Skin Champions Improving Practice: A Model for Implementing EBP

Size: px
Start display at page:

Download "Skin Champions Improving Practice: A Model for Implementing EBP"

Transcription

1 Skin Champions Improving Practice: A Model for Implementing EBP MaryBeth Makic, RN, PhD(c), CCRN Kathleen Oman, RN, PhD, CNS University of Colorado Hospital ANA & NDNQI Annual Conference Transforming Nursing Data into Quality Outcomes January 2007 Learning Objectives Describe how champions of change can facilitate evidence-based practice Identify effective strategies used to improve patient outcomes related skin integrity 1

2 UCH EBP Innovation: Champions of Change Model Change champions are practitioners from the local group who continually promote the new idea. (Titler & Everett, 2001) CNS/Educator or clinical experts mentor staff nurses to be ambassadors of change Change begins by examining the evidence and current practice When staff nurses examine evidence, they become engaged, believe the evidence is is credible, see positive impacts on patient care outcomes and clinical relevance. Champions of Change Model Staff nurses facilitate change by demonstrating innovator qualities Become knowledgeable about practice change Willing to disseminate information/change to peers Participate in education of peers/eb practice change Empowered and gain autonomy with other disciplines Become passionate and persistent about EBP Model knowledge of current evidence and engage peers in EBP change Provide feedback to peers/eb team 2

3 UCH Champions of Change Model Membership Change agent/chair CNS/Educator and/or clinical expert Research Nurse Scientist Champions Bedside staff (RNs, PTs, pharmacists, MDs, RRT, CNAs) Any healthcare professional who is interested in acting as an ambassador for change Champion Team Structure Monthly meetings Consistent date, time, place set Meetings are working meetings Paid administrative time Focus of meetings Increase champion knowledge of EBP topic Review of current EBP change, outcomes data Review current documentation forms/policies and products Discuss what the staff are saying address bumps in the road Discuss dissemination of EBP (ongoing) Journal club 3

4 Innovative EBP Communication Successful communication of EBP changes are critical to effective implementation Use multiple avenues to disseminate information Intranet and Web-based forums, pre-printed orders, pre-printed MARs, bathroom flyers, documentation forms, computer cues, policy, outcomes boards, meeting minutes Ensure champions can walk the talk Empower champions through mentorship and ownership of practice changes Resources need to be available/accessible and make sense to the bedside nurse Champions bring EBP back to the bedside Role of Champion of Change actualized Resource to staff When not working, re-disseminate information face to face value for informing peers of EBP changes and practice priorities Champion role reinforces peer s desire to learn more about a specific practice Consistent theme with flyers to trigger staff that THIS flyer is about EBP topic 4

5 Skin Champions of Change First champion of change group at UCH Started in 1999; evolved from increased pressure ulcer prevalence Multidisciplinary team membership Skin Champions of Change Conducted research ( ) on RN knowledge of pressure ulcer prevention strategies Changed documentation to reflect AHRQ and WOCN guidelines for PU prevention Wound care symposium with Dr. Braden (2000) Adapted Braden scale for pressure ulcer risk assessment into all clinical forms (2000) Create and revise tools to help RNs diagnosis, prevent and treat pressure ulcers and wounds Evaluate and select all skin/wound care products for UCH Participate in NDNQI quarterly data collection Participate in PU validation study (July 2005) Conduct annual journal club (group and unit-based) 5

6 Skin Champions of Change Pressure Ulcer Prevention Algorithm Skin Champions of Change: Pressure Ulcer Prevention Protocol Therapeutic surfaces serve as adjuncts to care and are NOT replacements for frequent repositioning. 1-4 Nursing Standard of Care of Prevention of Pressure Ulcers and Skin Breakdown (all patients) Turn patient every 2 hours and PRN 1-4 HOB < 30 o if patient does not have pulmonary risks; HOB > 45 o if patient has risk for pulmonary complications (increase turning frequency) Moisturize skin daily and PRN 1-4 Control moisture; determine and treat cause of moisture; apply moisture barrier creams as needed 1,2 Nutritional Consult if albumin < 3.4 g/dl and/or pre-albumin <20 mg/dl 1,2 Maximize use of turning sheets and slide boards to move patient. 1,2 CWOCN RN Consult (Amie Kirkwood RN CWOCN) if Stage III, IV or unstageable pressure ulcer present Braden Score Interventions: Implement turning schedule (Q2 hours and PRN) Moisturize skin daily and PRN Out of bed and reposition patient if not independent Control moisture Assess nutritional status Minimize friction and sheer Discontinue KCI therapeutic surface Braden Score Interventions: Consider Advanta bed AND ensure prevention mode is activated (especially ICU beds) Implement turning schedule (Q2 hours and PRN) Moisturize skin daily and PRN Out of bed and reposition patient if not independent Control moisture Assess nutritional status Minimize friction and sheer Discontinue KCI therapeutic surface Braden Score Interventions: Advanta bed; ensure prevention mode activated Implement turning schedule (Q1-2 hours and PRN) Moisturize skin daily and PRN Out of bed and reposition patient if not independent Control moisture Nutrition consult Minimize friction and sheer Discontinue KCI therapeutic surface Bariatric patients (300lbs): Braden Score 13 use a UCH Bariatric Bed; Braden Score <13 KCI Bariatric bed; Braden <9 KCI BariAir References: 1. Ratliff, C.R., et al. (2003). Guideline for prevention and management of pressure ulcers. Wound Ostomy and Continence Nurses Society. Lake Avenue, Glenview IL. 2. U.S. Department of Health and Human Services. (1992). Pressure ulcers in adults: prediction and prevention. AHCPR. Rockville, MD. 3. Alleyo, E.A. et al. (2004). By the numbers: Braden score interventions. Advances in Skin & Wound Care 17(3): Olshansky, K. (2004). Pressure ulcer prevention: a total disconnect. Advances in Skin & Wound Care. 17(5): Wall, S. et al. (2005). Development of an evidence-eased specialty support surface decision tool. Ostomy Wound Management 51 (2): 80 Braden Score <9 Interventions: Order low airloss bed (KCI First step overlay-verification by CNS/educator/WOCN RN needed) Implement turning schedule (Q1-2 hours and PRN) Moisturize skin daily and PRN Out of bed and reposition patient if not independent Control moisture Nutrition consult Minimize friction and sheer 6

