Pressure Ulcer Prevalence. Hospital Wide Monitoring & Management www.woundcarenurses.org Alex Khan RN BSN CWCN CFCN. Problem. According to Centers for Medicare & Medicaid (2010) more than 2.5 million people in the United States develop pressure ulcers annually.
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Hospital Wide Monitoring & Management
AlexKhan RN BSN CWCN CFCN
Pressure ulcer prevention and prevalence presents an important challenge in acute and long term acute care hospitals. Pressure ulcer prevention requires an interdisciplinary and system wide approach to care. To accomplish this task; coordination between all disciplines, an organizational process and operational practices are needed. Therefore, pressure ulcer prevention and prevalence calls for a system focus to make needed changes.
What is a Pressure Ulcer ?
The staging of pressure ulcers, as defined by national guidelines (NPUAP), allow for common understandings for healthcare professionals.
A survey was developed to identify knowledge of nurses about staging
of pressure ulcers. Each nurse completing the survey was required to
identify & stage the pressure ulcers by observing the images of the
ulcers. 50 Registered nurses were randomly selected to complete the
survey. The following nurses completed the survey:
32 Registered Nurses with Bachelor of Nursing Degree
5 Registered Nurses with Master of Nursing Degree
1 Registered Nurse with Doctorate Degree
7 Registered Nurses with Associate Degree
5 Registered Nurses with Diploma
PLEASE STAGE THE FOLLOWING PRESSURE ULCERS:
registered nurses do not have the competence and skill to
identify wounds of different etiology, nor pressure ulcers of different stages.
wound care and have experience in wound management and
staging pressure ulcers are qualified to properly stage pressure ulcers.
According to National Commission For Certifying Agency
(NCCA) and the Accreditation Board for Specialty Nursing
Certification (ABSNC), Wound Care Nursing is a nursing
specialty, and the certification is the validation of knowledge,
skills and expertise, which protects the public from unsafe and
incompetent providers and distinguishes the healthcare facility
for utilizing nurses expert in the management of wounds.
Certified Wound care nurses are key health care team members who:
According to wound care certification board (WOCNCB),
entry level Wound Care Nurse must possess following
qualification in order to sit for certification exam: