Over the Rainbow with Skin Tears. Mary Gloeckner MS,RN,CWON,APN
|
|
- Dustin Mason
- 5 years ago
- Views:
Transcription
1 Over the Rainbow with Skin Tears Mary Gloeckner MS,RN,CWON,APN
2 Disclosures: 1) Mary Gloeckner has no financial relationship with any commercial interest 2) Mary Gloeckner is a Board Member of ISTAP (International Skin Tear Advisory Panel)
3 Objectives: 1. Classify skin tears according to the ISTAP Classification System 2. Discuss the skin tear Toolkit components/interventions related to the prevention of skin tears 3. Discuss treatment options for skin tears
4 International Skin Tear Advisory Panel Unrestricted Educational Grant from Hollister Wound Care
5 Skin Tear Definition: A skin tear is a wound caused by shear, friction, and/or blunt force resulting in separation of skin layers. A skin tear can be partialthickness (separation of the epidermis from the dermis) or full-thickness (separation of both the epidermis and dermis from underlying structures). LeBlanc et al, 2011
6 What do Skin Tears Look Like?
7 Skin Tears are common in extremes of Age, and the Chronically and Critically ill population.
8 Prevalence of Skin Tears?
9 Prevalence of skin tears Reported rates of 5-44% True prevalence across healthcare settings not known!
10 Prevalence Of Skin Tears: Review of the Literature A 2011 study in a 114 bed Long Term Care Facility demonstrated a 22% prevalence of skin tears (LeBlanc & Christensen 2013) Carville et al (2007) asserted that skin tears are perceived to be common wounds and occur more frequently than pressure ulcers A 1994 study in a 347-bed facility in Western Australia demonstrated a 41.5% skin tear prevalence rate within its population (Everett, Powell 1994)
11 Most common LeBlanc, Christensen 2011
12 Consensus Report 2011
13 Consensus Report Sept. 2011
14 Introducing a Validated Skin Tear Classification System
15 ISTAP Skin Tear Classification Type 1: No Skin Loss Type 2:Partial Flap Loss Type 3: Total flap loss Linear or Flap Tear which can be repositioned to cover the wound bed Partial Flap loss which cannot be repositioned to cover the wound bed Total Flap loss exposing entire wound bed
16 TYPE 1 TYPE 2 TYPE 3
17 Skin Tears To manage and treat skin tears, nurses must understand: who is at risk for developing skin tears how to prevent these wounds from occurring how to manage these challenging wounds should they occur And YES we should be documenting them as wounds.
18 ISTAP Tool Kit
19 The Tool Kit was designed to include components that would serve as a basis for implementation guidance for Skin Tear 1)Prevention and 2)Treatment programs
20 ISTAP Skin Tear Tool Kit The Tool kit includes the following components: ISTAP Classification System Risk Assessment Pathway Quick Reference Guide for the ISTAP Risk Reduction Program and Rationale Skin Tear Decision Algorithm Pathway to Assessment / Treatment of Skin Tears Prevalence Study Data Collection Sheet Product Selection Guide Received a 98% consensus from international reviewers who agreed or somewhat agreed with content of the tool kit
21 ISTAP Risk Assessment & Risk Reduction Program
22
23 Look at Risk Factors & putting into place what the: - Individual needs - Healthcare Provider needs - Healthcare Setting needs
24 Quick Reference Guide: ISTAP RISK REDUCTION PROGRAM Risk Factor Individual Care giver / provider General Health Mobility Skin ISTAP Skin Tear Tool Kit Educate patient on skin tear prevention & promote active involvement in treatment decisions (if cognitive function not impaired) Optimize nutrition & hydration Encourage active involvement if physical function not impaired Appropriate selection & use of assistive devices Awareness of medication-induced skin fragility (steroids) Wear protective clothing (shin guards, long sleeves, etc. Moisturize skin (lubrication & hydration) Keep fingernails short Safe patient environment Educate client +/ circle of care / caregivers Protect from self harm Dietary consult if indicated Extra caution with extremes of BMI (<20 or >30) Review polypharmacy for medications reduction /optimization Daily skin assessment & monitor for skin tears Ensure safe patient handling techniques/ equipment & environment (trauma, Activities of Daily Living (ADLs), self injury) Proper transferring/ repositioning Initiate fall prevention program Remove clutter Ensure proper lighting Pad equipment/furniture (bedrails, wheel chair etc.) Avoid sharp finger nails/jewelry when having patient contact Individualize skin hygiene (warm, tepid, not hot, water; soapless or ph-neutral cleaners; moisturize skin) Avoid strong adhesives, dressings, tapes Implement comprehensive Skin Tear Reduction Program Include skin tears in audit programs Utilize validated classification system Develop consultative team (wound care/dietary specialists, rehab/pharmacists) Health Care setting
25 Risk factors for skin tears 1.Dependent patients who require total care for all activities of daily living most at risk Frequently acquired skin tears occur during routine activities of dressing, bathing, positioning, and transferring White et al, 1994
26 Risk factors for skin tears 2. Slightly impaired patients/residents Injury from hitting stationary equipment or furniture Used with permission sb/kb White et al, 1994
27 Risk factors: Critically ILL - Fluid Overload -Multi-system failure
28 4. Extremes of Ages: Neonates/Pediatrics -- Immature Skin(Premies) -- Medical adhesive injuries
29 Skin Tear Algorithm
30 Treatment: 1. Determine ISTAP classification 2. Cleanse the wound 3. Realign skin flap(do not remove the flap unless necrotic) 4. Cover with non-adherent dressing
31 Dressings: Soft silicone foam dressing Foam Hydrogels Tubular Net Bandage Products Not Recommended: Hydrocolloids Transparent films Closure strips
32 The key to any treatment program is an established Prevention program
33 Prevention Strategies Protect from trauma during routine care and from self-injury Applying hypoallergenic moisturizer at least two times per day Minimize bathing Provide protection from trauma during routine care Provide protection from self injury Ensure proper transfer and lifting techniques to avoid shearing and friction Pad bed rails, or other objects that may lead to blunt trauma Promote adequate nutrition and hydration Avoid adhesive products on frail skin Keep nails short and filed to prevent self-inflicted skin tears LeBlanc, Christensen, Orstead, Keast. 2008
34 ISTAP Increase awareness of Skin Tears worldwide Encourage Prevalence Studies Research
35 Data Collection Tool
36 Case Study by Mary Gloeckner RN,MS,CWON,APN (Member of ISTAP) Published in AJN: November 2016
37 Day #1: Wound Consult placed for WOC nurse to assess skin tear on Left shoulder
38
39 Patient Background 83 year old Male Resident of LTC Facility Admitted to hospital with Pneumonia & Aspiration
40 Two Type 3 skin tears: a) Left shoulder x 6.0 x 0.1cm b) Left upper back- 7.0 x 5.0 x 0.1cm
41 * Pt. fell 1 day prior to hospital admission * Anticoagulent therapy Profuse bleeding Hemoglobin 8 gm/dl
42 Treatment Goals: 1) Moist wound healing 2) Avoid trauma 3) Manage exudate(bleeding) 4) Prevent infection 5) Protect periwound skin
