Clinical Assessments

Structured clinical assessments with automatic scoring, trend analysis, and integration with care planning for evidence-based nursing practice. Improve patient outcomes with standardized, validated assessment tools.

Assessment Dashboard

24
Assessment Tools
98%
Auto-Scoring
15
High-Risk Patients
42
Assessments Today
Next Assessment Due: Braden Scale Last Updated: Today, 09:30 AM

Comprehensive Clinical Assessment Tools

Standardized, validated assessment tools with automatic scoring and evidence-based recommendations.

Structured Assessments

Standardized assessment forms with validated scoring systems for consistent, reliable clinical evaluation across all patients.

Automatic Scoring

Real-time calculation of assessment scores with risk stratification and evidence-based interpretation guidelines.

Trend Analysis

Longitudinal tracking of assessment scores with visual trend analysis to monitor patient progress and identify deterioration.

Care Planning Integration

Seamless integration with care plans - assessment results automatically trigger appropriate interventions and goals.

Clinical Alerts

Automated alerts for high-risk scores, significant changes, and when reassessments are due based on evidence-based protocols.

Mobile Assessment

Complete assessment capabilities on tablets and smartphones with offline functionality for point-of-care documentation.

Clinical Assessment Tools

Interactive assessment tools with automatic scoring and evidence-based recommendations.

Assessment Categories
Braden Scale
Morse Fall Scale
Pain Assessment

Select Assessment Category

Pressure Injury Risk

Braden Scale for predicting pressure sore risk with automatic scoring and prevention recommendations.

Fall Risk Assessment

Morse Fall Scale for identifying patients at risk for falls with prevention strategy recommendations.

Pain Assessment

Comprehensive pain assessment tools including numeric, visual analog, and Wong-Baker FACES scales.

Cognitive Assessment

MMSE, CAM, and other cognitive assessment tools for detecting delirium and cognitive impairment.

Respiratory Assessment

Respiratory rate, oxygen saturation, breath sounds, and dyspnea scales for respiratory status monitoring.

Functional Assessment

ADL, IADL, mobility, and functional independence measures for rehabilitation planning.

Braden Scale

The Braden Scale for Predicting Pressure Sore Risk evaluates six criteria to determine a patient's risk for developing pressure injuries.

Sensory Perception
Ability to respond to discomfort
Moisture
Degree of skin exposure to moisture
Activity
Degree of physical activity
Mobility
Ability to change and control body position
Nutrition
Usual food intake pattern
Friction & Shear
Amount of assistance needed to move

Braden Scale Assessment

1. Sensory Perception
Ability to respond meaningfully to pressure-related discomfort
1. Completely Limited
2. Very Limited
3. Slightly Limited
4. No Impairment
2. Moisture
Degree to which skin is exposed to moisture
1. Constantly Moist
2. Very Moist
3. Occasionally Moist
4. Rarely Moist
3. Activity
Degree of physical activity
1. Bedfast
2. Chairfast
3. Walks Occasionally
4. Walks Frequently
4. Mobility
Ability to change and control body position
1. Completely Immobile
2. Very Limited
3. Slightly Limited
4. No Limitations
16
MODERATE RISK
Total Score: 16/23

Risk Interpretation

High Risk: 9 or less
Turn every 2 hours, pressure-relieving mattress
Moderate Risk: 10-12
Turn every 4 hours, pressure-relieving cushion
Mild Risk: 13-14
Turn every 6 hours, routine skin inspection
No Risk: 15-18
Routine care, daily skin inspection

Recommended Interventions

  • Turn and reposition every 4 hours
  • Use pressure-relieving mattress or cushion
  • Skin inspection twice daily
  • Moisture barrier cream to high-risk areas
  • Nutritional consultation for protein intake

Morse Fall Scale Assessment

1. History of Falling
No = 0, Yes = 25
No (0)
Yes (25)
2. Secondary Diagnosis
No = 0, Yes = 15
No (0)
Yes (15)
3. Ambulatory Aid
None/bedrest/nurse assist = 0, Crutches/cane/walker = 15, Furniture = 30
None/Bedrest/Nurse Assist (0)
Crutches/Cane/Walker (15)
Furniture (30)
4. IV/Heparin Lock
No = 0, Yes = 20
No (0)
Yes (20)
5. Gait
Normal/bedrest/wheelchair = 0, Weak = 10, Impaired = 20
Normal/Bedrest/Wheelchair (0)
Weak (10)
Impaired (20)
6. Mental Status
Oriented to own ability = 0, Overestimates/forgets limitations = 15
Oriented to own ability (0)
Overestimates/Forgets limitations (15)
75
HIGH RISK
Total Score: 75/125

Fall Risk Interpretation

High Risk: 45 or higher
Implement high-risk fall prevention protocol
Moderate Risk: 25-44
Implement standard fall prevention measures
Low Risk: 0-24
Universal fall precautions

High-Risk Fall Prevention Protocol

  • Bed/chair alarms activated
  • Hourly rounding and toileting assistance
  • Non-slip footwear at all times
  • Bed in lowest position, brakes locked
  • Call light within reach, educate patient/family
  • Consider sitter for 1:1 observation if indicated

Pain Assessment Tools

Select a pain assessment tool based on patient age, cognitive ability, and communication capacity.

Numeric Rating Scale

0-10 scale for verbal patients

7/10

Wong-Baker FACES

For children and non-verbal patients

😀 😕 😐 😣 😫 😭

Visual Analog Scale

Continuous scale from no pain to worst pain

No Pain Worst Pain

Care Planning Integration

Seamless integration of assessment results with care planning for evidence-based interventions.

Automated Care Plan Suggestions

Pressure Injury Prevention

Triggered by Braden Score ≤ 16

Based on moderate pressure injury risk assessment, the following care plan interventions are recommended:

  • Turn and reposition every 4 hours
  • Pressure-relieving mattress
  • Skin inspection twice daily
  • Nutritional consultation

Fall Prevention Protocol

Triggered by Morse Score ≥ 45

Based on high fall risk assessment, the following interventions are recommended:

  • Bed/chair alarms activated
  • Hourly rounding schedule
  • Non-slip footwear at all times
  • Fall risk education to patient/family

Pain Management

Triggered by Pain Score ≥ 7/10

Based on severe pain assessment, the following interventions are recommended:

  • Multimodal analgesia regimen
  • Pain reassessment every 4 hours
  • Non-pharmacological pain relief
  • Patient education on pain management

Evidence-Based Practice Integration

All assessment tools and recommended interventions are based on current evidence-based practice guidelines from:

National Pressure Injury Advisory Panel
CDC Fall Prevention Guidelines
American Pain Society
Joint Commission Standards

Clinical Assessment Integration

Seamlessly integrate clinical assessments with your existing healthcare workflows and systems.

EHR Integration

Direct integration with electronic health records for automatic documentation and data exchange.

Clinical Decision Support

Real-time alerts and recommendations based on assessment scores and trends.

Quality Reporting

Automated quality measure reporting for pressure injuries, falls, pain management, and other indicators.

Mobile Assessment

Complete assessment capabilities on tablets and smartphones at the point of care.

Automated Reassessment

Automated scheduling of reassessments based on risk levels and clinical protocols.

Regulatory Compliance

Built-in compliance with CMS, Joint Commission, and other regulatory requirements for assessments.

See Clinical Assessments in Action

Schedule a personalized demo to see how our clinical assessment tools can improve patient outcomes and nursing efficiency.