Implementation Plan
Due to the high cases of pressure ulcer incidents in this 18-bed CCU, a plan must be executed in a short period. A timeline was developed to implement multidisciplinary team collaboration (Appendix B). The multidisciplinary team will be executed in three stages during this three-month timeline. The stages consist of pre-implementation, implementation, and post-implementation. Clinicians are at heart of medical decision making (Agency for Healthcare Research and Quality [AHRQ], 2014). Healthcare practitioners are the stakeholders involved in preventing pressure ulcers and they must be proactive in performing task. If the multidisciplinary collaboration strategy succeeds, the other stakeholders such as patient,…show more content… This checklist includes list of healthcare practitioners involved in patient care and treatment initiated in preventing pressure ulcers (Appendix C). This checklist is mandatory and must become a norm in daily nursing practice. Lastly, the team will be given chain of communication guide diagram (Appendix D). The nursing staff will understand the communication required with other clinicians in order to provide appropriate treatment for pressure ulcers by following this guide. This first stage will hold weekly meetings consisting of discussion for implementation stage. Any questions and concerns will be expressed before the next stage among the clinicians.
Implementation stage consists of: (1) tracking, (2) collaboration, (3) planning, and (4) management. It will take place during the second month. During this stage, skin condition record (Appendix A), multidisciplinary team checklist (Appendix C), and chain of communication guide (Appendix D) will be implemented. All clinicians involved during this stage must utilize these documents. This stage involves bedside nurse, nutritionist, physical therapist, wound care nurse, and an intensivist. Primary nurse will track pre-admitted and developing pressure ulcers in patients. Skin condition record will be used to assess and document description. Staff nurse will follow chain of communication protocol afterwards. Collaboration will take place once a pressure ulcer is
Running head: SACRUM PRESSURE ULCER REDUCE WITH FOAM DRESSING
Sacrum Pressure Ulcer Reduce With Strict Use of Foam Dressing
Chamberlain School of Nursing
Penni-Lynn Rolen
NR 451 Capstone Course
Sacrum Pressure Ulcer Reduce With Strict Use of Foam Dressing
Despite advancement of technology, pressure ulcer continues to be a primordial in the health care system. Prevention of pressure ulcer remains an important issue in the health care facility. The critically ill ICU patient is the main target
hospital-acquired pressure ulcers and stressed the need to focus not only on the numbers but more importantly, all unit must work on the hospital’s interdisciplinary approach and analysis of hospital-wide pressure ulcers. Other concerns that were presented were inaccurate and incomplete documentation of the Admission Assessment and timely implementation of the standard of care for the prevention and management of pressure ulcer.
It was recommended that managers regularly review and discuss incidents reported
Pressure Ulcer Prevention Repositioning
Introduction
Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear
Identification
Older adult patients with chronic illnesses in home care settings are mostly bedridden placing them at risk of developing pressure ulcers (PU). Notwithstanding the current protocol in place for pressure ulcers prevention in my home health agency, there are incidences of PU with some patients in their homes. I was able to determine pressure ulcer as a major problem for most bed ridden patients in their homes from my experience as a visiting home health nurse. One of the main duties
Hospital-acquired infection can be devastating not only to the patient, but also to the hospital. This also impacts how much the facility receives as payment or reimbursement from healthcare insurance and/or Medicare. Curlej (2016) wrote a quantitative descriptive study about implementing the guidelines to decrease central line infections. Curlej (2016) conducted the study at a 486-bed rural, level 1 trauma, teaching hospital in Pennsylvania. This hospital has a 486 bed occupancy, which means that
report is to validate the effectiveness of Waterlow Assessment Tool and identify any risk factors, towards the prevention of pressure ulcers. The overall strengths and weaknesses of the report will highlight any
It was found that the nurses had insufficient recording of wound care and the staff were not monitoring the wounds consistently or keeping Mr Selir’s GP up to date on his condition. After this incident, the nursing home introduced new staff, systems and processes to improve the quality of care to residents. I felt frustrated and disturbed as coming from overseas, my family background has always taught us to respect and look after our elderly therefore
nursing education program comprising of seven online courses. Fifty seven senior nurses took part in the educational program, completing a survey 4 months before and after receiving the education. Safety culture and adverse events including pressure ulcers and falls were tracked monthly. Results revealed
Safe Nurse to Patient Staffing Ratio
Nursing is the powerhouse in the delivery of safe, quality patient-centered care in the healthcare industry. To ensure continued safety of the patient and nursing staff, the issue of inadequate staffing must be addressed. Consequently, patient’s mortality rate has been linked to the level of nursing staff utilized in ensuring an utmost outcome (Aiken, 2011). This paper will outline the issue associated with inadequate nurse to patient staffing ratios in the hospital
( 2009) study on evidence-based bathing and incontinence care; and their effects on incidents of hospital-acquired pressure ulcers and impaired skin integrity. Vollman wrote that after a 4month intervention period in which licensed and unlicensed staff within a hospital were educated on the IPH model which incorporates evidence-based incontinence management, and comprehensive bathing, a decrease of pressure ulcer from 7.14% to 0% was noted at the end of the study. This shows that nurse sensitive