7 Skin Champions of Change 2001 hospital wide PU prevalence rate 12.7%; currently 6.8% Products changed to reflect evidence Skin care line Wound care line Pressure relief products/beds PU prevention protocol rental bed usage (cost savings $194,000) Web-based resources Wound VAC, ostomy supplies, wound care products nd Qtr NDNQI Data PU prevalence Benchmark 2 0 Med/Surg Critical Care Stepdown Rehab 7

8 UCH Skin and Wound Care Website Sample of Product Guidelines Indications for dressing: Partial thickness or Stage II wound with minimal moderate drainage Category of dressing: HYDROCOLLOID Wound Dressing Guidelines: 3 day dressing change and PRN; Occlusive dressing that promotes autolytic debridement and moist healing Impermeable to outside bacteria and waterproof Heat activated adhesive-must hold in place one minute for best adherence Contraindications: infected wounds Interactive dressing that can produce odorous wound gel exudate; irrigate wound and re-assess for signs and symptoms of infection Product Name/Number (how to order) Exuderm wnd Exuderm LP #51207Exudern Sacrum#51206Exuderm Satin4X4 #512046x6 #

9 Improving practice one RN by one RN Champions of change allow group projects for changing practice across the organization Implementing EBP can happen with one RN Other tools to evaluated/implement EBP Journal club Unit based outcomes Clinical questions Clinical articles of interest/conferences Clinical Excellence Innovative Strategies Mentoring Staff Adoption Translating Research Into Practice Evidence-Based Practice 9

10 10

PRESSURE ULCER PREVENTION

PRESSURE ULCER PREVENTION PRESSURE ULCER PREVENTION University of South Alabama Medical Center Mobile, AL Becky Pomrenke, RN, MSN, CNL University of South Alabama Medical Center Academic, Urban Hospital Regional Level I Trauma

More information

Pressure Ulcer Facts Dorner, B., Posthauer, M.E., Thomas, D. (2009)

Pressure Ulcer Facts Dorner, B., Posthauer, M.E., Thomas, D. (2009) Prevention of Pressure Ulcers and Skin and Wound Management Programs Mary Beth Flynn Makic RN PhD CNS CCNS Marybeth.Makic@uch.edu Research Nurse Scientist, Critical Care University of Colorado Hospital

More information

Columbus Regional Hospital Pressure Ulcer Prevention

Columbus Regional Hospital Pressure Ulcer Prevention Columbus Regional Hospital Pressure Ulcer Prevention Kathryn Jackson RN, MSN, CRRN Pressure Ulcer Prevention Columbus Regional Hospital, Columbus, IN Objectives & About Us Describe current pressure ulcer

More information

Prevention of Pressure Ulcers

Prevention of Pressure Ulcers Prevention of Pressure Ulcers New York State Partnership for Patients October 22, 2012 New York, New York Evelyn S. Alcontin MA, ANP-BC,NP-C, CWOCN Mount Sinai Queens Multiple Interventions Pressure Ulcer

More information

Be a Champion for Excellence: Improving Outcomes While Empowering Nurses By Glenda Riggs RN, VHA-CM, CNL (C)

Be a Champion for Excellence: Improving Outcomes While Empowering Nurses By Glenda Riggs RN, VHA-CM, CNL (C) Be a Champion for Excellence: Improving Outcomes While Empowering Nurses By Glenda Riggs RN, VHA-CM, CNL (C) Objectives To discuss projects designed, implemented or managed by the ICU CNL candidate To

More information

Successfully Using Six Sigma. (6σ) to Improve Nursing Quality. Indictors. Objectives. 1. Describe how Six Sigma can be used to

Successfully Using Six Sigma. (6σ) to Improve Nursing Quality. Indictors. Objectives. 1. Describe how Six Sigma can be used to Successfully Using Six Sigma (6σ) to Improve Nursing Quality Indictors Joann Hatton, RN MS, 6σ Black Belt Director of Nursing Professional Practice Heritage Valley Health System Beaver, PA Objectives 1.

More information

Pressure Injuries: Prevention That Works

Pressure Injuries: Prevention That Works Pressure Injuries: Prevention That Works Joyce Pittman PhD, ANP-BC, FNP-BC, CWOCN Indiana University Health Indianapolis, IN jpittma3@iuhealth.org 2017 National Pressure Ulcer Advisory Panel www.npuap.org

More information

8/11/2009. Staging Assessment Nutrition Pain Support Surfaces Cleansing. Debridement Dressings Infection Biophysical Agents Surgery Palliative Care

8/11/2009. Staging Assessment Nutrition Pain Support Surfaces Cleansing. Debridement Dressings Infection Biophysical Agents Surgery Palliative Care 8//9 Joyce Black, PhD, DNP, RN, CPSN, CWCN, FAPWCA Past President, NPUAP AHCPR guidelines 99, 99 Various Wound Groups WOCN, WHS, Medical Directors Focus was narrow, not adding to evidence EPUAP on nutrition

