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Making the Skin Initiative Work. By Jeanna Lisman RN, MSN. Keys to Success. Team Approach/Involvement Education Communication Documentation Patient Safety. Team Approach.

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Making the Skin Initiative Work

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making the skin initiative work

Making the Skin Initiative Work


Jeanna Lisman RN, MSN

keys to success
Keys to Success
  • Team Approach/Involvement
  • Education
  • Communication
  • Documentation
  • Patient Safety
team approach
Team Approach
  • Involve Everyone – Must include all staff: CNA’s, LPN’s, RN’s, House Supervisors, Dietary, Physical Therapy, and Administration
  • Staff Buy In – Acceptance of responsibililty by all staff members
Hourly Rounding – Provides a continuum of patient care
  • Home Health Care – Working together
  • Develop Committee – Form a group of staff that are interested in the success of the skin program
  • In-services, staff meetings, and train the trainer -Inservices provided by wound care companies and various experts
  • New Staff – Provided in orientation packets and preceptor covers information person-to-person
  • Yearly Skills Labs/Competency Check Off – Annual competence (mandatory)
Individualized and Informal education – Real time and hands on education
  • Certifications – Sent three staff to be certified in wound care
  • Webinars – Skin care and equipment representatives offer online education
Skin Model – Ordered Seymour Butt to use in skills week and when staff need individualized training
  • Quick Reference Guides – Laminated badge cards, quick reference in all charts, and reference book placed on all medication carts
  • Off site education – Sent staff to other wound care facilities
  • Care Coordination – Involve other facilities to coordinate and improve skin care issues; meet every other month
  • Person-to person – Very important when identifying pressure ulcers and the treatment
  • Shift-to-shift
  • Department-to-department
  • Facility-to-facility
Revised transform forms – To provide better communication to accepting facilities
  • Revised report sheets – To improve staff awareness and communication
  • Data Collection – Collecting data to report to state and is shared with staff
  • Digital Imaging – Digital cameras and printers were purchased and placed on the Medical Surgical and ICU units. Photos are taken upon admission, with any change, and upon discharge
  • Incorporated Braden Scale – Braden Scale is assessed every six hours and is placed on our Medi-tech system. The Braden Scale is used to involve appropriate disciplines in patients plan of care.
Complete revision of skin assessment documentation – Involved staff to obtain and make changes to our existing documentation
  • Review of all skin assessments – All skin assessments are reviewed on an ongoing basis
  • Developed protocols – Interdisciplinary effort to create new protocols to improve the standard of care
patient safety
Patient Safety
  • Preventing pressure ulcers reduces the risk for infection
  • Implementation of the Skin Care Initiative in our facility has taken our documentation from a substandard level to exceeding the standard of patient care