score & ActionFinal Waterlow Risk Score- Select -Score 1-9 (No immediate risk)Score 10-14 (At Risk)Score 15-19 (High Risk)Score 20+ (Very High Risk)Mandatory Clinical Escalation- Select -I confirm a referral to the District Nursing team has been/will be actioned immediately regarding this high-risk score.Required Equipment / Preventative Measures- Select -Daily Skin Checks by Care WorkersRepositioning Chart RequiredPressure Relieving Mattress (Airflow)Pressure Relieving CushionBarrier Creams (Prescribed / On MAR chart)District Nurse Referral ActionedSpecific Instructions for Care WorkersAssessor NameDate of AssessmentSave Waterlow Risk