More information

Translating Wound Care Evidence into Practice through Journal Clubs

Translating Wound Care Evidence into Practice through Journal Clubs Translating Wound Care Evidence into Practice through Journal Clubs Barbara Fulmer, MSN, GNP-BC, CWCN-AP Definition A Journal Club is an educational meeting in which a group of individuals discuss current

More information

Real Time Pressure Ulcer Data Drives Quality

Real Time Pressure Ulcer Data Drives Quality Real Time Pressure Ulcer Data Drives Quality Lisa Q. Corbett APRN ACNS-BC CWOCN Carol Strycharz RN BSN MPH Jamie A Curley RN BSN Nancy Ough LPN Rebecca Morton RN BSN CWCN Catherine Yavinsky RN MS NEA-BC

More information

Alaina Tellson, PhD, RN-BC, NE-BC

Alaina Tellson, PhD, RN-BC, NE-BC Alaina Tellson, PhD, RN-BC, NE-BC Localized injury to the skin and/or underlying tissue, usually over a bony prominence, as a result of pressure or pressure in combination with shear and/or friction tional

More information

INCIDENCE OF PRESSURE ULCERS IN THE ELDERLY:

INCIDENCE OF PRESSURE ULCERS IN THE ELDERLY: WOUND CARE L O N G T E R M C A R E Q U A L I T Y NURSING I N I T I A T I V E INCIDENCE OF PRESSURE ULCERS IN THE ELDERLY: FURQAN ALEX KHAN, APRN ACNS-BC MSN CWCN WCN-C ADVANCED PRACTICE NURSE ADULT CLINICAL

More information

Inspection Protocol Skin and Wound Care. Definition / Description. Use. Resident-related Triggered

Inspection Protocol Skin and Wound Care. Definition / Description. Use. Resident-related Triggered Resident-related Triggered Home Name: Inspection Number: (hard copy use only) Date: Inspector ID: Definition / Description Altered skin integrity: The potential or actual disruption of epidermal or dermal

More information

Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) Advanced Practice (AP) Wound Care Detailed Content Outline

Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) Advanced Practice (AP) Wound Care Detailed Content Outline Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) Advanced Practice (AP) Wound Care Detailed Content Outline Content Code Description % of Exam 1 Domain 1: Comprehensive Assessment Items

More information

Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) Advanced Practice (AP) Wound Care Detailed Content Outline

Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) Advanced Practice (AP) Wound Care Detailed Content Outline Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) Advanced Practice (AP) Wound Care Detailed Content Outline Content Code Description Classification Items % of Exam 1 Domain 1: Comprehensive

More information

UPMC Passavant POLICY MANUAL

UPMC Passavant POLICY MANUAL UPMC Passavant POLICY MANUAL SUBJECT: Organizational Plan, Patient Care Services POLICY: 200.142 DATE: November 2015 INDEX TITLE: Nursing MISSION: Patient Care Services at UPMC Passavant is integral to

More information

Pressure ulcers represent a common problem and significant

Pressure ulcers represent a common problem and significant reports from the field the emory initiatives Skinsational Skin Care to Reduce the Incidence and Severity of Pressure Ulcers in Hospitalized Patients Sherry J. Tiller, MN, BN, and Tracey A. Wilds, MSN,

More information

CLINICALRESEARCH & DEVELOPMENT

CLINICALRESEARCH & DEVELOPMENT CLINICALRESEARCH & DEVELOPMENT Improving policy and practice in the prevention of pressure ulcers Ayello, E.A. (3) Predicting pressure ulcer sore risk. National Association of Directors of Nursing Administration

More information

Standards of Practice for Pressure Ulcer Prevention Policy for Prevention of Pressure Ulcers

Standards of Practice for Pressure Ulcer Prevention Policy for Prevention of Pressure Ulcers Standards of Practice for Pressure Ulcer Prevention Policy for Prevention of Pressure Ulcers A recent review of databases in Canada estimated that one in four patients in acute care and one in three patients

More information

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PRESSURE INJURY PREVENTION POLICY EFFECTIVE DATE: REVISED DATE: 126.251(Patient care) 4/18 Job Title of Responsible Owner: Director, Education

More information

Considerations for Bariatric Patients in Pressure Injuries and Wound Care. April 27, 2017

Considerations for Bariatric Patients in Pressure Injuries and Wound Care. April 27, 2017 Considerations for Bariatric Patients in Pressure Injuries and Wound Care April 27, 2017 Susan S Morello BSN RN CWOCN CBN Clinical Consultant s-morello@hotmail.com 2017 National Pressure Ulcer Advisory

More information

PRESSURE-REDUCING SUPPORT SURFACES

PRESSURE-REDUCING SUPPORT SURFACES Status Active Medical and Behavioral Health Policy Section: Allied Health Policy Number: VII-54 Effective Date: 04/23/2014 Blue Cross and Blue Shield of Minnesota medical policies do not imply that members

More information

Hospital Acquired Pressure Ulcers The Rhode Island Hospital Experience. Quality Partners of Rhode Island November 15, 2006

Hospital Acquired Pressure Ulcers The Rhode Island Hospital Experience. Quality Partners of Rhode Island November 15, 2006 Hospital Acquired Pressure Ulcers The Rhode Island Hospital Experience Quality Partners of Rhode Island November 15, 2006 Team Members John Callahan Anita Creamer Donna Huntley-Newby Christine McAniff

More information

Nancy Scozzari RN, CWOCN

Nancy Scozzari RN, CWOCN Nancy Scozzari RN, CWOCN History of Bedside Process Mapping Serious Safety Event (SSE) Hospital Acquired Pressure Ulcers (HAPU) were identified through Charges Chart Review Risk Management Patient Safety

