5 Million Lives

1. 9/9/2012 1 5 Million Lives Pressure Ulcer Prevention

2. 9/9/2012 2 Sedgwick County HospitalJulesburg, CO Pressure Ulcer Prevention Machelle Newth, RN

3. 9/9/2012 3 Topics of Discussion 2007 Chart Review Aims and Goals Set Evaluation of current skin assessment tool Education re: use of Braden scale New tool development to facilitate

4. 9/9/2012 4 2007 Chart Review Reviewed all inpatient and swing bed charts for 2007 Review of 208 charts showed 55% of skin assessment completion Need for education and implementation noted

5. 9/9/2012 5 Aims and Goals Aim is to improve process by June 2008 100% skin assessment completion 90% of intervention compliance 90% decrease in skin breakdown

6. 9/9/2012 6 Evaluation of current skin tool 1 nurse evaluated current skin tool for one week Nurse typed a report with pros and cons of current tool Other nursing staff being brought into study

7. 9/9/2012 7 Education Plan to educate all nursing staff re: proper use of Braden Scale Implement new careplan strategies

8. 9/9/2012 8 Braden Scale <16 Fleece pad or eggcrate mattress Keep skin clean and dry at all times Reposition patient q 2 hours Place patient on panacea air mattress Consult wound care nurse Consult dietician for nutrition consult

9. 9/9/2012 9 Results Desired An understanding of the process needed to prevent skin breakdown and to reduce skin breakdown. Identify at risk population A desire of the nursing staff to understand the process and prevent future skin breakdown

10. 9/9/2012 10 Next Steps Share results of chart review with nursing staff on a weekly basis via communications book Track and trend skin assessments and intervention compliance by individual nursing staff Purchase of air mattress and lift system Continuing ed planned for on staff skin specialist