An Acute Care Multidisciplinary Team Approach to Wound Care: Providing Best Practices and Cost Savings

2.50
Hdl Handle:
http://hdl.handle.net/10755/152830
Type:
Presentation
Title:
An Acute Care Multidisciplinary Team Approach to Wound Care: Providing Best Practices and Cost Savings
Abstract:
An Acute Care Multidisciplinary Team Approach to Wound Care: Providing Best Practices and Cost Savings
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Kirkland-Walsh, Holly, RN, FNP, MSN
P.I. Institution Name:University of California at Davis
Title:Nurse Practitioner
Co-Authors:James Denman RN, BSN, Clinical Resource Nurse
[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Purpose: A wound management pathway was designed by a multidisciplinary team of nurses, physicians, surgeons, dieticians, discharge planners, and physical therapists, to decrease the length of stay while providing evidence based wound care for patients with chronic pressure ulcers. Ten patients were admitted with primary diagnosis of chronic stage III and stage IV Pressure Ulcers during the first quarter of the year. Those patients stayed a total of 257 days during the first quarter (range 4 days to 60 days).  As Medicare limits reimbursement for acute care hospitals managing chronic wounds and many patients loose their facility placements after 5-7 days, a pathway was created to guide best practices and shorten length of stay.
Methods: To begin the wound management pathway, the Emergency Department physician contacts the nurses on the wound team. The wound nurse implements the Chronic Wound Management physician order set. Each team member is provided with information on best practices to aid with the development of the physician order set. To evaluate our pathway, the multidisciplinary team chose the goal of a 5-7 day length of stay for all patients with chronic pressure ulcers if patients did not have evidence of sepsis. The wound nurse performed teaching, organized home supplies, and provided follow up phone calls.  
Results: In the first quarter following implementation of the Chronic Wound Management pathway, there were 10 patients included in the pathway. The 10 patients stayed a total of 19 days (range from 0-6 inpatient days). While in hospital, patients had nutritional, wound, and physical therapy consults. Patients were discharged with follow up phone calls from the wound nurse.
Conclusion: A Multidisciplinary team devoted to managing chronic pressure ulcers can provide best practices efficiently and decrease length of stay.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Acute Care Multidisciplinary Team Approach to Wound Care: Providing Best Practices and Cost Savingsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152830-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Acute Care Multidisciplinary Team Approach to Wound Care: Providing Best Practices and Cost Savings</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kirkland-Walsh, Holly, RN, FNP, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California at Davis</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Practitioner</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hwalsh1963@sbcglobal.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">James Denman RN, BSN, Clinical Resource Nurse</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Purpose: A wound management pathway was designed by a multidisciplinary team of nurses, physicians, surgeons, dieticians, discharge planners, and physical therapists, to decrease the length of stay while providing evidence based wound care for patients with chronic pressure ulcers. Ten patients were admitted with primary diagnosis of chronic stage III and stage IV Pressure Ulcers during the first quarter of the year. Those patients stayed a total of 257 days during the first quarter (range 4 days to 60 days).&nbsp; As Medicare limits reimbursement for acute care hospitals managing chronic wounds and many patients loose their facility placements after 5-7 days, a pathway was created to guide best practices and shorten length of stay. <br/>Methods: To begin the wound management pathway, the Emergency Department physician contacts the nurses on the wound team. The wound nurse implements the Chronic Wound Management physician order set. Each team member is provided with information on best practices to aid with the development of the physician order set. To evaluate our pathway, the multidisciplinary team chose the goal of a 5-7 day length of stay for all patients with chronic pressure ulcers if patients did not have evidence of sepsis. The wound nurse performed teaching, organized home supplies, and provided follow up phone calls. &nbsp; <br/>Results: In the first quarter following implementation of the Chronic Wound Management pathway, there were 10 patients included in the pathway. The 10 patients stayed a total of 19 days (range from 0-6 inpatient days). While in hospital, patients had nutritional, wound, and physical therapy consults. Patients were discharged with follow up phone calls from the wound nurse. <br/>Conclusion: A Multidisciplinary team devoted to managing chronic pressure ulcers can provide best practices efficiently and decrease length of stay. <br/></td></tr></table>en_GB
dc.date.available2011-10-26T11:51:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:51:33Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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