More information

Pressure Ulcer/Pressure Injury Road Map

Pressure Ulcer/Pressure Injury Road Map Pressure Ulcer/Pressure Injury Road Map MHA s roadmaps provide hospitals and health systems with evidence-based recommendations and standards for the development of topic-specific prevention and quality

More information

Wound Assessment and Product Selection

Wound Assessment and Product Selection Wound Assessment and Product Selection Made Easy Denise Barton, BSN, RN, CWON Objectives Patient and Wound assessment. Tools to use when assessing a wound Documentation needed to direct treatment and supplies

More information

Meeting in the Middle: Staff Education

Meeting in the Middle: Staff Education Meeting in the Middle: Staff Education Sharon Baranoski, MSN, RN, CWCN, APN- CCNS, FAAN 2017 National Pressure Ulcer Advisory Panel www.npuap.org Conflict None 1 Objective Discuss the NPUAP Clinical Practice

More information

4/3/2017. QAPI Assessing Systems. Sign of Insanity: Doing the same thing over and over again and expecting different results Albert Einstein

4/3/2017. QAPI Assessing Systems. Sign of Insanity: Doing the same thing over and over again and expecting different results Albert Einstein Utilizing QAPI for Building an Effective Pressure Injury Program Presented by Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT President Senior Providers Resource, LLC QAPI Assessing Systems Sign of Insanity:

More information

REPORT OUT TEMPLATE. Please refer to the C.A.R.E bylaws and other program material for additional information.

REPORT OUT TEMPLATE. Please refer to the C.A.R.E bylaws and other program material for additional information. Scholar Name: REPORT OUT TEMPLATE Project Title: Goal: 1. Complete the Report Out template 2. Have your Mentor complete: Mentor Showcase Recommendation 3. Using the Report Out template, discuss your project

More information

Impact of pressure injury education for nurses on hospital pressure injury prevalence rates

Impact of pressure injury education for nurses on hospital pressure injury prevalence rates Impact of pressure injury education for nurses on hospital pressure injury prevalence rates Kimberly Bock Hanson, BSN, RN, CWON Gina Jansen, BSN, RN, CWOCN Purpose» To describe the background and implementation

More information

The $$$ and Sense of Pressure Ulcer Reduction: People, Products, and Perseverance

The $$$ and Sense of Pressure Ulcer Reduction: People, Products, and Perseverance The $$$ and Sense of Pressure Ulcer Reduction: People, Products, and Perseverance September 30, 2010, 2:00 PM EDT Hospitals are chosen to contribute to the NDNQI monographs based on NDNQI data showing

More information

QAPI and Wounds. Lori Krech, RN, CWCN, BSBM Pathway Health Services, Inc. Director of Community Based Services

QAPI and Wounds. Lori Krech, RN, CWCN, BSBM Pathway Health Services, Inc. Director of Community Based Services QAPI and Wounds Lori Krech, RN, CWCN, BSBM Pathway Health Services, Inc. Director of Community Based Services QAPI QAPI Quality Assurance Performance Improvement QAPI Quality Assurance (F520 QA&A, Quality

More information

Title: Pressure Ulcer Treatment: A Competency-based Curriculum

Title: Pressure Ulcer Treatment: A Competency-based Curriculum 1 NATIONAL PRESSURE ULCER ADVISORY PANEL Title: Pressure Ulcer Treatment: A Competency-based Curriculum Purpose: To prepare registered nurses with the minimum competencies for pressure ulcer treatment.

More information

Pressure Injuries. Care for Patients in All Settings

Pressure Injuries. Care for Patients in All Settings Pressure Injuries Care for Patients in All Settings Summary This quality standard focuses on care for people who have developed or are at risk of developing a pressure injury. The scope of the standard

More information

Reducing the Incidence of Hospital-Acquired Pressure Ulcers by Enhancing the Role of Unit- Based Skin Champions

Reducing the Incidence of Hospital-Acquired Pressure Ulcers by Enhancing the Role of Unit- Based Skin Champions The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library Geschke Center Master's Projects and Capstones Theses, Dissertations, Capstones and Projects Spring 5-19-2016 Reducing

More information

10/12/2017 QAPI SYSTEMATIC ON-GOING CHANGE. Governance & Leadership

10/12/2017 QAPI SYSTEMATIC ON-GOING CHANGE. Governance & Leadership Utilizing QAPI for Building Excellence into your Pressure Injury Program Presented by Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT President Senior Providers Resource, LLC QAPI SYSTEMATIC ON-GOING CHANGE

More information

PRESSURE ULCER PREVENTION SIMPLIFIED

PRESSURE ULCER PREVENTION SIMPLIFIED 10 PRESSURE ULCER PREVENTION SIMPLIFIED This simplified leaflet is intended to give you information about pressure ulcer and aid your clinical practice PRESSURE ULCER PREVENTION SIMPLIFIED Pressure ulcer

More information

Building a Successful Wound Care Program. Jennifer Gullison, RN BSN, MSN Chronic Care Specialist

Building a Successful Wound Care Program. Jennifer Gullison, RN BSN, MSN Chronic Care Specialist Building a Successful Wound Care Program Jennifer Gullison, RN BSN, MSN Chronic Care Specialist Outline Why build a wound care program? How to get management buy-in How to identify wound care leaders/training

More information

SECURING WOUND DRESSINGS:

SECURING WOUND DRESSINGS: SECURING WOUND DRESSINGS: How Hy-Tape can make dressings more secure, more effective, and longer lasting A SPECIAL REPORT ABOUT WOUND CARE INTRODUCTION Given the prevalence of wounds and the amount of

More information

OhioHealth s Mission: To Improve the Health of Those We Serve

OhioHealth s Mission: To Improve the Health of Those We Serve Enhancing SAFE SKIN Through Computer Utilization OhioHealth s Mission: To Improve the Health of Those We Serve 2 1 3 Grant Medical Center 21,000 patient discharges/year Average daily census of 260 Magnet

More information

Our falls rate is consistently below national

Our falls rate is consistently below national Our falls rate is consistently below national benchmarks, but with the lessons learned from Falls Huddle rounding, we anticipate further decreases in the overall fall rate and repeater fall rate. Monica

More information

4/16/2018. QAPI Quality Assurance Performance Improvement QAPI SYSTEMATIC ON-GOING CHANGE.

