Objectives: To decrease TRPIs by:
Identify a dressing that effectively reduces pressure, moisture and contact between skin and trach faceplate
Improve communication between physicians and nurses
Methods: a group of key ICU stakeholders including nursing, physicians and a WOC Nurse convened and identified areas for improvement: 1) the available moisture-wicking dressing was disliked by physicians and therefore not being used; 2) standardization of trach care in this population
The WOC Nurse acquired samples of several products. Physicians and nurses identified a highly absorbent polyurethane tracheostomy dressing as the preference for use at time of(?) insertion and for continued care.
A Clinical Nurse III developed a communication form to be placed at patient’s head of bed to display pertinent care protocols and lines of communication.
Results: In the fiscal year (FY) 2015, there were eight TRPIs. There were also eight TRPIs within the first two quarters of FY2016. Upon implementation of above interventions, there was one TRPI in quarter 1 (Q1) and zero in quarter 2 of FY2016. There was one TRPI in Q1 FY2017.
Audits of use of bedside communication tool showed 100% compliance.