Abstract: The Pressure Injury Dedicated Certified Wound Care Nurse: An 18 Month Review of the PIP-CWCN at a Magnet Designated Academic Medical Center (50th Annual Conference)

Valerie Kneece, BSN, RN, CWCN¹, Phill Botham, BSN, RN, ET, CWON², Lisa Stewart, BSN, RN, CWOCN³, Julie Ross, BSN, RN, CWOCN², Rebecca Rothemich, BSN, RN, CFCN, CWCN² and Glenda Brunette, MSN, RN, CWON⁴, (1)Wound Care Nursing, Quality and Patient Safety, Medical University of South Carolina, Charleston, SC, (2)Wound Care, Medical University of South Carolina, Charleston, SC, (3)Quality-Specialty Nursing, Medical University of South Carolina, Charleston, SC, (4)Specialty Nursing, Medical University of South Carolina, Charleston, SC

Topic

At the 2017 NPUAP Conference, an abstract was presented about the creation of a Pressure Injury dedicated Certified Wound Care Nurse. This abstract is an 18 month report on the position and its effect on hospital acquired pressure injury rates at a 500+ bed academic medical center.

Purpose

The Pressure Injury Preventionist (PIP) is a wound care certified nurse whose primary roles are prevention education, chart auditing, and coordinator for the hospital wide Skin Team.

Methods:

The PIP took over as the hospital-wide SKIN Team coordinator in February 2017. This takeover helped increase membership and retention efforts by introducing an annual awards ceremony, an anonymous feedback survey, and a newsletter to the group. Daily audits were conducted to ensure proper documentation of HAPIs and locate areas for improvement. Continuing education and in-services were provided for both new hire and veteran staff members. Hospital acquired pressure injuries were explored with bedside root cause analyses.

Outcomes/Results

Implementation of the PIP role led to an average reduction in HAPI prevalence of 38% in the first six months. The NDNQI Benchmark goal of below 2.5% was first achieved in June 2016. Prevalence survey numbers reached a record low of 0.9% in March 2017, followed by 1.0% in June. An ICU remediation program lead to increased charting compliance and a HAPI rate of 0% across all ICUs in the academic medical center for the March 2017 survey.

With the PIP and Lead WOC Coordinator, Pressure Injury Prevention Education is on-going, allowing for incorporation of new staff and refreshers for veterans. As we move towards quality outcomes as a measure for success, the prevention of hospital acquired pressure injuries will become paramount. A Pressure Injury Dedicated WOCN is the perfect liaison between care team members and hospital administration.

ePI94 The Pressure Injury Dedicated Certified Wound Care Nurse: An 18 Month Review of the PIP-CWCN at a Magnet Designated Academic Medical Center