43 Daily Treatment: 1) Non-adherent topical antimicrobial 2) Cover with soft silicone foam dressing
44 Both skin tears became Complex wounds: As a result of profuse bleeding, this pt. required a blood transfusion
45 8 Days after treatment initiated
46 4 weeks after treatment initiated
47 After 4 weeks of treatment, skin tears completely healed
48 September 2016-WUWHS, Florence, Italy ISTAP was presented with: Most Progressive Society Award!!!
49 ISTAP Continues to grow President: President Elect: Treasurer: Secretary: Regional Directors: Africa: Australia/New Zealand: Europe: Latin America: North America: Kim LeBlanc(Canada) Karen Campbell(Canada) Ann Williams(USA) Diane Langemo(USA) Trish Idensohn(Capetown) Ann Marie Dunk(Australia) Dimitri Beeckman(Belgium) Samantha Holloway(Wales) Vera Santos(Brazil) Heidi Hevia(Chile) Kevin Woo(Canada) Mary Gloeckner(USA) Karen Edwards(USA)
50 EWMA Amsterdam, Netherlands
51 ISTAP goal: To have skin tears globally recognized as complex acute wounds
52 Thank You!! QUESTIONS??
Education Module: Assessment and Management of Skin Tears
EWMA Educational Development Programme Curriculum Development Project Education Module: Assessment and Management of Skin Tears First version: May 2017 Written by Dawn Christensen Edited by Samantha Holloway
More informationSkin Tears. Prevention, assessment and management
Skin Tears Prevention, assessment and management Workbook to record your training and personal development in prevention, assessment and management of skin tears Version 2 2 NHS Education for Scotland
More informationRemember the 5 Ws. Who. What. Where. When/ Why. Skin tears in the aging population:
Science, Practice and Education Skin tears in the aging population: Remember the 5 Ws Skin tears (STs) are among the most common forms of skin injury to affect frail and older individuals, yet their impact
More informationApplying 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 informationPrevention and Management of Skin Tears
Foundations of Best Practice for Skin and Wound Management BEST PRACTICE RECOMMENDATIONS FOR THE Prevention and Management of Skin Tears Click to go to... INTRODUCTION STEP 1: ASSESS STEP 2: GOALS STEP
More informationWound 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 informationPressure 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 informationThey 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 informationUnderstand 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 informationSkin Tears: State of the Science: Consensus Statements for the Prevention, Prediction, Assessment, and Treatment of Skin Tears
Advances in Supplement to Periodical Publications SKIN& WOUND CARE The International Journal for Prevention and Healing www.woundcarejournal.com Volume 24 Number 9S September 2011 Skin Tears: State of
More informationThis is Phase 2 of the review and applies only to the categories listed which are: Bandages (all categories) Tapes
Prescribing Points A NEWSLETTER F ALL HEALTH CARE PROFESSIONALS IN OXFDSHIRE, WRITTEN BY THE MEDICINES MANAGEMENT TEAM, OXFDSHIRE PCT, JUBILEE HOUSE, OXFD BUSINESS PARK SOUTH, OXFD, OX4 2LH. Date of issue
More informationStandards 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 informationWound Assessment: a case study approach
Leg Club Conference Workshops 24 th September 2014 Wound Assessment: a case study approach Mark Collier Lead Nurse Consultant Tissue Viability United Lincolnshire Hospital NHS Trust mark.collier@ulh.nhs.uk
More information3/12/2015. Session Objectives. RAI User s Manual. Polling Question
Session Objectives MDS 3.0 Coding Challenges: Questions, Answers, and Explanations Jen Pettis, BS, RN, WCC Associate March 19, 2015 Upon completion of the program, the participate will: Describe the four
More informationPressure 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 informationPRESSURE-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 informationPrevention 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 informationCare of the Older Person s. Key recommendations from the best practice statement on the care of the older person s skin
Key recommendations from the best practice statement on the care of the older person s skin This article presents two perspectives (hospital and community) on the key recommendations from the best practice
