Accurately classifying hospital-acquired pressure injuries (HAPIs) continues to pose a challenge for bedside nurses. Not all hospitals have trained, certified wound care nurses to identify and stage pressure injuries, which can present differently in patients from various multicultural backgrounds. Different patient skin tones do not fall under one pressure injury classification.
Leaders are responsible to provide interventions and tools that can enhance the knowledge of pressure injury assessment, staging, and documentation; increase the competencies of bedside nurses; and solidify nurses' expertise and comfort levels.
The HSAG HQIC website offers the injury classifications from the Pan Pacific Pressure Injury Alliance for dark skin tones, light skin tones, Asian skin tones, and older adults. Consider printing and posting these resources in your nursing units to assist in differentiating between the various skin tones when determining pressure injury stages.