From the Frying Pan into the Fire: How a Clinical Nurse Specialist Can Impact Pressure Ulcer Incidence and Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/164110
Category:
Abstract
Type:
Presentation
Title:
From the Frying Pan into the Fire: How a Clinical Nurse Specialist Can Impact Pressure Ulcer Incidence and Outcomes
Author(s):
Simon, Julie; Hill, Kathleen M.
Author Details:
Julie Simon, MSN, ACNS-BC, CMSRN, Cleveland Clinic, Cleveland, Ohio, USA, email: simonj@ccf.org; Kathleen M. Hill, MSN, CCNS-CSC
Abstract:
PURPOSE/OBJECTIVES: To delineate CNS involvement at the hospital and unit level to successfully reduce the incidence and prevalence of pressure ulcers by changing nursing practice. SIGNIFICANCE: Recent regulatory changes in the way that hospital acquired pressure ulcers are reimbursed puts nursing practice front-and-center in the skin care arena. The rules may have tightened, but nursing interventions remain the key in preventing and treating pressure ulcers. BACKGROUND/RATIONALE: Decisions made by the bedside nurse are at the heart of pressure ulcer care, and the CNS needs to be a resource when it comes to staging and recommending treatment. CNS presence at the unit level is an effective approach to implement evidence-based practice at the bedside. DESCRIPTION: Strategies implemented in a 1300 bed major medical center will be presented. Discussion will include dissemination of a hospital-wide education program, encouraging the development of unit-based skin care resource nurses, CNS involvement at the unit level to improve pressure ulcer prevention and care, in collaboration and partnership with the management team. OUTCOME: Multi-faceted interventions resulted in a 50% reduction in pressure ulcers rates in one year. The CNS approach proved to be the key in continuity of pressure ulcer care and prevention. INTERPRETATION/CONCLUSION: Pressure ulcer prevention is a nurse-sensitive indicator of quality of care. The CNS role is ideally suited to drive practice change and therefore improve quality. IMPLICATIONS FOR PRACTICE: Participants will come away with a method for demonstrating the impact of the CNS in enhancing reimbursement and implementing cost-saving tactics in the acute care environment. Participants will be able to translate this experience into their own practice settings.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, 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_US
dc.typePresentationen_GB
dc.titleFrom the Frying Pan into the Fire: How a Clinical Nurse Specialist Can Impact Pressure Ulcer Incidence and Outcomesen_GB
dc.contributor.authorSimon, Julieen_US
dc.contributor.authorHill, Kathleen M.en_US
dc.author.detailsJulie Simon, MSN, ACNS-BC, CMSRN, Cleveland Clinic, Cleveland, Ohio, USA, email: simonj@ccf.org; Kathleen M. Hill, MSN, CCNS-CSCen_US
dc.identifier.urihttp://hdl.handle.net/10755/164110-
dc.description.abstractPURPOSE/OBJECTIVES: To delineate CNS involvement at the hospital and unit level to successfully reduce the incidence and prevalence of pressure ulcers by changing nursing practice. SIGNIFICANCE: Recent regulatory changes in the way that hospital acquired pressure ulcers are reimbursed puts nursing practice front-and-center in the skin care arena. The rules may have tightened, but nursing interventions remain the key in preventing and treating pressure ulcers. BACKGROUND/RATIONALE: Decisions made by the bedside nurse are at the heart of pressure ulcer care, and the CNS needs to be a resource when it comes to staging and recommending treatment. CNS presence at the unit level is an effective approach to implement evidence-based practice at the bedside. DESCRIPTION: Strategies implemented in a 1300 bed major medical center will be presented. Discussion will include dissemination of a hospital-wide education program, encouraging the development of unit-based skin care resource nurses, CNS involvement at the unit level to improve pressure ulcer prevention and care, in collaboration and partnership with the management team. OUTCOME: Multi-faceted interventions resulted in a 50% reduction in pressure ulcers rates in one year. The CNS approach proved to be the key in continuity of pressure ulcer care and prevention. INTERPRETATION/CONCLUSION: Pressure ulcer prevention is a nurse-sensitive indicator of quality of care. The CNS role is ideally suited to drive practice change and therefore improve quality. IMPLICATIONS FOR PRACTICE: Participants will come away with a method for demonstrating the impact of the CNS in enhancing reimbursement and implementing cost-saving tactics in the acute care environment. Participants will be able to translate this experience into their own practice settings.en_GB
dc.date.available2011-10-27T11:42:13Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:42:13Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_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.en_US
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.