More information5. Personal Care Services
5. Personal Care Services Chapter IV - Services to Children A. Overview A child who requires personal care services is a child with a chronic medical condition or with medical needs requiring specialized
More informationWound Care Program for Nursing Assistants- Prevention 101
Wound Care Program for Nursing Assistants- Prevention 101 Elizabeth DeFeo, RN, WCC, OMS, CWOCN Wound, Ostomy, & Continence Specialist ldefeo@cornerstonevna.org Outline/Agenda At completion of this webinar,
More informationPressure Injuries and Pressure Care
Pressure Injuries and Pressure Care Multiple choice Questions (with answers) Contents Segment 1 Pressure Injuries and Pressure Care... 2 Segment 2 Anatomy of the Skin... 4 Segment 3 How pressure injuries
More informationGUIDELINES FOR THE USE OF TOPICAL NEGATIVE PRESSURE (TNP) THERAPY IN WOUND MANAGEMENT
GUIDELINES FOR THE USE OF TOPICAL NEGATIVE PRESSURE (TNP) THERAPY IN WOUND MANAGEMENT Aim To provide evidence based principles in the use of Topical Negative Pressure therapy and management of patients
More informationCarville K, Lewin G, Newall N, Haslehurst P, Michael R, Santamaria N & Roberts P. Introduction
. Carville K, Lewin G, Newall N, Haslehurst P, Michael R, Santamaria N & Roberts P Abstract Until now the Payne-Martin Classification System for Skin Tears has been the only skin tear classification system
More informationCleaning a Wound and Applying a Dry, Sterile Dressing
144 Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach, 3rd edition Name Unit Instructor/Evaluator: Date SKILL 8-1 Cleaning a Wound and Applying a Dry, Sterile Dressing Goal:
More information*Before instructing class carefully review Transfer Sheet User Guide*
Training Guide (0908) Barton Transfer Sheets *Before instructing class carefully review Transfer Sheet User Guide* Introductory Phase Introduction and Statement of Intent 1. Welcome attendees and introduce
More informationCertified 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 informationConsiderations 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 informationClinical and financial outcomes with Allevyn Gentle Border Lite
Clinical and financial outcomes with Allevyn Gentle Border Lite The current healthcare environment has prompted healthcare professionals to consider carefully the clinical and financial outcomes of wound
More informationsample Pressure Sores Prevention & Awareness Copyright Notice This booklet remains the intellectual property of Redcrier Publications L td
First name: Surname: Company: Date: Pressure Sores Prevention & Awareness Please complete the above, in the blocks provided, as clearly as possible. Completing the details in full will ensure that your
More informationCare Bundle Wound Care Guidance
Care Bundle Wound Care Guidance A wound may be defined as a break in the structure of an organ or tissue caused by an external agent; for example, a bruise, cut, or burn (Oxford Living Dictionaries, 2017).
More informationSARASOTA 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 informationF686: 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 informationAlaina 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 informationINCIDENCE 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 informationEliminating 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 information1.2 Consent Informed consent should be gained as per hospital policy on consent for procedures needing general anaesthetic
Clinical Practice Guideline Section A Guideline Title Care of Child with Epidermolysis Bullosa in Theatre Aim of Guideline To inform and instruct staff on the care of children with epidermolysis bullosa
More informationEffective Tools to Prevent and Manage Adverse Events
Effective Tools to Prevent and Manage Adverse Events Based on Office of Inspector General Adverse Events Report Diane C. Vaughn, RN, C-DONA/LTC; LNHA vaughndiane@hotmail.com Objectives Upon completion
More informationSkin Champions Improving Practice: A Model for Implementing EBP
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
More informationTO BE RESCINDED Hospital beds, pressure-reducing support surfaces and accessories.