4/16/2018. QAPI Quality Assurance Performance Improvement QAPI SYSTEMATIC ON-GOING CHANGE. Utilizing QAPI for Building an Effective Pressure Injury Program Presented by Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT President Senior Providers Resource, LLC QAPI Quality Assurance Performance Improvement

More information

Reducing Hospital Acquired Pressure Ulcers in the ICU

Reducing Hospital Acquired Pressure Ulcers in the ICU Reducing Hospital Acquired Pressure Ulcers in the ICU Joanne Matukaitis, MSN, RN, NE-BC Christiana Care Health System Newark, Delaware 1 Christiana Care Health System 2 Title goes here 1 Opportunity for

More information

Patient Safety: Fall Prevention. Unlicensed Assistive Personnel

Patient Safety: Fall Prevention. Unlicensed Assistive Personnel Patient Safety: Fall Prevention Unlicensed Assistive Personnel Purpose and Objectives Purpose: Review the UCH Fall Prevention Program Objectives: 1. Present evidence about patient safety and falls. 2.

More information

Applying QIPP to Ageing skin

Applying QIPP to Ageing skin Applying QIPP to Ageing skin E45-UK-72-10 Dec 2010 Dr. Edward Vining PhD BPharm MRPharmS Applying QIPP to Ageing Skin Normal skin and barrier function Pathophysiology of ageing skin Complications Considerations

More information

MDS Essentials. MDS Essentials: Content. Faculty Disclosures 5/22/2017. Educational Activity Completion

MDS Essentials. MDS Essentials: Content. Faculty Disclosures 5/22/2017. Educational Activity Completion MDS Essentials MDS Essentials: Introduction to Care Area Assessments and Care Plans 4 Faculty Disclosures I have no financial relationships to disclose I have no conflicts of interests to disclose I will

More information

Preventing ICU Complications. Lee-lynn Chen, MD Assistant Clinical Professor UCSF Department of Anesthesia and Perioperative Care

Preventing ICU Complications. Lee-lynn Chen, MD Assistant Clinical Professor UCSF Department of Anesthesia and Perioperative Care Preventing ICU Complications Lee-lynn Chen, MD Assistant Clinical Professor UCSF Department of Anesthesia and Perioperative Care Overview Catheter related bloodstream infection Ventilator associated pneumonia

More information

Skin Integrity PI for Cardiovascular/Critical Care

Skin Integrity PI for Cardiovascular/Critical Care Skin Integrity PI for Cardiovascular/Critical Care Christiana Care Health System NDNQI 2010 Conference Rhythms in Quality January, 2010 1 Christiana Care Health System 2 Title goes here 1 Plan Opportunity

More information

Using Pressure Mapping Technology to Reduce Hospital Acquired Pressure Ulcers

Using Pressure Mapping Technology to Reduce Hospital Acquired Pressure Ulcers Using Pressure Mapping Technology to Reduce Hospital Acquired Pressure Ulcers Kimberly Durham BSN, RN, CCRN, PCCN And Amy L. Sprague MSN, RN, ACNS-BC, CCRN Indianapolis, Indiana Franciscan Alliance St.

More information

PUTTING TOGETHER A PRESSURE ULCER PREVENTION TOOLKIT FOR AHRQ

PUTTING TOGETHER A PRESSURE ULCER PREVENTION TOOLKIT FOR AHRQ PUTTING TOGETHER A PRESSURE ULCER PREVENTION TOOLKIT FOR AHRQ Dan Berlowitz, MD, MPH Center for Health Quality, Outcomes and Economic Research; Bedford VA. Boston University School of Public Health Knowing

More information

LEADING HEALTHCARE PRACTICES AND TRAINING: DEFINING AND DELIVERING DISABILITY-COMPETENT CARE

LEADING HEALTHCARE PRACTICES AND TRAINING: DEFINING AND DELIVERING DISABILITY-COMPETENT CARE HEALTH CARE AND HUMAN SERVICES POLICY, RESEARCH, AND CONSULTING - WITH REAL-WORLD PERSPECTIVE. LEADING HEALTHCARE PRACTICES AND TRAINING: DEFINING AND DELIVERING DISABILITY-COMPETENT CARE Session VII:

More information

Eliminating Avoidable Pressure Ulcers. Professor Gerard Stansby

Eliminating Avoidable Pressure Ulcers. Professor Gerard Stansby Eliminating Avoidable Pressure Ulcers Professor Gerard Stansby gerard.stansby@nuth.nhs.uk Why is this important? Important patient safety issue Pressure ulcers can be prevented (?All) Pressure ulcers are

More information

Prevention and Management of Pressure Ulcers

Prevention and Management of Pressure Ulcers EWMA Educational Development Programme Curriculum Development Project Education Module: Prevention and Management of Pressure Ulcers Latest revision: October 2015 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT

More information

CONTINUING CARE RESIDENT CARE MANUAL POLICY NUMBER II-C-50 DATE July 5, 2010 Forms updated December 1, 2014 PAGE 1 OF 1

