2.50
Hdl Handle:
http://hdl.handle.net/10755/243543
Category:
Full-text
Type:
Presentation
Title:
Suspected Deep Tissue Injuries and Pressure Ulcers in the Perioperative Area
Author(s):
Teleten, Oleg; Kirkland-Walsh, Holly
Lead Author STTI Affiliation:
N/A
Author Details:
Teleten, Oleg, RN, BSN, TNCC, WCC, oleg.teleten@ucdmc.ucdavis.edu; Kirkland-Walsh, Holly, RN, FNP, MSN;
Abstract:
Purpose: Describe the collaboration and education for culture changes in the perioperative areas to decrease the incidence of suspected Deep Tissue Injuries (sDTI) due to prolonged surgical procedures.

Problem: A root cause analysis was performed on all hospital acquired pressure ulcers (HAPU) for 2011. All patients with HAPUs started as sDTI and had a history of prolonged operative procedures which lasted from 10 hours for a single case to 38 hours over 2-3 weeks. All sDTIs progressed to stage III and IV HAPU which were reported to the state.

Setting/Participants: The setting was the perioperative area in a large urban academic hospital providing over 22,000 surgeries per year.  Quality Improvement (QI) wound care and perioperative nurses worked together to develop strategies to decrease the incidence of sDTIs in the perioperative area and to then educate and change the culture.

Description: Each incident was documented with progressive photos and individual patient’s history. A grid was completed to find all shared risk factors along with a literature review to confirm findings. These case studies were shared with the physicians and perioperative QI nurses. All operating tables and surfaces were pressure mapped and interventions were reviewed and tested. An informational powerpoint and product selection were presented at the perioperative nurses monthly meeting.

Results: Through collaboration and education, a better understanding of the etiology, prevention and documentation of  sDTIs/HAPU was acquired by nurses and physicians. Although culture change is slow in a closed environment like the perioperative area, assessments, documentation and interventions are now in use.

Evaluation: The perioperative QI nurses and the wound care team continue to meet monthly to review progress and perform medical record audits and review for quality of care and documentation.

 

Keywords:
perioperative; suspected Deep Tissue Injuries; prevention
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleSuspected Deep Tissue Injuries and Pressure Ulcers in the Perioperative Areaen
dc.contributor.authorTeleten, Olegen
dc.contributor.authorKirkland-Walsh, Hollyen
dc.contributor.departmentN/Aen
dc.author.detailsTeleten, Oleg, RN, BSN, TNCC, WCC, oleg.teleten@ucdmc.ucdavis.edu; Kirkland-Walsh, Holly, RN, FNP, MSN;en
dc.identifier.urihttp://hdl.handle.net/10755/243543-
dc.description.abstractPurpose: Describe the collaboration and education for culture changes in the perioperative areas to decrease the incidence of suspected Deep Tissue Injuries (sDTI) due to prolonged surgical procedures. <p>Problem: A root cause analysis was performed on all hospital acquired pressure ulcers (HAPU) for 2011. All patients with HAPUs started as sDTI and had a history of prolonged operative procedures which lasted from 10 hours for a single case to 38 hours over 2-3 weeks. All sDTIs progressed to stage III and IV HAPU which were reported to the state. <p>Setting/Participants: The setting was the perioperative area in a large urban academic hospital providing over 22,000 surgeries per year.&nbsp; Quality Improvement (QI) wound care and perioperative nurses worked together to develop strategies to decrease the incidence of sDTIs in the perioperative area and to then educate and change the culture. <p>Description: Each incident was documented with progressive photos and individual patient&rsquo;s history. A grid was completed to find all shared risk factors along with a literature review to confirm findings. These case studies were shared with the physicians and perioperative QI nurses. All operating tables and surfaces were pressure mapped and interventions were reviewed and tested. An informational powerpoint and product selection were presented at the perioperative nurses monthly meeting. <p>Results: Through collaboration and education, a better understanding of the etiology, prevention and documentation of &nbsp;sDTIs/HAPU was acquired by nurses and physicians. Although culture change is slow in a closed environment like the perioperative area, assessments, documentation and interventions are now in use. <p>Evaluation: The perioperative QI nurses and the wound care team continue to meet monthly to review progress and perform medical record audits and review for quality of care and documentation. <p>&nbsp;en
dc.subjectperioperativeen
dc.subjectsuspected Deep Tissue Injuriesen
dc.subjectpreventionen
dc.date.available2012-09-12T09:23:45Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:23:45Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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