2.50
Hdl Handle:
http://hdl.handle.net/10755/182289
Category:
Abstract
Type:
Presentation
Title:
Reducing Hospital-Acquired Pressure Ulcers in CVICU
Author(s):
Miles, Marsha
Author Details:
Marsha Miles, MSN, RN, CCRN-CSC, Baptist Medical Center, Jacksonville, Florida, USA, email: marsha.miles@bmcjax.com
Abstract:
Pressure ulcers negatively impact health care facilities through increased costs, increased skilled interventions as well as patient complications, pain and suffering. According to literature, incidence rates in acute care are 7% with rates as high as 30% in cardiac surgery patients. As of October 1, 2008, CMS initiated reimbursement changes. In 2007, incidence rates were increasing in the Cardiovascular/Thoracic Surgery ICU at our facility. After reviewing incidence rates, patient records, and evidence-based literature, a unit-based pressure ulcer prevention protocol (PUPP) was developed by a multidisciplinary team. The PUPP is an algorithm that addresses the six key steps identified by IHI 5 Million Lives campaign to prevent pressure ulcers. Factors that research has shown increase risk for pressure ulcers in cardiovascular surgery ICU patients were compiled in a screening tool for pressure redistribution surfaces. The PUPP and screening tool provide the staff a quick guide to skin care interventions based on patient type and risk factors. Staff education was provided through in-services, journal clubs, and weekly interdisciplinary and daily Advanced Practice Partner (APP) rounds. The PUPP and screening tool were implemented March 2008. Wound care nurses collected data and results were shared with unit leadership and staff. Incidence rates for 2007 were 10.2% for the Cardiovascular/Thoracic Surgery ICU. For 4th quarter 2008, incidence rates had decreased to zero. The PUPP and screening tool were instrumental in identifying patients at high risk and providing interventions that would reduce costs, improve patient outcomes and quality care. References: 5 Million Lives Campaign. Getting Started Kit: Prevent Pressure Ulcers How-to Guide. Cambridge, MA: Institute for Healthcare Improvement; 2008. (Available at www.ihi.org); Ayello, E.A. & Lyder, C.H. (2008). A new era of pressure ulcer accountability in acute care. Advances in Skin & Wound Care, 21(3), 134-140.; Feuchtinger, J., Halfens, R.J.G., & Dassen, T. (2005). Pressure ulcer risk factors in cardiac surgery: a review of the research literature. Heart & Lung, 34, 375-385.; Frankel, H., Sperry, J. & Kaplan, L. (2007). Risk factors for pressure ulcer development in a best practice surgical intensive care unit. The American Surgeon, 73, 1215-1217.; Keast, D.H., Parslow, N., Houghton, P.E., Norton, L. & Fraser, C. (2007). Best practice recommendations for the prevention and treatment of pressure ulcers: update 2006. Advances in Skin & Wound Care, 20(8), 447-462.; Price, M. C., Whitney, J. D. & King, C.A. (2005). Development of a risk assessment tool for intraoperative pressure ulcers. Journal of Wound Ostomy Continence Nursing, 32(1), 19-30.; Sewchuk, D., Padula, C. & Osborne, E. (2006). Prevention and early detection of pressure ulcers in patients undergoing cardiac surgery. AORN Journal, 84, 75-96.; Stoelting, J., McKenna, L., Taggart, E., Mottar, R., Jeffers, B.R., & Wendler, M.C. (2007). Prevention of nosocomial pressure ulcers. Journal of Wound Ostomy Continence Nursing, 34(4), 382-388.; Wolverton, C.L., Hobbs, L.A., Beeson, T., Benjamin, M., Campbell, K., Forbes, C., et al. (2004). Nosocomial pressure ulcer rates in critical care: performance improvement project. Journal of Nursing Care Quality, 20 (1), 56-62.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleReducing Hospital-Acquired Pressure Ulcers in CVICUen_GB
dc.contributor.authorMiles, Marshaen_US
dc.author.detailsMarsha Miles, MSN, RN, CCRN-CSC, Baptist Medical Center, Jacksonville, Florida, USA, email: marsha.miles@bmcjax.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182289-
dc.description.abstractPressure ulcers negatively impact health care facilities through increased costs, increased skilled interventions as well as patient complications, pain and suffering. According to literature, incidence rates in acute care are 7% with rates as high as 30% in cardiac surgery patients. As of October 1, 2008, CMS initiated reimbursement changes. In 2007, incidence rates were increasing in the Cardiovascular/Thoracic Surgery ICU at our facility. After reviewing incidence rates, patient records, and evidence-based literature, a unit-based pressure ulcer prevention protocol (PUPP) was developed by a multidisciplinary team. The PUPP is an algorithm that addresses the six key steps identified by IHI 5 Million Lives campaign to prevent pressure ulcers. Factors that research has shown increase risk for pressure ulcers in cardiovascular surgery ICU patients were compiled in a screening tool for pressure redistribution surfaces. The PUPP and screening tool provide the staff a quick guide to skin care interventions based on patient type and risk factors. Staff education was provided through in-services, journal clubs, and weekly interdisciplinary and daily Advanced Practice Partner (APP) rounds. The PUPP and screening tool were implemented March 2008. Wound care nurses collected data and results were shared with unit leadership and staff. Incidence rates for 2007 were 10.2% for the Cardiovascular/Thoracic Surgery ICU. For 4th quarter 2008, incidence rates had decreased to zero. The PUPP and screening tool were instrumental in identifying patients at high risk and providing interventions that would reduce costs, improve patient outcomes and quality care. References: 5 Million Lives Campaign. Getting Started Kit: Prevent Pressure Ulcers How-to Guide. Cambridge, MA: Institute for Healthcare Improvement; 2008. (Available at www.ihi.org); Ayello, E.A. & Lyder, C.H. (2008). A new era of pressure ulcer accountability in acute care. Advances in Skin & Wound Care, 21(3), 134-140.; Feuchtinger, J., Halfens, R.J.G., & Dassen, T. (2005). Pressure ulcer risk factors in cardiac surgery: a review of the research literature. Heart & Lung, 34, 375-385.; Frankel, H., Sperry, J. & Kaplan, L. (2007). Risk factors for pressure ulcer development in a best practice surgical intensive care unit. The American Surgeon, 73, 1215-1217.; Keast, D.H., Parslow, N., Houghton, P.E., Norton, L. & Fraser, C. (2007). Best practice recommendations for the prevention and treatment of pressure ulcers: update 2006. Advances in Skin & Wound Care, 20(8), 447-462.; Price, M. C., Whitney, J. D. & King, C.A. (2005). Development of a risk assessment tool for intraoperative pressure ulcers. Journal of Wound Ostomy Continence Nursing, 32(1), 19-30.; Sewchuk, D., Padula, C. & Osborne, E. (2006). Prevention and early detection of pressure ulcers in patients undergoing cardiac surgery. AORN Journal, 84, 75-96.; Stoelting, J., McKenna, L., Taggart, E., Mottar, R., Jeffers, B.R., & Wendler, M.C. (2007). Prevention of nosocomial pressure ulcers. Journal of Wound Ostomy Continence Nursing, 34(4), 382-388.; Wolverton, C.L., Hobbs, L.A., Beeson, T., Benjamin, M., Campbell, K., Forbes, C., et al. (2004). Nosocomial pressure ulcer rates in critical care: performance improvement project. Journal of Nursing Care Quality, 20 (1), 56-62.en_GB
dc.date.available2011-10-28T15:17:39Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:17:39Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_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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