Methods: A wound/ostomy fair was held with multiple manufacturers to present to the committee members. Three companies were chosen for the ostomy trials at three of the hospitals. Another consideration for improvement was the transition of care from patient to home. Collaboration between the Acute and Home Care WOCN’s was initiated to discuss improvement.
Results: One manufacturer was chosen for the standardized formulary. Items in the system went from 76 down to 32, although the core formulary for all floors/staff nurses is only 8 items. Pre-op teaching kits were standardized to the American College of Surgeons Home skills kit and a folder from the hospital system. In prior research, patients who did not use the kits were twice as likely to visit the ER in the 2 weeks after their operation.1 Further, the contract provided the system cost savings of 17%.
Patient experience scores were raised, specifically for Patients undergoing Ostomy surgery, from 5th percentile in 2014 to the almost the 30th in 2015.