2.50
Hdl Handle:
http://hdl.handle.net/10755/182637
Category:
Abstract
Type:
Presentation
Title:
Reducing Pressure Ulcers: Sustaining the Gain
Author(s):
Ruppman, Joan
Author Details:
Joan Ruppman, RN, MS, OSF Saint Francis Medical Center, Peoria, Illinois, USA, email: joan.b.ruppman@osfhealthcare.org
Abstract:
Concurrent Podium Presentation: Pressure ulcer incidence us an indicator of patient safety and quality care. The incidence of pressure ulcers in the nation's hospitals is estimated to be about 10%. In addition to the pain and suffering the patient experiences,healing these wounds is costly, estimated to be between $2000 to $ 70,000 per wound. Increased length of stay is attributable to pressure ulcers and the Health Care Advisory Board states up to 60,000 patients die as a result of complications from pressure ulcers annually. In 2001, a not-for-profit Midwestern medical center did a pressue ulcer incidence study; 9.4% of adult patients were found to have pressure ulcers. Interventions were developed to decrease this incidence. Every adult patient unit develped an SOS (Save Our Skin)team. Process ownership and accountability was assigned to the hospital skin nurse. Patients were turned every two hours to the "Olympic Theme Song' played over the hospital's audio system. Documentation issues were addressed. Quarterly adult hospital wide skin checks were initated.In 2001 we defined 5.0% as an "acceptable" incidence rate. From 2001 to the present, the medical center continues to refine skin care. By December 2004, the definition of "acceptable" had been ratched down to 4% by administration following several quarterly incidence rates as low as 3.1%. Along the way, additional steps were added to ensure good skin care: unit skin champions were identified, incidence rates above 4% were reported to the Nursing Quality Council with an action plan for improvement. During the quarterly checks we found pressure ulcers on the scapula from a halo vest and on the nose from tubing. These are now counted as pressure ulcers during the quarterly skin check What has happend is a true culture change. Staff is eager to know the results of skin checks. They celebrate every quarter they have no pressure ulcers. Most recently, we have added our Children's Hospital peds intensive care unit to the skin check. References: Effective Strategies to Reduce Pressure Ulcer Rates. The Healthcae Advisory Bard. 5 May 2004. http:www.advisroy.com. Bick, D and Stephens, F. Pressure ulcer risk: audit findings. Nursing Standard.17.44 (2003):63-72 Kumar, Titesh n., et al. Direct Health Care Costs of 4 Common Skin Ulcers in New Mexico Medicaid Fee-for-Service Patients. Advances in Ski and Wound Care. 17(2004): 143-149. Langemo, Diane K.,Julie Anderson, and Cecilia Volden. Uncovering Pressure Ulcer Incidence. Nursing Management. 31.10(2003): 54-57.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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 Pressure Ulcers: Sustaining the Gainen_GB
dc.contributor.authorRuppman, Joanen_US
dc.author.detailsJoan Ruppman, RN, MS, OSF Saint Francis Medical Center, Peoria, Illinois, USA, email: joan.b.ruppman@osfhealthcare.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182637-
dc.description.abstractConcurrent Podium Presentation: Pressure ulcer incidence us an indicator of patient safety and quality care. The incidence of pressure ulcers in the nation's hospitals is estimated to be about 10%. In addition to the pain and suffering the patient experiences,healing these wounds is costly, estimated to be between $2000 to $ 70,000 per wound. Increased length of stay is attributable to pressure ulcers and the Health Care Advisory Board states up to 60,000 patients die as a result of complications from pressure ulcers annually. In 2001, a not-for-profit Midwestern medical center did a pressue ulcer incidence study; 9.4% of adult patients were found to have pressure ulcers. Interventions were developed to decrease this incidence. Every adult patient unit develped an SOS (Save Our Skin)team. Process ownership and accountability was assigned to the hospital skin nurse. Patients were turned every two hours to the "Olympic Theme Song' played over the hospital's audio system. Documentation issues were addressed. Quarterly adult hospital wide skin checks were initated.In 2001 we defined 5.0% as an "acceptable" incidence rate. From 2001 to the present, the medical center continues to refine skin care. By December 2004, the definition of "acceptable" had been ratched down to 4% by administration following several quarterly incidence rates as low as 3.1%. Along the way, additional steps were added to ensure good skin care: unit skin champions were identified, incidence rates above 4% were reported to the Nursing Quality Council with an action plan for improvement. During the quarterly checks we found pressure ulcers on the scapula from a halo vest and on the nose from tubing. These are now counted as pressure ulcers during the quarterly skin check What has happend is a true culture change. Staff is eager to know the results of skin checks. They celebrate every quarter they have no pressure ulcers. Most recently, we have added our Children's Hospital peds intensive care unit to the skin check. References: Effective Strategies to Reduce Pressure Ulcer Rates. The Healthcae Advisory Bard. 5 May 2004. http:www.advisroy.com. Bick, D and Stephens, F. Pressure ulcer risk: audit findings. Nursing Standard.17.44 (2003):63-72 Kumar, Titesh n., et al. Direct Health Care Costs of 4 Common Skin Ulcers in New Mexico Medicaid Fee-for-Service Patients. Advances in Ski and Wound Care. 17(2004): 143-149. Langemo, Diane K.,Julie Anderson, and Cecilia Volden. Uncovering Pressure Ulcer Incidence. Nursing Management. 31.10(2003): 54-57.en_GB
dc.date.available2011-10-28T15:33:14Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:33:14Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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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