ACTION: Final DATE: 07/02/2018 10:03 AM TO BE RESCINDED 5160-10-18 Hospital beds, pressure-reducing support surfaces and accessories. (A) Hospital beds. Unless otherwise stated, coverage of hospital beds
More informationAWMA MODULE ACCREDITATION. Module Two: Pressure Injury Prevention and Management
AWMA MODULE ACCREDITATION Module Two: Pressure Injury Prevention and Management Introduction - The Australian Wound Management Association Education & Professional Development Sub Committee-(AWMA EPDSC)
More informationPRESSURE 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 informationQAPI 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 informationTitle: 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 informationIQC/2013/48 Improvement and Quality Committee October 2013
Item 9.4 IQC/2013/48 Improvement and Quality Committee October 2013 Pressure Ulcer Prevalence Improvement Plan 1. SITUATION AND BACKGROUND This paper is to update the Improvement and Quality Committee
More informationSkin Tear Risk Assessment Procedure South West Regional Wound Care Program Last Updated March 9,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
More informationUsing a step-up, step-down approach to exudate management
Insight Using a step-up, step-down approach to exudate management Tracey Bajjada The management of exudate in acute and chronic wounds is a common issue for community nurses, with too much exudate resulting
More informationNEW JERSEY. Downloaded January 2011
NEW JERSEY Downloaded January 2011 SUBCHAPTER 25. MANDATORY NURSE STAFFING 8:39 25.1 Mandatory policies and procedures for nurse staffing (a) There shall be a full time director of nursing or nursing administrator
More informationNURSING HOME PRE-ADMISSION ASSESSMENT FORM
Clients Name: NHS No AIS No (if applicable) DOB: Home Address NOK Contact Details Telephone: Relationship: Other contact: Marital status Religion GP Details and Address Ethnic origin Date of Referral:
More informationIntroduction to Wound Management
EWMA Educational Development Programme Curriculum Development Project Education Module: Introduction to Wound Management Latest revision: October 2016 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT PROGRAMME The
More informationInformation on How to Prevent Pressure Ulcers ( Bedsores ) for Patients, Relatives and Carers in Hospital and in the Community
Information on How to Prevent Pressure Ulcers ( Bedsores ) for Patients, Relatives and Carers in Hospital and in the Community Tissue Viability Team Community & Therapy Services This leaflet has been designed
More informationTraining Your Caregiver: Hand Hygiene
Infections are a serious threat to fragile patients. They are often spread by healthcare workers and family members who are providing frontline care. In fact, one of the major contributors to infections
More informationCNA Training Advisor
CNA Training Advisor Volume 13 Issue No. 3 MARCH 2015 A pressure ulcer, also known as a bed sore, is a localized injury to the skin and underlying tissue. It usually occurs over bony prominences (e.g.,
More information4/3/2017. 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 informationOASIS ITEM ITEM INTENT
(M2400) Intervention Synopsis: (Check only one box in each row.) At the time of or at any time since the previous OASIS assessment, were the following interventions BOTH included in the physician-ordered
More informationMaking the case for cost-effective wound management. Professor Keith Harding, Cardiff University, UK
Making the case for cost-effective wound management Professor Keith Harding, Cardiff University, UK Making the case for cost-effective wound management Clinicians who treat patients with wounds need access
More informationChapter 10. medical and Surgical Asepsis. safe, effective Care environment. Practices that Promote Medical Asepsis
chapter 10 Unit 1 Section Chapter 10 safe, effective Care environment safety and Infection Control medical and Surgical Asepsis Overview Asepsis The absence of illness-producing micro-organisms. Asepsis
More informationCreating viable options
A tool for identifying key education content areas to support progressive development in tissue viability for health and social care care staff April 016 Contents Published July 009 Updated October 015
More informationInspection 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 informationChallenge Scenario. Featured TAG TOPIC SCENARIO NOTES F314
TAG TOPIC Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. SCENARIO In this scenario, the facility failed to ensure that residents who were admitted without
More informationProtocol for the Management of Burns in MIUs & WICs. Author s job title Professional Lead, Minor Injuries Unit Directorate
Document Control Title Protocol for the Management of Burns in MIUs & WICs Author Author s job title Professional Lead, Minor Injuries Unit Directorate Department MIU Version Date Issued Status Comment
More informationPressure Ulcers (pressure sores)
Pressure Ulcers (pressure sores) How to reduce the risk of acquiring pressure sores in hospital Other formats If you need this information in another format such as audio tape or computer disk, Braille,
More informationOctober 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 informationInitial Pool Process: Resident Interview
Initial Pool Process: Resident Interview Care Area Probes Response Options Choices Are you able to make choices about your daily life that are important to you? I d like to talk to you about your choices.
