The WOCN Society 40th Annual Conference (June 21-25th, 2008)
2300
Identifying Nosocomial Pressure Ulcer Trends at Boston Medical Center
Linda B. Alexander, MSN, CWOCN1, Murray Corliss, BSN, CWOCN1, Janet T. Crimlisk, MS, RNCS2, and Siobhan Nevin, BSN, CWOCN1. (1) Boston Medical Center, Wound & Ostomy Nurse, 88 E. Newton Street, Department of Surgery C-500, Boston, MA 02118, (2) Boston Medical Center, Nursing Educator, 85 E. Concord Street Nursing Department 4th Floor, Boston, 02118
Purpose: Examine quarterly pressure ulcer surveys from 2003 to present and identify trends and areas needing improvement.
Background: The Skin Committee atBoston Medical Center is a multidisciplinary team that focuses on assessment, management and documentation of skin care and prevention of pressure ulcers. Each unit has a skin committee representative who is trained in pressure ulcer assessment and collects data for their units.
Setting: 581 beds, inner cityLevel One Trauma Center . Units are categorized into medical units, surgical units, med/surg units, critical care units and a rehab unit.
Committee Actions: Quarterly pressure ulcer surveys have been ongoing since 2003. BMC Pressure Ulcer Guidelines, Therapeutic Bed Guidelines, Wound Care Guidelines and Wound Products Guidelines were developed, implemented and made available on-line. Education to staff nurses each year, conferences, Competency Day topics, unit based in-services and Skin Awareness Month: “NURSING CARES ABOUT PRESSURE ULCER PREVENTION”.
Results: Overall nosocomial pressure ulcer rate is below the NDNQI benchmark: BMC 8.04 vs. National 8.63 rate. The medical, surgical, critical care and rehabilitation units are trending below the NDNQI benchmarks. The medical-surgical units are 0.5% above the NDNQI benchmark and trending toward benchmark goal.
Recommendations: Staff nurses are important members of a multidisciplinary team approach to improving nosocomial pressure ulcer rates. The committee recognizes the importance of having on-line resources available to nursing staff. The CWOCN Nurses will continue to lead the skin committee team, provide staff education, and promote use of on-line resources that are available for pressure ulcer risk assessment and treatment plans. The skin committee will continue to share positive trend results with nursing leadership and encourage more staff support. The skin committee will continue to focus on high risk areas and develop a quality improvement project.
Background: The Skin Committee at
Setting: 581 beds, inner city
Committee Actions: Quarterly pressure ulcer surveys have been ongoing since 2003. BMC Pressure Ulcer Guidelines, Therapeutic Bed Guidelines, Wound Care Guidelines and Wound Products Guidelines were developed, implemented and made available on-line. Education to staff nurses each year, conferences, Competency Day topics, unit based in-services and Skin Awareness Month: “NURSING CARES ABOUT PRESSURE ULCER PREVENTION”.
Results: Overall nosocomial pressure ulcer rate is below the NDNQI benchmark: BMC 8.04 vs. National 8.63 rate. The medical, surgical, critical care and rehabilitation units are trending below the NDNQI benchmarks. The medical-surgical units are 0.5% above the NDNQI benchmark and trending toward benchmark goal.
Recommendations: Staff nurses are important members of a multidisciplinary team approach to improving nosocomial pressure ulcer rates. The committee recognizes the importance of having on-line resources available to nursing staff. The CWOCN Nurses will continue to lead the skin committee team, provide staff education, and promote use of on-line resources that are available for pressure ulcer risk assessment and treatment plans. The skin committee will continue to share positive trend results with nursing leadership and encourage more staff support. The skin committee will continue to focus on high risk areas and develop a quality improvement project.
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See more of The WOCN Society 40th Annual Conference (June 21-25th, 2008)
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See more of The WOCN Society 40th Annual Conference (June 21-25th, 2008)