2.50
Hdl Handle:
http://hdl.handle.net/10755/161874
Category:
Abstract
Type:
Presentation
Title:
Perioperative Pressure Ulcer Prevention
Author(s):
Kwasigroch, Lisa R.
Author Details:
Lisa R. Kwasigroch, MSN, RN, CNOR, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: lisarkwas@sbcglobal.net
Abstract:
Poster presented at AORN's 58th Annual Congress: Clinical Issue: Centers for Medicare and Medicaid Services (CMS) as of October 2008 will not reimburse for hospital acquired pressure ulcers. As practitioners we need to collaborate with other clinical areas to identify and assess at risk patients and then implement evidence-based preventable measures. Assessment: A single pressure ulcer can cost over $50,000 and increase the patient's hospital stay an extra three to five days. The incidence of pressure ulcers in the operating room ranges from 12% to 66% (Aronovitch, 1999). The DMAIC Pressure Ulcer Committee follows pressure ulcers in the hospital, and hospital-wide the incidence of pressure ulcers in at the lowest it has been at 4.93%. Although, an aspect that has been missing with the committee; it is the collaboration with surgery. Working with the DMAIC committee has helped recognize key surgical areas that patients have been identified to develop pressure ulcers. This is a great opportunity to utilize this knowledge to determine where to pilot the skin assessment documentation. Implementation: The purpose of my project is to develop an evidence based surgical skin assessment documentation. The tool will encompass a presurgical component to help identify at risk patients for pressure ulcers in surgery. This will assist the surgical nurse to implement evidenced based interventions to prevent surgical pressure ulcers. The scope of the patient population will be a pilot in transplant, cardiovascular and vascular surgery. The recommendations suggest that the Braden Scale does not capture critical factors or identify risk for surgical patients; it therefore has limited use in the surgical population. Use of the scale for determining risk for intraoperative patients has not been effective. (Price, Whitney, King, 2005.) I recommend an evidenced based surgical assessment tool to be utilized through pre-surgical, and surgery. In conclusion, the new surgical assessment documentation will utilized evidenced based knowledge to help identify at risk surgical patients and help surgical staff to implement evidenced based safety positioning protocols to prevent surgical pressure ulcers. This will contribute to the best practice at Northwestern Memorial Hospital. Outcomes: Enhancing Knowledge. * Modified charting methods. * Education for nursing staff. Identification of patients at risk for pressure ulcers. Review of pressure points. Pressure ulcer identification. Bring new "Best Practice" resources for safer care. * New mattresses for the operating room. * Absorbable sheets. * New surgical positioners. Ensuring resources are accessible to staff. * New Surgical Positioning Guidelines. * New Positioning Resource Book.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
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_US
dc.typePresentationen_GB
dc.titlePerioperative Pressure Ulcer Preventionen_GB
dc.contributor.authorKwasigroch, Lisa R.en_US
dc.author.detailsLisa R. Kwasigroch, MSN, RN, CNOR, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: lisarkwas@sbcglobal.neten_US
dc.identifier.urihttp://hdl.handle.net/10755/161874-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Clinical Issue: Centers for Medicare and Medicaid Services (CMS) as of October 2008 will not reimburse for hospital acquired pressure ulcers. As practitioners we need to collaborate with other clinical areas to identify and assess at risk patients and then implement evidence-based preventable measures. Assessment: A single pressure ulcer can cost over $50,000 and increase the patient's hospital stay an extra three to five days. The incidence of pressure ulcers in the operating room ranges from 12% to 66% (Aronovitch, 1999). The DMAIC Pressure Ulcer Committee follows pressure ulcers in the hospital, and hospital-wide the incidence of pressure ulcers in at the lowest it has been at 4.93%. Although, an aspect that has been missing with the committee; it is the collaboration with surgery. Working with the DMAIC committee has helped recognize key surgical areas that patients have been identified to develop pressure ulcers. This is a great opportunity to utilize this knowledge to determine where to pilot the skin assessment documentation. Implementation: The purpose of my project is to develop an evidence based surgical skin assessment documentation. The tool will encompass a presurgical component to help identify at risk patients for pressure ulcers in surgery. This will assist the surgical nurse to implement evidenced based interventions to prevent surgical pressure ulcers. The scope of the patient population will be a pilot in transplant, cardiovascular and vascular surgery. The recommendations suggest that the Braden Scale does not capture critical factors or identify risk for surgical patients; it therefore has limited use in the surgical population. Use of the scale for determining risk for intraoperative patients has not been effective. (Price, Whitney, King, 2005.) I recommend an evidenced based surgical assessment tool to be utilized through pre-surgical, and surgery. In conclusion, the new surgical assessment documentation will utilized evidenced based knowledge to help identify at risk surgical patients and help surgical staff to implement evidenced based safety positioning protocols to prevent surgical pressure ulcers. This will contribute to the best practice at Northwestern Memorial Hospital. Outcomes: Enhancing Knowledge. * Modified charting methods. * Education for nursing staff. Identification of patients at risk for pressure ulcers. Review of pressure points. Pressure ulcer identification. Bring new "Best Practice" resources for safer care. * New mattresses for the operating room. * Absorbable sheets. * New surgical positioners. Ensuring resources are accessible to staff. * New Surgical Positioning Guidelines. * New Positioning Resource Book.en_GB
dc.date.available2011-10-27T08:42:03Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:42:03Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
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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