METHODS: The PIP began seeing all pressure injury patients to increase floor staff’s familiarity with the role and assess their education needs. Chart audits were performed and sent to nurse managers for review. The PIP took an active role during NDNQI Skin Survey Days, performing random checks and being available to surveyors.
RESULTS: The NDNQI Skin Survey determines the prevalence rate of HAPIs on a quarterly basis. HAPI rates were 3.4% in December 2015 and 2.7% in March 2016. After hire and training of the Pressure Injury Preventionist (PIP) in March 2016, survey numbers for June 2016 were 2.14% and 1.84% for September 2016.
CONCLUSIONS: A dedicated WOC nurse that focuses on Pressure Injury Prevention alleviates the burden of prevention education on the entire WOC team. The PIP is an effective liaison between hospital administration and floor staff. With the PIP and Lead WOC Coordinator, a Pressure Injury Prevention Education Bundle is planned for January 2017 to review the updated NPUAP staging guidelines and a Pressure Injury Standing Order Set. The order set gives floor nurses some autonomy in their practice and improves patient outcomes by providing dressing guidelines for night shift and weekend nurses.