CONTINUING CARE RESIDENT CARE MANUAL POLICY NUMBER II-C-50 DATE July 5, 2010 Forms updated December 1, 2014 PAGE 1 OF 1 CONTINUING CARE RESIDENT CARE MANUAL POLICY NUMBER II-C-50 Forms updated December 1, 2014 PAGE 1 OF 1 APPROVED BY: SITE: CATEGORY: Vice President & Senior Operating Officer, Rehab & Continuing Care Edmonton

More information

Collecting CALNOC Data

Collecting CALNOC Data Collecting CALNOC Data Presented on Behalf of the CALNOC TEAM by Mary Foley RN, MS, PhD(c) Carolyn Aydin PhD Getting Started First Step Interested hospitals should contact Patricia McFarland, CALNOC Executive

More information

Standard Operating Procedure

Standard Operating Procedure Standard Operating Procedure Title of Standard Operation Procedure (SOP): The Prevention and Management of pressure ulcers in Special Needs Schools. Reference No: SS6 Version No: 1 Issue Date: March 2017

More information

Certified Skin & Wound Specialist Examination

Certified Skin & Wound Specialist Examination Certified Skin & Wound Specialist Examination INSTRUCTIONS Please submit the following documents to the American Board of Wound Healing: 1. Signed Attestation Statement (See attached PDF) Confirming the

More information

2/23/2015. CNE s and CME s : Please complete the post test and evaluation on

2/23/2015. CNE s and CME s : Please complete the post test and evaluation on www.goldstamp.org www.goldstamp.org Kelly McShane, DrPH, MPH Gold STAMP Coordinator 518-402-0337 kwinjum@albany.edu Sue Brooks Online Production Assistant Web Page Manager Expert Synchronous Webinar Producer

More information

Gold STAMP Tools, Resource Guide and Performance Improvement Model

Gold STAMP Tools, Resource Guide and Performance Improvement Model Gold STAMP Tools, Resource Guide and Performance Improvement Model 1 Gold STAMP Cross-setting Tools and Resources Organizational self-assessment of the processes of care for pressure ulcers A resource

More information

CalNOC Data Definitions and Calculations: Prevalence Studies Reports

CalNOC Data Definitions and Calculations: Prevalence Studies Reports 1 CalNOC Data Definitions and Calculations: Prevalence Studies Reports Pressure Ulcer Prevalence Measures 1. % of Pt. with any Ulcers The number of patients with Stage I-IV, and unable to stage pressure

More information

Ann Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program. Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence

Ann Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program. Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence Ann Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence Background Outline Innovative strategies to develop

More information

Pressure Ulcers and Pressure Ulcer Prevention Laurie McNichol, MSN, RN, GNP, CWOCN

Pressure Ulcers and Pressure Ulcer Prevention Laurie McNichol, MSN, RN, GNP, CWOCN Pressure Ulcers and Pressure Ulcer Prevention Laurie McNichol, MSN, RN, GNP, CWOCN Immediate Past President, National Pressure Ulcer Advisory Panel (NPUAP) Past President, WOCN Clinical Nurse Specialist/WOC

More information

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see: Managing pressure ulcers in neonates, infants, children and young people bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They

More information

The NorMet Collaborative

The NorMet Collaborative The NYS Gold STAMP Initiative 1 PRESSURE ULCERS A PATIENT SAFETY CONCERN SHIFTING THE PARADIGM PHYSICIAN ENGAGEMENT PAMELA LOUIS JOHN CAPPA, DPM The NorMet Collaborative 2 Phelps Memorial Hospital Center

More information

Nursing Wound Care Cheat Sheet

Nursing Wound Care Cheat Sheet Nursing Cheat Sheet Free PDF ebook Download: Nursing Cheat Sheet Download or Read Online ebook nursing wound care cheat sheet in PDF Format From The Best User Guide Database Nov 5, 2013 - Discuss challenges

More information

Strengthen Patient Care by Reducing Hospital Acquired Pressure Ulcers (HAPU)

Strengthen Patient Care by Reducing Hospital Acquired Pressure Ulcers (HAPU) Strengthen Patient Care by Reducing Hospital Acquired Pressure Ulcers (HAPU) Nihar Bhatia Head Quality Assurance & Fortis Operating System and Prateem Tamboli, Facility Director, Fortis Escorts Hospital

More information

Implementation Guide: Goal 4: Reducing High Risk Pressure Ulcers

Implementation Guide: Goal 4: Reducing High Risk Pressure Ulcers Implementation Guide: Goal 4: Reducing High Risk Pressure Ulcers This Implementation Guide provides efficient, consistent, evidencebased approaches to address the prevention and minimization of pressure

More information

William J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair

William J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair William J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair What are the revenue streams What are the expenses How does the hospital

More information

ICU Nurses Perceptions of Nutrition Education and Training. October 17, 2011 Gwynne MacDonald, Cathy Alberda and Leah Gramlich

ICU Nurses Perceptions of Nutrition Education and Training. October 17, 2011 Gwynne MacDonald, Cathy Alberda and Leah Gramlich ICU Nurses Perceptions of Nutrition Education and Training October 17, 2011 Gwynne MacDonald, Cathy Alberda and Leah Gramlich Why bother feeding? Increased energy and protein associated with lower mortality

More information

October 2011 Quarterly CMS OCCB Q&As

October 2011 Quarterly CMS OCCB Q&As October 2011 Quarterly CMS OCCB Q&As Category 2; Category 3; M0100 Question 1: A patient is seen monthly. On a monthly visit, which falls within the last five days of the certification period, the assessing

