Following completion of the pilot study, the site continued to
implement the Pressure Risk Management Plan. Minor refinements
were subsequently made including updates to the nurse
education package and the addition of one data item (pressure
ulcer pain) to the first section of the risk assessment tool. The
revised plan was subsequently implemented across the entire organization.
More recently, the Braden Scale components of the
PURA Tool have been adjusted to reflect the Braden Scale ‘home
care’ version. Electronic system audit reports are provided to
nurses and site managers every month to identify clients for whom
a risk assessment tool is yet to be completed and for monitoring of
overall completion rates