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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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1. Practice Success Through Prevention Kathy Borchert
Certified Wound, Ostomy, Continence Nurse
2. 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 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