Gap Analysis: not following evidence based practice for UI and fecal incontinence management, non-standardiation of products was detriement to our patient population. The cost of laundering the re-usable underpads was also detriemental. It was predicted at the start that there maybe in increase in cost by using a larger and better absorbing disposable pad.
Solution Approach: began the process for change in practice with reviewing research on best practice for managing UI and fecal incontinence.
Test of change: Trial was done on the 2 medical/surgical unit on different under pads. This project also required a culture change for the nursing staff.
Confirmed State: We have elminated the re-usable pad through out this facility. We have seen a decrease in the number of hospital acquired IAD and pressure injury. We have reduced the number of adult briefs and diapers but this continues to be an ongoing culture change and requires further encouragement and education.