4. Practice Recommendations: Discharge/Transfer of Care Arrangements

Recommendation	Level of Evidence
4.1 Clients moving between care settings should have the following information provided: Risk factors identified; Details of pressure points and skin condition prior to transfer; Need for pressure management/mobility equipment (e.g., support surfaces, seating, special transfer equipment, heel boots); Details of healed ulcers; Stage, site and size of existing ulcers; History of ulcers, previous treatments and dressings (generic) used; Type of dressing currently used and frequency of change; Any allergies to dressing products; and Need for on-going nutritional support.	IV
4.2 Use the RNAO Best Practice Guideline Risk Assessment and Prevention of Pressure Ulcers (Revised) (2005).	IV

Recommendation

Level of Evidence

4.1 Clients moving between care settings should have the following information provided:

Risk factors identified;
Details of pressure points and skin condition prior to transfer;
Need for pressure management/mobility equipment (e.g., support surfaces, seating, special transfer equipment, heel boots);
Details of healed ulcers;
Stage, site and size of existing ulcers;
History of ulcers, previous treatments and dressings (generic) used;
Type of dressing currently used and frequency of change;
Any allergies to dressing products; and
Need for on-going nutritional support.

4.2 Use the RNAO Best Practice Guideline Risk Assessment and Prevention of Pressure Ulcers (Revised) (2005).