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Pressure ulcer prevention hotel dieu shaver health and rehabilitation centre

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Canadian Patient Safety Institute
Canadian Patient Safety Institute
Santé & Médecine
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Elizabeth Pearson RN, BScN, MN(c) Hotel Dieu Shaver Health and Rehabilitation Centre St. Catharines, Ontario
Background    134 bed rehabilitation and complex care facility Goal – To create a pressure ulcer prevention program that delivered quality skin and wound care, was evidence based and prevention focused Outcome – Decrease in incidence skin rate from >30% to < 5 % (2013) Resources     RNAO Best Practice Guidelines (BPG) for pressure ulcer prevention and the Canadian Association of Wound Care (CAWC) SWOT Analysis Inventory of current practices & resources Baseline Prevalence and Incidence Skin Audit
Strategies     Multidisciplinary committee to provide overall leadership, direction and guidance Wound Care Champions – front-line nursing staff Person Centre care plans Standardization of therapeutic surfaces and skin care products Strategies      Therapeutic Surface Algorithm Weekly Braden Scale with Risk Related Intervention Algorithm Two Cal HN Med Pass Program Order Set Staff Education Twice yearly Prevalence & Incidence Skin Audits
Challenges      Staff buy-in of Wound Care Champions Keeping track of surface inventory Utilization of skin care products Relating prevention implementation strategies to the Braden Score Connecting Med Pass to Pressure ulcer prevention Lessons Learned       Change is a slow process It takes a team … Need to celebrate success along the way Measurement & data speak volumes Report data to stakeholders Senior Team support is critical to success & sustainability

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Pressure ulcer prevention hotel dieu shaver health and rehabilitation centre

  • 1. Elizabeth Pearson RN, BScN, MN(c) Hotel Dieu Shaver Health and Rehabilitation Centre St. Catharines, Ontario
  • 2. Background    134 bed rehabilitation and complex care facility Goal – To create a pressure ulcer prevention program that delivered quality skin and wound care, was evidence based and prevention focused Outcome – Decrease in incidence skin rate from >30% to < 5 % (2013) Resources     RNAO Best Practice Guidelines (BPG) for pressure ulcer prevention and the Canadian Association of Wound Care (CAWC) SWOT Analysis Inventory of current practices & resources Baseline Prevalence and Incidence Skin Audit
  • 3. Strategies     Multidisciplinary committee to provide overall leadership, direction and guidance Wound Care Champions – front-line nursing staff Person Centre care plans Standardization of therapeutic surfaces and skin care products Strategies      Therapeutic Surface Algorithm Weekly Braden Scale with Risk Related Intervention Algorithm Two Cal HN Med Pass Program Order Set Staff Education Twice yearly Prevalence & Incidence Skin Audits
  • 4. Challenges      Staff buy-in of Wound Care Champions Keeping track of surface inventory Utilization of skin care products Relating prevention implementation strategies to the Braden Score Connecting Med Pass to Pressure ulcer prevention Lessons Learned       Change is a slow process It takes a team … Need to celebrate success along the way Measurement & data speak volumes Report data to stakeholders Senior Team support is critical to success & sustainability