Enhancing Practice Through Unit Level Shared Governance: Targeting Unit Acquired Pressure Ulcers In The MSICU

2.50
Hdl Handle:
http://hdl.handle.net/10755/156951
Category:
Abstract
Type:
Presentation
Title:
Enhancing Practice Through Unit Level Shared Governance: Targeting Unit Acquired Pressure Ulcers In The MSICU
Author(s):
Banda, Ann Lauren; Grieco, Denise; Roy, Cathy; Duell, Ellen
Author Details:
Ann Lauren Banda, RN,BSN,CCRN, Saint Francis Hospital and Medical Center, Hartford, Connecticut, USA, email: laurenbanda@sbcglobal.net; Denise Grieco; Cathy Roy; Ellen Duell
Abstract:
PURPOSE: It was evident that a large patient population in our MSICU was at risk for developing pressure ulcers. We felt the need to reduce this risk and improve our patient outcomes. A nursing initiative was undertaken to train a core group of RN staff to be Wound Champions or skin integrity experts, empowered to guide and resource their peers. Another key part of the plan was the development of a staff friendly QI tool that would reflect real time pressure ulcer data to be used to improve our practice. DESCRIPTION: The MSICU implemented the use of a Pressure Ulcer Log, where staff would document all patient pressure ulcers. Staff also completed a QI Tracking Form for all unit-acquired ulcers. Our "Looking for a Few Good Men (Women)" Campaign elicited 10 RNs interested in training to be MSICU Wound Champions. These RNs completed a Pressure Ulcer Education Series and Staging Validation under the guidance of the MSICU CNS. Staff was then educated on the new role of the Wound Champions. Our nurse manager, with input from 2 staff RNs, developed an Excel spreadsheet for unit-acquired pressure ulcer data collection. One Wound Champion was designated to input the data on a monthly basis. The data auto-populated graphs, noting prominent risk factors for breakdown, as well as location and stages of breakdown. This information was then shared at our monthly Nursing Coordinating Council and Multidisciplinary Subcommittee meetings. We were able to identify practice issues and areas requiring practice modification. Our Wound Champions also launched a variety of educational initiatives to address staff learning needs, including a Skin Integrity Resource Manual, one-on-one teaching, poster boards, and contests. EVALUATION/OUTCOMES:The positive effect of our Wound Champion program is evident in an increased staff awareness and consistency and accuracy of documentation of skin integrity issues and pressure ulcers. Staff are now proactive in their practice, with earlier use of preventive measures, such as specialty beds. The use of our staff driven data entry/analysis has enabled us to identify at least one practice change per month to improve our processes and practices related to pressure ulcer monitoring and prevention. The Wound Champion program initiated in the MSICU is now active on other units in our hospital. Our QI tool is transitioning onto these units as well and will eventually be used hospital-wide.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEnhancing Practice Through Unit Level Shared Governance: Targeting Unit Acquired Pressure Ulcers In The MSICUen_GB
dc.contributor.authorBanda, Ann Laurenen_GB
dc.contributor.authorGrieco, Deniseen_GB
dc.contributor.authorRoy, Cathyen_GB
dc.contributor.authorDuell, Ellenen_GB
dc.author.detailsAnn Lauren Banda, RN,BSN,CCRN, Saint Francis Hospital and Medical Center, Hartford, Connecticut, USA, email: laurenbanda@sbcglobal.net; Denise Grieco; Cathy Roy; Ellen Duellen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156951-
dc.description.abstractPURPOSE: It was evident that a large patient population in our MSICU was at risk for developing pressure ulcers. We felt the need to reduce this risk and improve our patient outcomes. A nursing initiative was undertaken to train a core group of RN staff to be Wound Champions or skin integrity experts, empowered to guide and resource their peers. Another key part of the plan was the development of a staff friendly QI tool that would reflect real time pressure ulcer data to be used to improve our practice. DESCRIPTION: The MSICU implemented the use of a Pressure Ulcer Log, where staff would document all patient pressure ulcers. Staff also completed a QI Tracking Form for all unit-acquired ulcers. Our "Looking for a Few Good Men (Women)" Campaign elicited 10 RNs interested in training to be MSICU Wound Champions. These RNs completed a Pressure Ulcer Education Series and Staging Validation under the guidance of the MSICU CNS. Staff was then educated on the new role of the Wound Champions. Our nurse manager, with input from 2 staff RNs, developed an Excel spreadsheet for unit-acquired pressure ulcer data collection. One Wound Champion was designated to input the data on a monthly basis. The data auto-populated graphs, noting prominent risk factors for breakdown, as well as location and stages of breakdown. This information was then shared at our monthly Nursing Coordinating Council and Multidisciplinary Subcommittee meetings. We were able to identify practice issues and areas requiring practice modification. Our Wound Champions also launched a variety of educational initiatives to address staff learning needs, including a Skin Integrity Resource Manual, one-on-one teaching, poster boards, and contests. EVALUATION/OUTCOMES:The positive effect of our Wound Champion program is evident in an increased staff awareness and consistency and accuracy of documentation of skin integrity issues and pressure ulcers. Staff are now proactive in their practice, with earlier use of preventive measures, such as specialty beds. The use of our staff driven data entry/analysis has enabled us to identify at least one practice change per month to improve our processes and practices related to pressure ulcer monitoring and prevention. The Wound Champion program initiated in the MSICU is now active on other units in our hospital. Our QI tool is transitioning onto these units as well and will eventually be used hospital-wide.en_GB
dc.date.available2011-10-26T19:17:18Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:17:18Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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