2.50
Hdl Handle:
http://hdl.handle.net/10755/344154
Category:
Abstract
Type:
Poster
Title:
Emergency Department Skin and Soft Tissue Infections: Treatment Algorithm
Author(s):
Bryan, Michele; Burns, Nicholas; Pez, Jessica
Lead Author STTI Affiliation:
Non-member
Author Details:
Michele Bryan, BSN, RN, michele.bryan@thechristhospital.com; Nicholas Burns, ADN, RN; Jessica Pez, RN
Abstract:
Evidence-based Practice Abstract Purpose: Limited research is available for multiple emergency department (ED) visits related to skin and soft tissue infections. The standardization of treatment methods are necessary to improve patient treatment and outcomes. This is achieved in a cost-effective way, by decreasing the readmission rate for these specific patients. Design: This quality assurance, evidence based project is an application based on the Infectious Disease Society of America. Setting: This Magnet designated 555 bed tertiary care teaching hospital in the urban Midwest, with a 34 bed emergency department sees approximately 65,000 patients a year. Participants/Subjects: Patients who arrive to the emergency department for a skin and/or soft tissue infection seeking treatment. Methods: A multidisciplinary approach was started to evaluate the reoccurrence of patients with skin and/or soft tissue infections. The emergency department providers were treating these specific infections differently and not consistently. To improve patient care through standardized treatment, the emergency department has developed an algorithm for the treatment of skin and/or soft tissue infections. This algorithm begins with a skin assessment of the patients affected area. The patient is then placed in a subgroup, depending on if the patient presents with or without an abscess. If the patient does not have an abscess, we suspect either a secondary infection that will be treated with topical medications, or cellulitis that is categorized with drainage or without drainage, and treat with obtaining a wound culture and medication, as outlined in the algorithm. The patient will be recommended for follow up care with a provider of their choice to evaluate the effectiveness of the antibiotics. If an abscess is present, the patient’s history will be thoroughly evaluated to find if abscesses are recurrent in nature. These abscesses will then be incised and drained by a mid-level provider. If the abscess is recurrent in nature, thorough education will be completed with the patient, along with antibiotic treatment and instructions for follow up care. If the abscess is not recurrent, the mid-level provider will evaluate the abscess to determine if it is simple or not simple. Simple abscesses do not have an empiric antibiotic treatment or need for a culture, and recommendations are given for follow up care. Results/Outcomes: The algorithm has recently been approved by the infectious disease department and is currently in the analysis phase. Results regarding the effectiveness of this standardized care are currently being obtained, and will be available for inclusion in the presentation at the conference. The outcomes measured includes: percentage of readmission incidence, standardization of care, decrease in antibiotic use, and if we need to make any changes to the algorithm based on the results. Preliminary results show less readmission occurrence since the start of the algorithm process. Implications: By using the algorithm as the standardization of care by all providers, we anticipate improving patient care by seeing a decrease in emergency department readmissions, cost-effective treatment for the patient and the hospital, and providing best practice to the patient.
Keywords:
Skin and Soft Tissue Infections; Algorithm for skin and soft tissue infections
Repository Posting Date:
4-Feb-2015
Date of Publication:
4-Feb-2015
Conference Date:
2014
Conference Name:
2014 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Indianapolis, Indiana, U.S.A.
Description:
2014 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at the Indiana 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.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleEmergency Department Skin and Soft Tissue Infections: Treatment Algorithmen_GB
dc.contributor.authorBryan, Micheleen_GB
dc.contributor.authorBurns, Nicholasen_GB
dc.contributor.authorPez, Jessicaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsMichele Bryan, BSN, RN, michele.bryan@thechristhospital.com; Nicholas Burns, ADN, RN; Jessica Pez, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/344154-
dc.description.abstractEvidence-based Practice Abstract Purpose: Limited research is available for multiple emergency department (ED) visits related to skin and soft tissue infections. The standardization of treatment methods are necessary to improve patient treatment and outcomes. This is achieved in a cost-effective way, by decreasing the readmission rate for these specific patients. Design: This quality assurance, evidence based project is an application based on the Infectious Disease Society of America. Setting: This Magnet designated 555 bed tertiary care teaching hospital in the urban Midwest, with a 34 bed emergency department sees approximately 65,000 patients a year. Participants/Subjects: Patients who arrive to the emergency department for a skin and/or soft tissue infection seeking treatment. Methods: A multidisciplinary approach was started to evaluate the reoccurrence of patients with skin and/or soft tissue infections. The emergency department providers were treating these specific infections differently and not consistently. To improve patient care through standardized treatment, the emergency department has developed an algorithm for the treatment of skin and/or soft tissue infections. This algorithm begins with a skin assessment of the patients affected area. The patient is then placed in a subgroup, depending on if the patient presents with or without an abscess. If the patient does not have an abscess, we suspect either a secondary infection that will be treated with topical medications, or cellulitis that is categorized with drainage or without drainage, and treat with obtaining a wound culture and medication, as outlined in the algorithm. The patient will be recommended for follow up care with a provider of their choice to evaluate the effectiveness of the antibiotics. If an abscess is present, the patient’s history will be thoroughly evaluated to find if abscesses are recurrent in nature. These abscesses will then be incised and drained by a mid-level provider. If the abscess is recurrent in nature, thorough education will be completed with the patient, along with antibiotic treatment and instructions for follow up care. If the abscess is not recurrent, the mid-level provider will evaluate the abscess to determine if it is simple or not simple. Simple abscesses do not have an empiric antibiotic treatment or need for a culture, and recommendations are given for follow up care. Results/Outcomes: The algorithm has recently been approved by the infectious disease department and is currently in the analysis phase. Results regarding the effectiveness of this standardized care are currently being obtained, and will be available for inclusion in the presentation at the conference. The outcomes measured includes: percentage of readmission incidence, standardization of care, decrease in antibiotic use, and if we need to make any changes to the algorithm based on the results. Preliminary results show less readmission occurrence since the start of the algorithm process. Implications: By using the algorithm as the standardization of care by all providers, we anticipate improving patient care by seeing a decrease in emergency department readmissions, cost-effective treatment for the patient and the hospital, and providing best practice to the patient.en_GB
dc.subjectSkin and Soft Tissue Infectionsen_GB
dc.subjectAlgorithm for skin and soft tissue infectionsen_GB
dc.date.available2015-02-04T11:27:28Z-
dc.date.issued2015-02-04-
dc.date.accessioned2015-02-04T11:27:28Z-
dc.conference.date2014en_GB
dc.conference.name2014 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationIndianapolis, Indiana, U.S.A.en_GB
dc.description2014 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at the Indiana Convention Centeren_GB
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_GB
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