1. Braden and Braden Q in HED  Braden is documented in HED  Braden Links located in Care Organizer and HED will open HEO session allowing access to Braden Advisor from within HED (Just type “Braden” to bring up advisory.)  Daily Braden Score from Braden Advisor will be shared with HED  Pressure Ulcer and Stage of Ulcer in Braden Advisor will be shared with HED  Starting or ending a Pressure Ulcer in Braden will start or end in HED (*only those Pressure Ulcers originally started from Braden will have this linkage so a PU started in HED cannot be ended from Braden)  Document Skin Assessment  Complete Braden Assessment in Braden Advisor  Document Pressure Ulcer Assessment if applicable  Braden score order will automatically populate to HED  Pressure Ulcer Prevention Orders automatically generate to HEO/WIZ from Braden The documentation of the Braden Score and initiation of Pressure Ulcer(s) within the Braden Advisor will now be shared with HED. Double documentation will be eliminated.

2. Documentation Flow 1.Pressure Ulcer policies for Adults (CL 30-09.01) and Peds (CL 30-19.03) are not changed. 2.Braden Advisor is not changing but you will access from within HED/Care Organizer. 3. Complete Braden first, then complete any Pressure Ulcer-related documentation in HED. –If you start a new Pressure Ulcer in Braden, it will start the new Pressure Ulcer in HED. –If you end the Pressure Ulcer in Braden, it will end the Pressure Ulcer in HED. (NOTE: Pressure Ulcer Documentation started in HED will NOT go to the Braden Advisor. It’s a one way street, Braden to HED.) 4.Document Pressure Ulcer assessment in HED each shift. 5.Pressure reduction devices and beds ordered through PMM.

3. 1 Steps to Open Braden from Care Organizer or HED 1.Click on Braden Scale 2.When HEO/Wiz opens select Protocol Order and the name of the Patient’s doctor Usual Braden Screen will appear. 3.Continue as you normally would to complete Screen & document about any pressure ulcers present. 1 1 Braden Q for Peds Units 1.For newly admitted patients, When Braden opens, it defaults to the Adult Braden Advisor, click on “Switch to Peds” link at the top of the advisor to retrieve the Braden Q Advisor. 2