More informationOASIS-C Guidance Manual Errata
Errata Updated January 2011 Page F-18 M1340 CORRECTED the last sentence of the 9 th bullet under Response- Specific Instructions, to read as follows: These may be reported in M1350 if the home health agency
More informationNursing Assistant
Western Technical College 30543300 Nursing Assistant Course Outcome Summary Course Information Description Career Cluster Instructional Level Total Credits 3.00 The course prepares individuals for employment
More informationContractor Information. LCD Information
LCD for Pressure Reducing Support Surfaces - Group 3 (L5069) Contractor Name NHIC Contractor Number 16003 Contractor Type DME MAC Contractor Information LCD ID Number L5069 LCD Information LCD Title Pressure
More information4/16/2018. 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 informationUsing 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 informationInformation For Patients
Information For Patients Pressure Ulcers (A test to examine the arteries that supply blood to the heart) Liverpool Heart and Chest Hospital NHS Foundation Trust Thomas Drive Liverpool Merseyside L14 3PE
More informationEffective Date: August 31, 2006 SUBJECT: PRESSURE SORE (DECUBITUS ULCER), PREVENTION AND TREATMENT
COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION - Treatments POLICY NUMBER: 420 Effective Date: August 31, 2006 SUBJECT: PRESSURE SORE (DECUBITUS ULCER), PREVENTION AND TREATMENT 1.
More informationCorporate Medical Policy
Corporate Medical Policy Pressure Reducing Support Surfaces File Name: Origination: Last CAP Review: Next CAP Review: Last Review: pressure_reducing_support_surfaces 7/2006 9/2017 9/2018 9/2017 Description
More informationSKILLED NURSING HOME RISK MONITOR METRICS
The Risk Monitor offers three views: FACILITY 1st column, total number year-to-date (calculated by the system, from January and including the current month); 2nd column, actual numbers submitted by your
More information(NHS) continues to seek costeffective
Cost-effective management of wound exudate This clinical evaluation explores the complex challenges involved in managing exudate as part of a holistic wound treatment plan. The benefits of using Kliniderm
More informationTHE ROYAL CORNWALL HOSPITALS NHS TRUST RESPONSE TO INFORMATION REQUEST
FREEDOM OF INFORMATION ACT 2000 THE ROYAL CORNWALL HOSPITALS NHS TRUST RESPONSE TO INFORMATION REQUEST Date Request Received: 19 th September 2016 FOI Ref: 1519 Requested Information 1) Please supply me
More informationOxfordshire CCG Service Specification Completion of an episode of surgical care
Oxfordshire CCG Service Specification 2017-18 Completion of an episode of surgical care 1. Background This service specification is intended to enable GP practices to provide a service that OCCG has agreed
More informationTHE INTERVENTIONAL PATIENT HYGIENE COMPANY
THE INTERVENTIONAL PATIENT HYGIENE COMPANY Born from a core belief in prevention, Interventional Patient Hygiene is a nursing action plan focused on fortifying patients host defenses with evidence-based
More informationThe Prevention and Management of Skin Tears and Lacerations
The Prevention and Management of Skin Tears and Lacerations The prevention and management of skin tears and lacerations Document Type Unique Identifier Document Purpose Document Author Target Audience
More informationFirst Aid Policy. First Aid Policy September 2017
First Aid Policy 1 Policy Statement The Principal and Board of Governors of E-Spired accept their responsibility under the Health and Safety (First-Aid) Regulations 1981 and acknowledge the importance
More informationMDS 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 informationAbout your PICC line. Information for patients Weston Park Hospital
About your PICC line Information for patients Weston Park Hospital This booklet explains what a PICC line is, how it is inserted and some general advice on its use and care. What is a PICC line? A Peripherally
More informationManagement of Negative Pressure Wound Therapy (NPWT) Guideline
Management of Negative Pressure Wound Therapy (NPWT) Guideline Contents Management of Negative Pressure Wound Therapy Guideline... 1 Purpose... 1 Scope/Audience... 2 Associated documents... 2 Definitions...
