Implementing a Pressure Injury Prevention Bundle to Decrease Hospital Acquired Pressure Injuries in a Critical Care Unit

Title

Implementing a Pressure Injury Prevention Bundle to Decrease Hospital Acquired Pressure Injuries in a Critical Care Unit.

Category of Submission

Wellness

Background/Significance of Project

Patients in critical care units are frequently at risk for developing hospital acquired pressure injuries (HAPIs). HAPIs are associated with increased morbidity and mortality. The purpose of this evidence-based practice (EBP) initiative was to pilot a Pressure Injury Prevention Bundle (PIP Bundle) to standardize the process for reducing hospital-acquired pressure injuries (HAPIs) in a critical care unit with the goal of implementing the PIP Bundle hospital-wide.

Research/PICO Question

(P) Patients in critical care units at risk for hospital acquired pressure injuries

(I) Implementation of a Pressure Injury Prevention Bundle

(C) Lack of standardized practice to reduce risk of hospital-acquired pressure injuries

(O) Decrease rate of hospital-acquired pressure injuries

Evidence Summary

The literature review included Pub Med, Cinahl and Clinical Practice Guidelines.

Methods/EBP Change Implemented

A multidisciplinary EBP Pressure Injury Prevention Bundle was developed and piloted in a critical care unit.

Implications for Practice

Seven months following implementation of the PIP Bundle, HAPIs on the critical care unit were reduced by 75% as compared to the same time period the previous year.

Sustainability Plan

To foster sustainability of the plan, the WOC nurses collaborated with nursing leadership, nurse managers, staff nurses, physicians, respiratory therapists, and patient care associates. Skin care rounds were conducted by the WOC nurses, nurse managers and skin champions to reinforce the PIP Bundle. The PIP Bundle was also displayed in each patient's room.

Dissemination Plan

WOC nurses, nurse managers, skin champions and respiratory therapist disseminated the PIP Bundle through presentations at Leadership meetings, Quality and Education council meetings and unit in-services.

Conclusion

There were 8 HAPIs pre-EBP initiative 1/2017-12/2017 and 2 post initiative 3/2018-10/2018, which reflected a 75% decrease in HAPIs on the unit.