4.0 Risk Assessment - Nursing

The Risk Assessment (Nursing) has four sections:

  • Pressure Risk assessment
  • VTE risk
  • Infection status
  • Delirium and cognitive impairment assessment (4AT score)

  • The pressure risk assessment has 7 assessments with 4 options in each. They create a total Norton Pressure Risk Score and a Pressure risk category for the patient.





  • VTE risk

  • Options for adding more detail are provided depending on the answers to the questions given.




  • Infection status

  • Record the patient's risk of infection with CJD and whether they're carrying or infected with a multi-resistant organism. The infection entered will display on the Record Summary







  • Delirium and cognitive impairment assessment

  • For the question 'Include delirium / cognitive impairment assessment, if 'Yes' is selected, more fields will display with questions to complete.
    A 4AT Score will be calculated depending on answers and a delirium score category will be assigned.