More informationCleveland Clinic Implementing Value-Based Care
Cleveland Clinic Implementing Value-Based Care Overview Cleveland Clinic health system uses a systematic approach to performance improvement while simultaneously pursuing 3 goals: improving the patient
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 24 June 2013 Title: Executive Summary: Action Requested: Report of: Author: Contact Details: Resource Implications: Public or Private:
More informationPatricia 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 informationPREVENTION AND MANAGEMENT OF PRESSURE ULCERS POLICY
A member of: Association of UK University Hospitals PREVENTION AND MANAGEMENT OF PRESSURE ULCERS POLICY POLICY NUMBER POLICY VERSION V.1 TPCL/030 RATIFYING COMMITTEE Clinical Policy Forum DATE OF EQUALITY
More informationInvia Wound Therapy. NPWT Order Form Page 1 of 3. o Male o Female. o No o Yes a If Yes: Name of responsible party Contact Phone:
Invia Wound Therapy NPWT Order Form Page 1 of 3 Who should Medela, Inc. contact for questions regarding this order? Contact Name: Direct Fax: PATIENT INFORMATION [Complete this section ONLY if you will
More informationHospital 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 informationPatient Experience Heart & Vascular Institute
Patient Experience Heart & Vascular Institute Keeping patients at the center of all that Cleveland Clinic does is critical. Patients First is the guiding principle at Cleveland Clinic. Patients First is
More informationCompetency Statement: Pressure Ulcer Management Competency Indicators 1 st Level
Competency Statement: Pressure Ulcer Management 1 st Level 2 nd Level 3 rd level 4 th level. Risk Assessment a) Explain the principles of prevention. b) Discuss the importance of skin assessments on admission.
More informationReduce the Pressure Assess the Risk. Ian Bickerton International Manager Posture and Pressure Care Product Specialist
Reduce the Pressure Assess the Risk Ian Bickerton International Manager Posture and Pressure Care Product Specialist INVACARE UK & MSS Manufacturing facility Pencoed, near Cardiff, Wales Estimate
More informationReducing Avoidable Heel Pressure Ulcers through education/active monitoring
Reducing Avoidable Heel Pressure Ulcers through education/active monitoring United Lincolnshire Hospitals NHS Trust Mark Collier, Lead Nurse - Tissue Viability United Lincolnshire Hospitals NHS Trust mark.collier@ulh.nhs.uk
More informationHospice and End of Life Care and Services Critical Element Pathway
Use this pathway for a resident identified as receiving end of life care (e.g., palliative care, comfort care, or terminal care) or receiving hospice care from a Medicare-certified hospice. Review the
More informationSurgical Technology Patient Care Skills Preop Routine Objectives:
Surgical Technology 8-Jul-09 Patient Care Skills Preop Routine Objectives: 1) Discuss why preop preparation of the patient is important a) Preparing the patient decreases impact and potential risks of
More informationPOLICY FOR PREVENTION, MANAGEMENT AND REPORTING OF PRESSURE UILCERS
POLICY FOR PREVENTION, MANAGEMENT AND REPORTING OF PRESSURE UILCERS Guideline Reference: 1692 Version: 2.3 Status: Adopted Type: Clinical Policy Guideline applies to (Staff Group) All West Suffolk Hospital
More informationPressure ulcers: prevention and management of pressure ulcers
Pressure : prevention and management of pressure Issued: April 2014 guidance.nice.org.uk/cg NICE has accredited the process used by the Centre for Clinical Practice at NICE to produce guidelines. Accreditation
More informationStandard 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 informationWillis Senior High School Career and Technical Education Health Science Technology Education Certified Nursing Assistant Syllabus
Willis Senior High School Career and Technical Education Health Science Technology Education Certified Nursing Assistant Syllabus 2017-2018 WK 1: Aug 17-18 WK 2: Aug 21-Aug25 WK 3: Aug28-Sept1 WK 4: Sept
More informationLiver Resection. Why do I need a liver resection? This procedure is done for many reasons. Talk to your doctor about why you are having this surgery.
Liver Resection What is a liver resection? This is a surgical procedure where the surgeon removes part of the liver. It is done under general anesthetic which means you sleep during the procedure. Why
More information