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Practice Success Through Prevention

Why's the Pressure On?. Maintenance of skin integrity is a nursing sensitive indicator of quality patient care. When a patient develops a pressure ulcer it has a negative impact on their entire hospitalization.Legislation requires we report all Stage III or IV pressure ulcers that develop within

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Practice Success Through Prevention

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    1. Practice Success Through Prevention Kathy Borchert Certified Wound, Ostomy, Continence Nurse

    2. Whys the Pressure On? Maintenance of skin integrity is a nursing sensitive indicator of quality patient care. When a patient develops a pressure ulcer it has a negative impact on their entire hospitalization. Legislation requires we report all Stage III or IV pressure ulcers that develop within our facilities.

    3. Role of the WOC Nurse Tissue Integrity Committee Policy/Procedure Development Resource Manual Support Surface Monitoring Bed Council (purchase and rental products) Staff Education Nursing, NA/PCA, ED, Maternity Care Mandatory Inservices and Skills Validation Monitor PU Prevalence/Incidence

    4. Policies/Procedures Nutrition Therapy Role in Prevention and Treatment of Pressure Ulcers Prosthetic and Orthotic Services Wound Management (Infection Control Policy)

    5. Standard of Practice Every patient admitted to a HealthEast Hospital will be assessed for the presence of skin breakdown and the risk of developing a pressure ulcer. When a problem, or its potential, are identified appropriate care will be implemented and interventions and the response to the interventions documented.

    6. Policies/Procedures Standard of Practice Managing Skin Integrity Risk Evaluation Skin Inspection Wound Assessment

    7. Skin Care Interventions Based on Braden Score Skin Assessment Skin Inspection Pressure reduction/relief Repositioning Activity/Mobility Nutrition Incontinence Care Skin Care

    8. PUPPI on Patrol / War on Wounds Pressure Ulcer Prevention Performance Improvement

    9. Healthcare Team RN/LPN NA/PCA PT/OT/Dietician Physician/CNP WOC Nurse Patient/Family

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