WOCN Homepage


185

A multi-disciplinary approach to a bed & surface evaluation with a focus on skin integrity preservation, caregiver ergonomics, and safety

Donna Crossland, RN, BSN, CWOCN1, Angela Rodgers, RN, BSN2, Evelyn J. Sinclair, RN, BC, BSN, CON2, and Donna Goldson-Piper, MS, PT3. (1) Cape Canaveral Hospital, CWOCN, 701 West Cocoa Beach Causeway, Cocoa Beach, FL 32931, (2) Cape Canaveral Hospital, Unit Educator, 701 West Cocoa Beach Causeway, Cocoa Beach, FL 32931, (3) Cape Canaveral Hospital, Rehabilitation Department Supervisor, 701 West Cocoa Beach Causeway, Cocoa Beach, FL 32931

Topic: The hospital bed environment and nursing ergonomics can increase the risk for patient falls, injury to skin integrity and development of pressure ulcers. Our organization consisting of three hospitals of varying bed capacity planned a large capital purchase of over five hundred new hospital beds. The replacements would occur incrementally over the next 2 years in each facility.

Rationale: Because of its' potential to impact staff and patients alike, it was determined that we needed to solicit valuable information from the end-user experts, rather than just rely on a financial decision for this large scale purchase. By involving staff, it would allow us to solicit their participation in an organized formalized trial.

Method: A twenty three question survey was devised with questions rating nursing ergonomics, ease of use, and patient safety. A multi-disciplinary approach was taken for the evaluation that included nursing staff, non-licensed aids, occupational therapists and physical therapists. Every two weeks 2 beds from Brand A and Brand B were placed on units in a rotating fashion, and were trialed in actual patient use by the staff. Both a standard surface and a pressure reducing surface were available for each brand. Surface related comments were requested as a written remark in effort to solicit additional feedback.

Outcome: The data was assimilated and presented in a formal, objective manner, resulting in a consistent purchase of this long-term capital acquisition of specialty beds across the enterprise. This was done with consideration to: • Prevention of skin integrity breakdown from shearing, friction and pressure; • Caregiver ergonomics for moving, transferring, and ministering to the patient; and • Elements to provide safety and prevent falls for the patient and caregiver.


See more of Practice Innovation Poster Abstracts
See more of Practice Innovation Abstracts

See more of The 38th Annual WOCN Society Conference (June 24 -- 28, 2006)