Successful implementation of a pilot pressure ulcer prevention program

Successful implementation of a pilot pressure ulcer prevention program
Introduction

Statement of the problem:
Despite valiant efforts pressure ulcers continue to be a serious problem.  CMS (2007) reported slightly over 1/4 Million Stage III and Stage IV pressure ulcers costing $43,000.00 per person to treat.

Methodology:
A manufacturer's new program designed to prevent facility acquired pressure ulcers was piloted in two long term care facilities. The initial step consisted of facility assessments, including pressure ulcer data, and equipment evaluation.  A study of facility processes began the actual program implementation,  again with pressure ulcer data collection. All stakeholders ( administration, nursing, wound care, physical/occupational therapy, nutrition, environmental/laundry, and maintenance) participated. Action items  and those responsible were determined with resolution dates prior to the next consultants' visit. A WOCN, and two RN Safe Patient Handling Specialists comprised the consulting team.  The account executive and technical expert managed equipment  needs.   

Each facility designated a program champion. Resource persons for each unit and shift were chosen. Pressure ulcer prevention education incorporating cultural change was provided. The education was presented with lecture, self-assessment, scenarios, group discussion, and equipment practice. Safe patient handling and repositioning was included.  Facility specific resource binders were placed on each unit.

Consultants and champions assisted with staff surveys, turning team establishment, recognition programs, and unit in-services.

Results:
Astoundingly positive results were evident after the first month.  Following that month, some unexpected events occurred: one program champion, and one wound care nurse resigned their positions, and one DON retired. Despite these changes, the next assessments of pressure ulcer data yielded positive results, although not as dramatic as the previous months'. Data tables/graphs will be included in the final presentation.

Conclusion/Discussion:
Implementation of a new pressure ulcer prevention program utilizing a professional consulting team can positively impact the number of facility acquired pressure ulcers.