More information

E: Nursing Practice. Alberta Licensed Practical Nurses Competency Profile 51

E: Nursing Practice. Alberta Licensed Practical Nurses Competency Profile 51 E: Nursing Practice Alberta Licensed Practical Nurses Competency Profile 51 Competency: E-1 Critical Thinking E-1-1 E-1-2 E-1-3 Demonstrate knowledge and ability to apply critical thinking concepts throughout

More information

Value-Based Medicine: The Financial Impact of a Pressure Ulcer Prevention Program on a Trauma Population

Value-Based Medicine: The Financial Impact of a Pressure Ulcer Prevention Program on a Trauma Population Lehigh Valley Health Network LVHN Scholarly Works Department of Surgery Value-Based Medicine: The Financial Impact of a Pressure Ulcer Prevention Program on a Trauma Population Jayme D. Lieberman MD Lehigh

More information

We Have Your Back A Worker Safety Collaborative An Initiative of the Florida Hospital Association

We Have Your Back A Worker Safety Collaborative An Initiative of the Florida Hospital Association 1 We Have Your Back A Worker Safety Collaborative An Initiative of the Florida Hospital Association WORKER SAFETY WEDNESDAY WEBINAR SERIES: LIFT TEAMS: MYTHS AND FACTS ABOUT LIFT TEAM PROGRAMS WEDNESDAY,

More information

12/13/2010 MASSACHUSETTS. Prevalence Defined. Prevalence vs. Incidence PRESSURE ULCER COLLABORATIVE. Using Data And Measurement to Drive Change

12/13/2010 MASSACHUSETTS. Prevalence Defined. Prevalence vs. Incidence PRESSURE ULCER COLLABORATIVE. Using Data And Measurement to Drive Change MASSACHUSETTS PRESSURE ULCER COLLABORATIVE Using Data And Measurement to Drive Change December 2010 Prevalence Defined Prevalence (point prevalence) is defined as the number of patients (cases) with a

More information

Understand nurse aide skills needed to promote skin integrity.

Understand nurse aide skills needed to promote skin integrity. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide s role in providing residents hygiene, grooming, and skin care. Indicator Understand nurse aide skills needed to promote skin

More information

V.A.C. Therapy Patient Information Booklet. Brought to you by KCI, an Acelity company

V.A.C. Therapy Patient Information Booklet. Brought to you by KCI, an Acelity company V.A.C. Therapy Patient Information Booklet Brought to you by KCI, an Acelity company 1 Your Personal V.A.C. Therapy Guide Your treating medical professional has determined you require V.A.C. Therapy to

More information

Nurse involvement in quality

Nurse involvement in quality Magnet Excellence Creating and sustaining a clinical environment of nursing excellence By Renee Roberts-Turner, DHA, MSN, RN, NE-BC, CPHQ; Lael Coleman, BA; Gen Guanci, MEd, RN-BC, CCRN; Tina Kunze Humbel,

More information

Maryland Patient Safety Center s Call for Solutions Submission. Organization: Atlantic General Hospital

Maryland Patient Safety Center s Call for Solutions Submission. Organization: Atlantic General Hospital Maryland Patient Safety Center s Call for Solutions Submission Organization: Atlantic General Hospital Solution Title: Using the Evolution of Data Collection Methods 2 Drive Revolution in the Reduction

More information

On-Time Quality Improvement Manual for Long-Term Care Facilities Tools

On-Time Quality Improvement Manual for Long-Term Care Facilities Tools On-Time Quality Improvement Manual for Long-Term Care Facilities Tools Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville,

More information

Results from Contra Costa Regional Medical Center

Results from Contra Costa Regional Medical Center Results from Contra Costa Regional Medical Center Karin Stryker, MBA DSRIP Manager, Health Services Administrator Chris Farnitano, MD Medical Director, Ambulatory Care High Impact Interventions Sepsis

More information

Purpose and Objectives

Purpose and Objectives Fall Prevention Purpose and Objectives Purpose: Review the UC Health Fall Prevention Program. Objectives: 1. Present evidence about patient safety and falls. 2. Review the UC Health Fall Prevention Policy

More information

F686: Updates on Regulations for Pressure Ulcer/Injury Prevention and Care

F686: Updates on Regulations for Pressure Ulcer/Injury Prevention and Care F686: Updates on Regulations for Pressure Ulcer/Injury Prevention and Care Copyright 2018 Gordian Medical, Inc. dba American Medical Technologies. AMT Education Division Disclaimer The information presented

More information

PREVENTING PRESSURE ULCERS

PREVENTING PRESSURE ULCERS Residents First Advancing Quality in Ontario Long-Term Care Homes Quality Improvement Road Map to PREVENTING PRESSURE ULCERS Residents First: On the Road to Quality Improvement Residents First is a provincial

More information

New Knowledge, Innovations & Improvements: Evidence-Based Practice. NK3: Clinical nurses evaluate and use evidence-based findings in their practice.

