Braden Q: A Change in Pediatric Practice

“Braden Q:  A Change in Pediatric Practice”

A change in pediatric practice was led by Evidence-Based Practice. The Joint Commission suggested to the Chief Nursing Officer investigating the use of the Braden Q Scale for predicting pressure ulcers in the pediatric population at Robert Packer Hospital. After researching the Braden Q Scale, the wound ostomy continence nurses identified issues with this practice. They reached out to the 2 founders of the Braden Q Scale for clarification. The RPH skin team collaborated with the RPH Quality team to review the Braden Q scale and how it differs with the Braden Scale for adults. The skin team and the quality team adopted the Braden Q scale as well as revised the current Skin Care Potential for Breakdown Policy. They also made suggestions on proper documentation in the electronic medical record. The wound ostomy continence nurses and a member of the department of nursing education and research met and decided on a pressure redistributing mattress for the pediatric population, which was noted in the evidence-based research. These individuals met with the documentation team to update all the documentation to reflect the new changes’ regarding the Braden Q. DNER completed the education on the necessary units.