New Knowledge, Innovations & Improvements: Evidence-Based Practice. NK3: Clinical nurses evaluate and use evidence-based findings in their practice. New Knowledge, Innovations & Improvements: Evidence-Based Practice NK3: Clinical nurses evaluate and use evidence-based findings in their practice. NK3b: Provide one example, with supporting evidence,

More information

Patricia Neal Rehabilitation Center

Patricia Neal Rehabilitation Center Pressure Injuries: Moving from Reporting to Healing Patricia Neal Rehabilitation Center Knoxville, TN Mary Dillon, MD, Medical Director Addie Lowe, MSN, BSN, RN, CNRN, CRRN Nurse Manager Anne Teasley,

More information

How to Perform a Prevalence Study for Pressure Injuries August 22, 2017

How to Perform a Prevalence Study for Pressure Injuries August 22, 2017 How to Perform a Prevalence Study for Pressure Injuries August 22, 2017 Prevalence Studies for Pressure Ulcer/Injury Hosted by FHA Mission to Care HIIN Presenter: Jackie Conrad RN, BSN, MBA, RCC Improvement

More information

Download or Read Online ebook wound care guidelines in PDF Format From The Best User Guide Database

Download or Read Online ebook wound care guidelines in PDF Format From The Best User Guide Database Guidelines Free PDF ebook Download: Guidelines Download or Read Online ebook wound care guidelines in PDF Format From The Best User Guide Database and Skin Care Clinical Guidelines Chronic wound care must

More information

OHA HEN 2.0 Partnership for Patients Letter of Commitment

OHA HEN 2.0 Partnership for Patients Letter of Commitment OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information

More information

Hospital acquired pressure ulcers (Hapu) change package preventing Hospital acquired pressure ulcers

Hospital acquired pressure ulcers (Hapu) change package preventing Hospital acquired pressure ulcers Hospital acquired pressure ulcers (Hapu) change package preventing Hospital acquired pressure ulcers 2014 UPDATE table of contents what s new in this version?..................................... 1 Hospital-acquired

More information

Using ActivHeal in a traffic light system wound care formulary. Elizabeth Hawkins

Using ActivHeal in a traffic light system wound care formulary. Elizabeth Hawkins Using ActivHeal in a traffic light system wound care formulary Despite recent announcement by the government that the NHS is safe from further budget cuts, there is still a responsibility to streamline

More information

Taking the Pressure Off by Getting to the Bottom of the Problem: The Value of Expert Validation During Pressure Ulcer Prevalence Surveys

Taking the Pressure Off by Getting to the Bottom of the Problem: The Value of Expert Validation During Pressure Ulcer Prevalence Surveys Taking the Pressure Off by Getting to the Bottom of the Problem: The Value of Expert Validation During Pressure Ulcer Prevalence Surveys Susan Solmos, MSN, CWCN, RN Manager, Nursing Clinical Services Judy

More information

Join Us At The Table! NDNQI Site & Survey Coordinator Roles

Join Us At The Table! NDNQI Site & Survey Coordinator Roles Join Us At The Table! NDNQI Site & Survey Coordinator Roles Jan Davidson Angela Christopher Donald Kelly Session ID 060 Transforming Nursing Data Into Quality Outcomes Las Vegas, Nevada January 30, 2007

More information

Domain: Clinical Skills and Knowledge A B C D E Self Assessment NURSING PROCESS Assessment. Independently and consistently

Domain: Clinical Skills and Knowledge A B C D E Self Assessment NURSING PROCESS Assessment. Independently and consistently Domain: Clinical Skills and Knowledge A B C D E Self Assessment NURSING PROCESS Assessment Performs assessment & identifies appropriate nursing diagnosis and/or patient care standard with assistance. Performs

More information

Pressure Ulcers ecourse

Pressure Ulcers ecourse Pressure Ulcers ecourse Module 5.8: Pressure Ulcer Surgery Handout College of Licensed Practical Nurses of Alberta (Canada) CLPNA.com and StudywithCLPNA.com CLPNA Pressure Ulcers ecourse Module 5.8: Pressure

More information

In Focus: Uses and Limitations with using Digital Photography for Pressure Ulcer Staging in the Acute Care Setting. Joan Warren PhD, RN-BC, NEA-BC

In Focus: Uses and Limitations with using Digital Photography for Pressure Ulcer Staging in the Acute Care Setting. Joan Warren PhD, RN-BC, NEA-BC In Focus: Uses and Limitations with using Digital Photography for Pressure Ulcer Staging in the Acute Care Setting Joan Warren PhD, RN-BC, NEA-BC Wound Photography Investigators Elizabeth Jesada, MS, CRNP,

More information

Interdisciplinary Approach to Pressure Ulcer Prevention. Charlene A. Demers GNP-BC, CWOCN

Interdisciplinary Approach to Pressure Ulcer Prevention. Charlene A. Demers GNP-BC, CWOCN Interdisciplinary Approach to Pressure Ulcer Prevention Charlene A. Demers GNP-BC, CWOCN Scope of the Issue Cost $9 billion to $11 billion $20,000-$150,000 per ulcer Incidence Home care 17 percent Acute

More information

Navigating the ROP Changes: Are You in Compliance? 1 1

Navigating the ROP Changes: Are You in Compliance? 1 1 Navigating the ROP Changes: Are You in Compliance? 1 1 Track Your Progress Over Time 25 Antipsychotic PIP Project 20 Antipsychotic Rate 15 10 Sunshine NH Rate National Average 5 0 Jan Feb Mar Apr May Jun

More information

Type of intervention Secondary prevention and treatment. Economic study type Cost-effectiveness analysis.

Type of intervention Secondary prevention and treatment. Economic study type Cost-effectiveness analysis. A comprehensive program to prevent pressure ulcers in long-term care: exploring costs and outcomes Lyder C H, Shannon R, Empleo-Frazier O, McGeHee D, White C Record Status This is a critical abstract of

More information

Adena Regional Medical Center 2017

Adena Regional Medical Center 2017 Adena Regional Medical Center 2017 PUPS Pressure Ulcer Prevention Staff The team consists of at least two representatives from each of our 7 nursing units and our float pool, two from Pike Adena, two PCAs,

More information

Background & Significance

Background & Significance Translating Data from the National Database for Nursing Quality Indicators for Bedside Clinicians and Administrators Michele M. Pelter, RN, PhD & Kimberly E. Stephens, RN, BSN, MPH Renown Regional Medical

More information